10A NCAC 09 .0803 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 2/9/2026 Number Present: 84 Completed Date: 2/9/2026 Age: From 0 To 5 Total Minutes: 155 Time In: 09:30 AM Time Out: 12:05 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 unannounced visit. Ms. Tracey Conyers, Director, assisted us during the visit. Your program currently operates with a Five-Star issued September 9th, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy nine percent (79%) as of 2/9/26. 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 NC Secretary of State website was reviewed on (2/9/26) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following were observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. I also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. I reviewed some staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I did not receive the Staff and Training Worksheet for review before today’s visit. A follow visit will be made within the next two weeks to review files. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 1/23/26. Emergency drill log: Shelter and lock down drills on 12/18/25. Fire drill: 1/23/26. Sanitation inspection:8/27/25 Fire Inspection:1/23/26 A checklist was used to note the requirements I monitored today. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) At least 4 feeding schedules were not provided or posted and did not have parent and teacher signatures during today's visit. This is a repeated violation 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in Infant 1 did not maintain a temperature of 45 degrees F. or below. Today it was at 50 degrees F. 15A NCAC 18A .2806(j)(2) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. A child had a topical ointment that was not in its original container, and that was not labeled and or dated. 10A NCAC 09 .0803(4) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date(2/8/26) of the qualification letter, L. Jefferies did not complete and submit forms to complete a criminal background check. This is a repeated violation G.S. 110-90.2(b) & .2703(n)&(o) 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. Several staff members First Aid certification has expired. This is a repeated violation .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. Several staff members CPR certification has expired. This is a repeated violation .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. A child care provider scheduled to work in the infant room ITS-SIDS has expired. .1102(f) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A. Jones did not have immunization records on file. 10A NCAC 09 .0302(d)(2) 1738 A record which required a signature of a staff person or parent was not preserved in a format required in rule. The feeding schedules require signatures from parents and teachers, several feeding schedules did not have the required signatures. This is a repeated violation. .2318 (2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available for review at the facility L. Jeffries. This is a repeated violation G.S. 110-90.2(b) & (d) & .2703(e) The violation(s) documented must be corrected immediately. On or before 2-23-26, 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 that any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The provider and I discussed, ensuring that all activity plans are posted and current , menus are posted and current, required signatures are on forms, feeding schedules, qualification letters, First Aid and CPR training, ITS-SIDS training, immunization requirements , topical ointments and medications are in correct packaging, are on the right form and that the medication are not expired. Technical Assistance Over-the-counter medications should be kept in the original container as sold by the manufacturer, labeled by the parent/guardian, with the child’s name and specific instructions given by the child’s prescribing health professional for administration. Program Reminders All existing staff who need more hours to complete their on-going training have until 2/24/26. All other staff who have just started have a year from their hire. Please refer to the staff and training sheet worksheet. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0902 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 2/9/2026 Number Present: 84 Completed Date: 2/9/2026 Age: From 0 To 5 Total Minutes: 155 Time In: 09:30 AM Time Out: 12:05 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 unannounced visit. Ms. Tracey Conyers, Director, assisted us during the visit. Your program currently operates with a Five-Star issued September 9th, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy nine percent (79%) as of 2/9/26. 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 NC Secretary of State website was reviewed on (2/9/26) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following were observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. I also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. I reviewed some staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I did not receive the Staff and Training Worksheet for review before today’s visit. A follow visit will be made within the next two weeks to review files. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 1/23/26. Emergency drill log: Shelter and lock down drills on 12/18/25. Fire drill: 1/23/26. Sanitation inspection:8/27/25 Fire Inspection:1/23/26 A checklist was used to note the requirements I monitored today. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) At least 4 feeding schedules were not provided or posted and did not have parent and teacher signatures during today's visit. This is a repeated violation 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in Infant 1 did not maintain a temperature of 45 degrees F. or below. Today it was at 50 degrees F. 15A NCAC 18A .2806(j)(2) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. A child had a topical ointment that was not in its original container, and that was not labeled and or dated. 10A NCAC 09 .0803(4) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date(2/8/26) of the qualification letter, L. Jefferies did not complete and submit forms to complete a criminal background check. This is a repeated violation G.S. 110-90.2(b) & .2703(n)&(o) 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. Several staff members First Aid certification has expired. This is a repeated violation .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. Several staff members CPR certification has expired. This is a repeated violation .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. A child care provider scheduled to work in the infant room ITS-SIDS has expired. .1102(f) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A. Jones did not have immunization records on file. 10A NCAC 09 .0302(d)(2) 1738 A record which required a signature of a staff person or parent was not preserved in a format required in rule. The feeding schedules require signatures from parents and teachers, several feeding schedules did not have the required signatures. This is a repeated violation. .2318 (2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available for review at the facility L. Jeffries. This is a repeated violation G.S. 110-90.2(b) & (d) & .2703(e) The violation(s) documented must be corrected immediately. On or before 2-23-26, 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 that any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The provider and I discussed, ensuring that all activity plans are posted and current , menus are posted and current, required signatures are on forms, feeding schedules, qualification letters, First Aid and CPR training, ITS-SIDS training, immunization requirements , topical ointments and medications are in correct packaging, are on the right form and that the medication are not expired. Technical Assistance Over-the-counter medications should be kept in the original container as sold by the manufacturer, labeled by the parent/guardian, with the child’s name and specific instructions given by the child’s prescribing health professional for administration. Program Reminders All existing staff who need more hours to complete their on-going training have until 2/24/26. All other staff who have just started have a year from their hire. Please refer to the staff and training sheet worksheet. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 2/9/2026 Number Present: 84 Completed Date: 2/9/2026 Age: From 0 To 5 Total Minutes: 155 Time In: 09:30 AM Time Out: 12:05 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 unannounced visit. Ms. Tracey Conyers, Director, assisted us during the visit. Your program currently operates with a Five-Star issued September 9th, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy nine percent (79%) as of 2/9/26. 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 NC Secretary of State website was reviewed on (2/9/26) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following were observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. I also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. I reviewed some staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I did not receive the Staff and Training Worksheet for review before today’s visit. A follow visit will be made within the next two weeks to review files. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 1/23/26. Emergency drill log: Shelter and lock down drills on 12/18/25. Fire drill: 1/23/26. Sanitation inspection:8/27/25 Fire Inspection:1/23/26 A checklist was used to note the requirements I monitored today. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) At least 4 feeding schedules were not provided or posted and did not have parent and teacher signatures during today's visit. This is a repeated violation 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in Infant 1 did not maintain a temperature of 45 degrees F. or below. Today it was at 50 degrees F. 15A NCAC 18A .2806(j)(2) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. A child had a topical ointment that was not in its original container, and that was not labeled and or dated. 10A NCAC 09 .0803(4) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date(2/8/26) of the qualification letter, L. Jefferies did not complete and submit forms to complete a criminal background check. This is a repeated violation G.S. 110-90.2(b) & .2703(n)&(o) 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. Several staff members First Aid certification has expired. This is a repeated violation .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. Several staff members CPR certification has expired. This is a repeated violation .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. A child care provider scheduled to work in the infant room ITS-SIDS has expired. .1102(f) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A. Jones did not have immunization records on file. 10A NCAC 09 .0302(d)(2) 1738 A record which required a signature of a staff person or parent was not preserved in a format required in rule. The feeding schedules require signatures from parents and teachers, several feeding schedules did not have the required signatures. This is a repeated violation. .2318 (2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available for review at the facility L. Jeffries. This is a repeated violation G.S. 110-90.2(b) & (d) & .2703(e) The violation(s) documented must be corrected immediately. On or before 2-23-26, 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 that any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The provider and I discussed, ensuring that all activity plans are posted and current , menus are posted and current, required signatures are on forms, feeding schedules, qualification letters, First Aid and CPR training, ITS-SIDS training, immunization requirements , topical ointments and medications are in correct packaging, are on the right form and that the medication are not expired. Technical Assistance Over-the-counter medications should be kept in the original container as sold by the manufacturer, labeled by the parent/guardian, with the child’s name and specific instructions given by the child’s prescribing health professional for administration. Program Reminders All existing staff who need more hours to complete their on-going training have until 2/24/26. All other staff who have just started have a year from their hire. Please refer to the staff and training sheet worksheet. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 2/9/2026 Number Present: 84 Completed Date: 2/9/2026 Age: From 0 To 5 Total Minutes: 155 Time In: 09:30 AM Time Out: 12:05 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 unannounced visit. Ms. Tracey Conyers, Director, assisted us during the visit. Your program currently operates with a Five-Star issued September 9th, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy nine percent (79%) as of 2/9/26. 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 NC Secretary of State website was reviewed on (2/9/26) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following were observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. I also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. I reviewed some staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I did not receive the Staff and Training Worksheet for review before today’s visit. A follow visit will be made within the next two weeks to review files. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 1/23/26. Emergency drill log: Shelter and lock down drills on 12/18/25. Fire drill: 1/23/26. Sanitation inspection:8/27/25 Fire Inspection:1/23/26 A checklist was used to note the requirements I monitored today. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) At least 4 feeding schedules were not provided or posted and did not have parent and teacher signatures during today's visit. This is a repeated violation 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in Infant 1 did not maintain a temperature of 45 degrees F. or below. Today it was at 50 degrees F. 15A NCAC 18A .2806(j)(2) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. A child had a topical ointment that was not in its original container, and that was not labeled and or dated. 10A NCAC 09 .0803(4) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date(2/8/26) of the qualification letter, L. Jefferies did not complete and submit forms to complete a criminal background check. This is a repeated violation G.S. 110-90.2(b) & .2703(n)&(o) 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. Several staff members First Aid certification has expired. This is a repeated violation .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. Several staff members CPR certification has expired. This is a repeated violation .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. A child care provider scheduled to work in the infant room ITS-SIDS has expired. .1102(f) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A. Jones did not have immunization records on file. 10A NCAC 09 .0302(d)(2) 1738 A record which required a signature of a staff person or parent was not preserved in a format required in rule. The feeding schedules require signatures from parents and teachers, several feeding schedules did not have the required signatures. This is a repeated violation. .2318 (2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available for review at the facility L. Jeffries. This is a repeated violation G.S. 110-90.2(b) & (d) & .2703(e) The violation(s) documented must be corrected immediately. On or before 2-23-26, 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 that any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The provider and I discussed, ensuring that all activity plans are posted and current , menus are posted and current, required signatures are on forms, feeding schedules, qualification letters, First Aid and CPR training, ITS-SIDS training, immunization requirements , topical ointments and medications are in correct packaging, are on the right form and that the medication are not expired. Technical Assistance Over-the-counter medications should be kept in the original container as sold by the manufacturer, labeled by the parent/guardian, with the child’s name and specific instructions given by the child’s prescribing health professional for administration. Program Reminders All existing staff who need more hours to complete their on-going training have until 2/24/26. All other staff who have just started have a year from their hire. Please refer to the staff and training sheet worksheet. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 2/9/2026 Number Present: 84 Completed Date: 2/9/2026 Age: From 0 To 5 Total Minutes: 155 Time In: 09:30 AM Time Out: 12:05 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 unannounced visit. Ms. Tracey Conyers, Director, assisted us during the visit. Your program currently operates with a Five-Star issued September 9th, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy nine percent (79%) as of 2/9/26. 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 NC Secretary of State website was reviewed on (2/9/26) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following were observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. I also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. I reviewed some staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I did not receive the Staff and Training Worksheet for review before today’s visit. A follow visit will be made within the next two weeks to review files. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 1/23/26. Emergency drill log: Shelter and lock down drills on 12/18/25. Fire drill: 1/23/26. Sanitation inspection:8/27/25 Fire Inspection:1/23/26 A checklist was used to note the requirements I monitored today. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) At least 4 feeding schedules were not provided or posted and did not have parent and teacher signatures during today's visit. This is a repeated violation 10A NCAC 09 .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in Infant 1 did not maintain a temperature of 45 degrees F. or below. Today it was at 50 degrees F. 15A NCAC 18A .2806(j)(2) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. A child had a topical ointment that was not in its original container, and that was not labeled and or dated. 10A NCAC 09 .0803(4) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date(2/8/26) of the qualification letter, L. Jefferies did not complete and submit forms to complete a criminal background check. This is a repeated violation G.S. 110-90.2(b) & .2703(n)&(o) 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. Several staff members First Aid certification has expired. This is a repeated violation .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. Several staff members CPR certification has expired. This is a repeated violation .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. A child care provider scheduled to work in the infant room ITS-SIDS has expired. .1102(f) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A. Jones did not have immunization records on file. 10A NCAC 09 .0302(d)(2) 1738 A record which required a signature of a staff person or parent was not preserved in a format required in rule. The feeding schedules require signatures from parents and teachers, several feeding schedules did not have the required signatures. This is a repeated violation. .2318 (2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available for review at the facility L. Jeffries. This is a repeated violation G.S. 110-90.2(b) & (d) & .2703(e) The violation(s) documented must be corrected immediately. On or before 2-23-26, 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 that any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The provider and I discussed, ensuring that all activity plans are posted and current , menus are posted and current, required signatures are on forms, feeding schedules, qualification letters, First Aid and CPR training, ITS-SIDS training, immunization requirements , topical ointments and medications are in correct packaging, are on the right form and that the medication are not expired. Technical Assistance Over-the-counter medications should be kept in the original container as sold by the manufacturer, labeled by the parent/guardian, with the child’s name and specific instructions given by the child’s prescribing health professional for administration. Program Reminders All existing staff who need more hours to complete their on-going training have until 2/24/26. All other staff who have just started have a year from their hire. Please refer to the staff and training sheet worksheet. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/7/2025 Number Present: 76 Completed Date: 10/7/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 10:10 AM Time Out: 01:40 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 conduct a Routine Unannounced Visit. Ms. T. Conyers was present and assisted me during the visit. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. Children participated in the following activities: free play, lunch, outside time, quiet time, toileting, washing hands. The center currently operates with a Five (5) Star License that was issued September 9th, 2023. The last fire drill was conducted 9/2/24. The last fire inspection 2/4/25. The last sanitation inspection was 8/27/25. The last shelter and lock down drills were conducted on 9/2/25. The last playground inspection was done on 9/2/25. I reviewed 4 new staff members’ files. The following items were observed in compliance during today’s visit: license posted, and restrictions followed, First Aid and CPR training up to date, qualifying letters current, daily schedule posted, current activity plans, menus posted, allergies posted, EMC posted, emergency phone numbers, staff: child ratio posted, safe pick-up and delivery posted and supervision. Nine violations were cited during today’s visit. The providers had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 611 All beds,cots, or mats with individual linen were not provided for each child. 15A NCAC 18A .2821(c) 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 the infant one classroom a lower cabinet where a employees purse was stored had a lock but it was broken and in the toddler one room a aerosol can was not locked in a cabinet. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member who started on September 11th 2025 does not and did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff members had not completed the emergency information form before the first day of work. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date of the qualification letter two child care providers( P. Lewis expired March 19th 2025 and L. Andrews July 21st 2025) did not complete and submit required forms to complete a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 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. L. Andrews first aid expired on 7/21/25. .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. L. Andrews CPR expired 7/21/25. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available to review at the facility for P. Lewis and L. Andrews. G.S. 110-90.2(b) & (d) & .2703(e) 1898 Staff did not complete the health and safety training within one year of employment. S. Dixion, L. Andrews and K. Wilson did not have certificates showing competition of the health and safety trainings and or have retaken them every 5 years. .1102(a) Nine violations were cited during today’s visit. The providers had a chance to ask questions to ensure staying in compliance. The violation(s) documented must be corrected immediately. On or before 10-21-24, 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 that any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Place all documents, transcripts and certificates in the staff files. The folowing staff members need to retake or take the following. S. Dixion -R&R H&S L. Andrews0 H&S, CBC, First Aid and CPR M. Squire-R&R K. Wilson-H&S T. Turner R&R P. Lewis-CBC Several staff members who do not work in the infant room ITS-SIDS expired. Best practice is to have additional staff with current ITS-SIDS in case the infant teachers are absent. Recognizing and responding to suspicions of child maltreatment training is to be retaken every 5 years along with the health and safety trainings. First Aid and CPR training is to be retaken every 2 years, ITS-SIDS is to be retaken every 3 years. Criminal background check renewals can be done up to at least 4 months in advance. Staff medical reports have to be on file prior to employment. Emergency information form is to be filled out prior to work. All feeding schedules need to have teacher signatures. Ensure all staff have completed all required on-going training as well as health and safety training. A supply of clean linens must be on hand so that linens can be changed whenever they become soiled or wet. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/7/2025 Number Present: 76 Completed Date: 10/7/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 10:10 AM Time Out: 01:40 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 conduct a Routine Unannounced Visit. Ms. T. Conyers was present and assisted me during the visit. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. Children participated in the following activities: free play, lunch, outside time, quiet time, toileting, washing hands. The center currently operates with a Five (5) Star License that was issued September 9th, 2023. The last fire drill was conducted 9/2/24. The last fire inspection 2/4/25. The last sanitation inspection was 8/27/25. The last shelter and lock down drills were conducted on 9/2/25. The last playground inspection was done on 9/2/25. I reviewed 4 new staff members’ files. The following items were observed in compliance during today’s visit: license posted, and restrictions followed, First Aid and CPR training up to date, qualifying letters current, daily schedule posted, current activity plans, menus posted, allergies posted, EMC posted, emergency phone numbers, staff: child ratio posted, safe pick-up and delivery posted and supervision. Nine violations were cited during today’s visit. The providers had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 611 All beds,cots, or mats with individual linen were not provided for each child. 15A NCAC 18A .2821(c) 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 the infant one classroom a lower cabinet where a employees purse was stored had a lock but it was broken and in the toddler one room a aerosol can was not locked in a cabinet. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member who started on September 11th 2025 does not and did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff members had not completed the emergency information form before the first day of work. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date of the qualification letter two child care providers( P. Lewis expired March 19th 2025 and L. Andrews July 21st 2025) did not complete and submit required forms to complete a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 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. L. Andrews first aid expired on 7/21/25. .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. L. Andrews CPR expired 7/21/25. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available to review at the facility for P. Lewis and L. Andrews. G.S. 110-90.2(b) & (d) & .2703(e) 1898 Staff did not complete the health and safety training within one year of employment. S. Dixion, L. Andrews and K. Wilson did not have certificates showing competition of the health and safety trainings and or have retaken them every 5 years. .1102(a) Nine violations were cited during today’s visit. The providers had a chance to ask questions to ensure staying in compliance. The violation(s) documented must be corrected immediately. On or before 10-21-24, 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 that any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Place all documents, transcripts and certificates in the staff files. The folowing staff members need to retake or take the following. S. Dixion -R&R H&S L. Andrews0 H&S, CBC, First Aid and CPR M. Squire-R&R K. Wilson-H&S T. Turner R&R P. Lewis-CBC Several staff members who do not work in the infant room ITS-SIDS expired. Best practice is to have additional staff with current ITS-SIDS in case the infant teachers are absent. Recognizing and responding to suspicions of child maltreatment training is to be retaken every 5 years along with the health and safety trainings. First Aid and CPR training is to be retaken every 2 years, ITS-SIDS is to be retaken every 3 years. Criminal background check renewals can be done up to at least 4 months in advance. Staff medical reports have to be on file prior to employment. Emergency information form is to be filled out prior to work. All feeding schedules need to have teacher signatures. Ensure all staff have completed all required on-going training as well as health and safety training. A supply of clean linens must be on hand so that linens can be changed whenever they become soiled or wet. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/7/2025 Number Present: 76 Completed Date: 10/7/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 10:10 AM Time Out: 01:40 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 conduct a Routine Unannounced Visit. Ms. T. Conyers was present and assisted me during the visit. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. Children participated in the following activities: free play, lunch, outside time, quiet time, toileting, washing hands. The center currently operates with a Five (5) Star License that was issued September 9th, 2023. The last fire drill was conducted 9/2/24. The last fire inspection 2/4/25. The last sanitation inspection was 8/27/25. The last shelter and lock down drills were conducted on 9/2/25. The last playground inspection was done on 9/2/25. I reviewed 4 new staff members’ files. The following items were observed in compliance during today’s visit: license posted, and restrictions followed, First Aid and CPR training up to date, qualifying letters current, daily schedule posted, current activity plans, menus posted, allergies posted, EMC posted, emergency phone numbers, staff: child ratio posted, safe pick-up and delivery posted and supervision. Nine violations were cited during today’s visit. The providers had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 611 All beds,cots, or mats with individual linen were not provided for each child. 15A NCAC 18A .2821(c) 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 the infant one classroom a lower cabinet where a employees purse was stored had a lock but it was broken and in the toddler one room a aerosol can was not locked in a cabinet. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member who started on September 11th 2025 does not and did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff members had not completed the emergency information form before the first day of work. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Prior to the expiration date of the qualification letter two child care providers( P. Lewis expired March 19th 2025 and L. Andrews July 21st 2025) did not complete and submit required forms to complete a criminal background check. G.S. 110-90.2(b) & .2703(n)&(o) 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. L. Andrews first aid expired on 7/21/25. .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. L. Andrews CPR expired 7/21/25. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available to review at the facility for P. Lewis and L. Andrews. G.S. 110-90.2(b) & (d) & .2703(e) 1898 Staff did not complete the health and safety training within one year of employment. S. Dixion, L. Andrews and K. Wilson did not have certificates showing competition of the health and safety trainings and or have retaken them every 5 years. .1102(a) Nine violations were cited during today’s visit. The providers had a chance to ask questions to ensure staying in compliance. The violation(s) documented must be corrected immediately. On or before 10-21-24, 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 that any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Place all documents, transcripts and certificates in the staff files. The folowing staff members need to retake or take the following. S. Dixion -R&R H&S L. Andrews0 H&S, CBC, First Aid and CPR M. Squire-R&R K. Wilson-H&S T. Turner R&R P. Lewis-CBC Several staff members who do not work in the infant room ITS-SIDS expired. Best practice is to have additional staff with current ITS-SIDS in case the infant teachers are absent. Recognizing and responding to suspicions of child maltreatment training is to be retaken every 5 years along with the health and safety trainings. First Aid and CPR training is to be retaken every 2 years, ITS-SIDS is to be retaken every 3 years. Criminal background check renewals can be done up to at least 4 months in advance. Staff medical reports have to be on file prior to employment. Emergency information form is to be filled out prior to work. All feeding schedules need to have teacher signatures. Ensure all staff have completed all required on-going training as well as health and safety training. A supply of clean linens must be on hand so that linens can be changed whenever they become soiled or wet. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0508 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 72 Completed Date: 2/24/2025 Age: From 0 To 4 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 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 unannounced visit. Ms. Tracey Conyers, Director, assisted me during the visit. Your program currently operates with a Five-Star issued September 9th, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 2/24/25. 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 NC Secretary of State website was reviewed on (2/24/25) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following were observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. I also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. I reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 1/12/25. Emergency drill log: Shelter and lock down drills on 12/17/24. Fire drill: 1/2/25. A checklist was used to note the requirements I monitored today. Seven violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A current activity plan was not posted in the infant and Pre-k classroom. This is a repeated violation, which was also cited during a visit on 3/5/24. GS 110-91(12);.0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Human milk, formula, bottled beverages including sippy cups were not fully prepared, some were missing the date and or the child's name. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Several feeding plans in both infant rooms did not include a parent or teacher signature and was not dated when received by the center. This is a repeated violation which was cited on 3/5/24. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A product which is under pressure in an aerosol dispenser was not stored in a looked room or cabinet in the Toddler 1 classroom. .2820(b) 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. Six left over medicines were not discarded with in72 hours of completion and or returned to the parent after the course of treatment or after authorization had expired. This is a repeated violation which was cited on 3/5/24. .0803(12) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. One child who started on 2/10/25 did not have documentation that compliance with visually checking on sleeping infants aged 12 months or younger. Another child who is currently enrolled did not have documentation for compliance with visually checking on sleeping infants aged 12 months or younger for the month of February. .0606(g) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. Several prescribed medicines did not have the pharmaceutical label with the child's name on it. 10A NCAC 09 .0803(2)(b)(i-v) The violation(s) documented must be corrected immediately. On or before 3-10-25, 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 that any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The provider and I discussed, ensuring that all activity plans are posted, and current, topical ointments and medications are in correct packaging, and are on the right form and that the medications are not expired. We also discussed the two pieces of equipment on the playground that need to be removed. The Owner and Director have contacted the company and when more information is available a plan will be put in place on how to move forward. Technical Assistance Any prescription medication should be dated and kept in the original container. The container should be labeled by a pharmacist with: •The child’s first and last names; •The date the prescription was filled; •The name of the prescribing health professional who wrote the prescription, the medication’s expiration date; •The manufacturer’s instructions or prescription label with specific, legible instructions for administration, storage, and disposal; •The name and strength of the medication. Over-the-counter medications should be kept in the original container as sold by the manufacturer, labeled by the parent/guardian, with the child’s name and specific instructions given by the child’s prescribing health professional for administration. Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. In the event medication cannot be returned to the parent or guardian, it should be disposed of according to the recommendations of the US Food and Drug Administration (FDA) (1). Documentation should be kept with the child care facility of all disposed medications. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Program Reminders All existing staff who need more hours to complete their on-going trainings they have until 3/5/25. All other staff who have just started have a year from their hire. Please refer to the staff and training sheet worksheet. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 72 Completed Date: 2/24/2025 Age: From 0 To 4 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 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 unannounced visit. Ms. Tracey Conyers, Director, assisted me during the visit. Your program currently operates with a Five-Star issued September 9th, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 2/24/25. 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 NC Secretary of State website was reviewed on (2/24/25) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following were observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. I also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. I reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 1/12/25. Emergency drill log: Shelter and lock down drills on 12/17/24. Fire drill: 1/2/25. A checklist was used to note the requirements I monitored today. Seven violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A current activity plan was not posted in the infant and Pre-k classroom. This is a repeated violation, which was also cited during a visit on 3/5/24. GS 110-91(12);.0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Human milk, formula, bottled beverages including sippy cups were not fully prepared, some were missing the date and or the child's name. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Several feeding plans in both infant rooms did not include a parent or teacher signature and was not dated when received by the center. This is a repeated violation which was cited on 3/5/24. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A product which is under pressure in an aerosol dispenser was not stored in a looked room or cabinet in the Toddler 1 classroom. .2820(b) 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. Six left over medicines were not discarded with in72 hours of completion and or returned to the parent after the course of treatment or after authorization had expired. This is a repeated violation which was cited on 3/5/24. .0803(12) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. One child who started on 2/10/25 did not have documentation that compliance with visually checking on sleeping infants aged 12 months or younger. Another child who is currently enrolled did not have documentation for compliance with visually checking on sleeping infants aged 12 months or younger for the month of February. .0606(g) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. Several prescribed medicines did not have the pharmaceutical label with the child's name on it. 10A NCAC 09 .0803(2)(b)(i-v) The violation(s) documented must be corrected immediately. On or before 3-10-25, 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 that any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The provider and I discussed, ensuring that all activity plans are posted, and current, topical ointments and medications are in correct packaging, and are on the right form and that the medications are not expired. We also discussed the two pieces of equipment on the playground that need to be removed. The Owner and Director have contacted the company and when more information is available a plan will be put in place on how to move forward. Technical Assistance Any prescription medication should be dated and kept in the original container. The container should be labeled by a pharmacist with: •The child’s first and last names; •The date the prescription was filled; •The name of the prescribing health professional who wrote the prescription, the medication’s expiration date; •The manufacturer’s instructions or prescription label with specific, legible instructions for administration, storage, and disposal; •The name and strength of the medication. Over-the-counter medications should be kept in the original container as sold by the manufacturer, labeled by the parent/guardian, with the child’s name and specific instructions given by the child’s prescribing health professional for administration. Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. In the event medication cannot be returned to the parent or guardian, it should be disposed of according to the recommendations of the US Food and Drug Administration (FDA) (1). Documentation should be kept with the child care facility of all disposed medications. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Program Reminders All existing staff who need more hours to complete their on-going trainings they have until 3/5/25. All other staff who have just started have a year from their hire. Please refer to the staff and training sheet worksheet. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 72 Completed Date: 2/24/2025 Age: From 0 To 4 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 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 unannounced visit. Ms. Tracey Conyers, Director, assisted me during the visit. Your program currently operates with a Five-Star issued September 9th, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 2/24/25. 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 NC Secretary of State website was reviewed on (2/24/25) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following were observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. I also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. I reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 1/12/25. Emergency drill log: Shelter and lock down drills on 12/17/24. Fire drill: 1/2/25. A checklist was used to note the requirements I monitored today. Seven violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A current activity plan was not posted in the infant and Pre-k classroom. This is a repeated violation, which was also cited during a visit on 3/5/24. GS 110-91(12);.0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Human milk, formula, bottled beverages including sippy cups were not fully prepared, some were missing the date and or the child's name. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Several feeding plans in both infant rooms did not include a parent or teacher signature and was not dated when received by the center. This is a repeated violation which was cited on 3/5/24. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A product which is under pressure in an aerosol dispenser was not stored in a looked room or cabinet in the Toddler 1 classroom. .2820(b) 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. Six left over medicines were not discarded with in72 hours of completion and or returned to the parent after the course of treatment or after authorization had expired. This is a repeated violation which was cited on 3/5/24. .0803(12) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. One child who started on 2/10/25 did not have documentation that compliance with visually checking on sleeping infants aged 12 months or younger. Another child who is currently enrolled did not have documentation for compliance with visually checking on sleeping infants aged 12 months or younger for the month of February. .0606(g) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. Several prescribed medicines did not have the pharmaceutical label with the child's name on it. 10A NCAC 09 .0803(2)(b)(i-v) The violation(s) documented must be corrected immediately. On or before 3-10-25, 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 that any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The provider and I discussed, ensuring that all activity plans are posted, and current, topical ointments and medications are in correct packaging, and are on the right form and that the medications are not expired. We also discussed the two pieces of equipment on the playground that need to be removed. The Owner and Director have contacted the company and when more information is available a plan will be put in place on how to move forward. Technical Assistance Any prescription medication should be dated and kept in the original container. The container should be labeled by a pharmacist with: •The child’s first and last names; •The date the prescription was filled; •The name of the prescribing health professional who wrote the prescription, the medication’s expiration date; •The manufacturer’s instructions or prescription label with specific, legible instructions for administration, storage, and disposal; •The name and strength of the medication. Over-the-counter medications should be kept in the original container as sold by the manufacturer, labeled by the parent/guardian, with the child’s name and specific instructions given by the child’s prescribing health professional for administration. Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. In the event medication cannot be returned to the parent or guardian, it should be disposed of according to the recommendations of the US Food and Drug Administration (FDA) (1). Documentation should be kept with the child care facility of all disposed medications. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Program Reminders All existing staff who need more hours to complete their on-going trainings they have until 3/5/25. All other staff who have just started have a year from their hire. Please refer to the staff and training sheet worksheet. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 72 Completed Date: 2/24/2025 Age: From 0 To 4 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 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 unannounced visit. Ms. Tracey Conyers, Director, assisted me during the visit. Your program currently operates with a Five-Star issued September 9th, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 2/24/25. 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 NC Secretary of State website was reviewed on (2/24/25) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following were observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. I also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. I reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 1/12/25. Emergency drill log: Shelter and lock down drills on 12/17/24. Fire drill: 1/2/25. A checklist was used to note the requirements I monitored today. Seven violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. A current activity plan was not posted in the infant and Pre-k classroom. This is a repeated violation, which was also cited during a visit on 3/5/24. GS 110-91(12);.0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Human milk, formula, bottled beverages including sippy cups were not fully prepared, some were missing the date and or the child's name. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Several feeding plans in both infant rooms did not include a parent or teacher signature and was not dated when received by the center. This is a repeated violation which was cited on 3/5/24. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A product which is under pressure in an aerosol dispenser was not stored in a looked room or cabinet in the Toddler 1 classroom. .2820(b) 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. Six left over medicines were not discarded with in72 hours of completion and or returned to the parent after the course of treatment or after authorization had expired. This is a repeated violation which was cited on 3/5/24. .0803(12) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. One child who started on 2/10/25 did not have documentation that compliance with visually checking on sleeping infants aged 12 months or younger. Another child who is currently enrolled did not have documentation for compliance with visually checking on sleeping infants aged 12 months or younger for the month of February. .0606(g) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. Several prescribed medicines did not have the pharmaceutical label with the child's name on it. 10A NCAC 09 .0803(2)(b)(i-v) The violation(s) documented must be corrected immediately. On or before 3-10-25, 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 that any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The provider and I discussed, ensuring that all activity plans are posted, and current, topical ointments and medications are in correct packaging, and are on the right form and that the medications are not expired. We also discussed the two pieces of equipment on the playground that need to be removed. The Owner and Director have contacted the company and when more information is available a plan will be put in place on how to move forward. Technical Assistance Any prescription medication should be dated and kept in the original container. The container should be labeled by a pharmacist with: •The child’s first and last names; •The date the prescription was filled; •The name of the prescribing health professional who wrote the prescription, the medication’s expiration date; •The manufacturer’s instructions or prescription label with specific, legible instructions for administration, storage, and disposal; •The name and strength of the medication. Over-the-counter medications should be kept in the original container as sold by the manufacturer, labeled by the parent/guardian, with the child’s name and specific instructions given by the child’s prescribing health professional for administration. Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. In the event medication cannot be returned to the parent or guardian, it should be disposed of according to the recommendations of the US Food and Drug Administration (FDA) (1). Documentation should be kept with the child care facility of all disposed medications. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Program Reminders All existing staff who need more hours to complete their on-going trainings they have until 3/5/25. All other staff who have just started have a year from their hire. Please refer to the staff and training sheet worksheet. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/22/2024 Number Present: 63 Completed Date: 10/22/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 09:45 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct a Routine Unannounced Visit. Ms. T. Conyers was present and assisted us during today's visit. Marcia Humphrey, lead child care consultant, accompanied me during today’s visit. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. Children were observed participating in the following activities: free play, outside time, toileting, washing hands. The center currently operates with a Five (5) Star License that was issued September 9th, 2023. The last annual compliance visit was conducted on March 5th 2024. The last fire drill was conducted 9/6/24 The last fire inspection 4/25/24. The last sanitation inspection was 9/27/24. The last shelter and lock down drills were conducted on 8/24/24. The last playground inspection was done on 9/6/24. I reviewed 6 new staff members’ files. The following items were observed in compliance during today’s visit: license posted, and restrictions followed, First Aid and CPR training up to date, qualifying letters current, daily schedule posted, current activity plans, menus posted, allergies posted, EMC posted, emergency phone numbers, staff: child ratio posted, safe pick-up and delivery posted and supervision. Two violations were cited during today’s visit; One violation was corrected during today’s visit. The providers had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. In one of the classroom a closet door was not locked that contained hazardous materials. .0604(a) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Each staff members file did not have the 3 required documents maintained separately from the staff member's individual personnel file. .0701(d) The violation(s) documented must be corrected immediately. On or before 11-5-24, 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 that any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The infant feeding plans should be developed with each infant’s parent and, when appropriate, in collaboration with the child’s primary care provider. Emergency Medication Designated emergency medications shall be stored out of reach of children at least five feet high, but are not required to be in locked storage. For purposes of this Rule, designated emergency medications are those that are used or needed for the immediate recovery from a life-threatening event and include Glucagon, epinephrine auto-injector, diazepam rectal installation and albuterol. Storage of Hazardous Materials Many child-resistant locks or latches can be put on doors or cabinets to keep young children from getting to poisons. Many of these devices lock automatically when the door is closed, and they need an adult’s hand or skill to open the door. Please make sure to keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care. Please ensure all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Electrical cords shall not be accessible Staff Records Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. We discussed outdoor equipment related to a tricycle pad and school bus, we also discussed shock resistant surfacing, and age-appropriate equipment the director will get with the owner to discuss removing it. Program Reminders Send me the fire inspection on the form on the Division’s website at https://ncchildcare.ncdhhs.gov/. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/22/2024 Number Present: 63 Completed Date: 10/22/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 09:45 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct a Routine Unannounced Visit. Ms. T. Conyers was present and assisted us during today's visit. Marcia Humphrey, lead child care consultant, accompanied me during today’s visit. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. Children were observed participating in the following activities: free play, outside time, toileting, washing hands. The center currently operates with a Five (5) Star License that was issued September 9th, 2023. The last annual compliance visit was conducted on March 5th 2024. The last fire drill was conducted 9/6/24 The last fire inspection 4/25/24. The last sanitation inspection was 9/27/24. The last shelter and lock down drills were conducted on 8/24/24. The last playground inspection was done on 9/6/24. I reviewed 6 new staff members’ files. The following items were observed in compliance during today’s visit: license posted, and restrictions followed, First Aid and CPR training up to date, qualifying letters current, daily schedule posted, current activity plans, menus posted, allergies posted, EMC posted, emergency phone numbers, staff: child ratio posted, safe pick-up and delivery posted and supervision. Two violations were cited during today’s visit; One violation was corrected during today’s visit. The providers had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. In one of the classroom a closet door was not locked that contained hazardous materials. .0604(a) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Each staff members file did not have the 3 required documents maintained separately from the staff member's individual personnel file. .0701(d) The violation(s) documented must be corrected immediately. On or before 11-5-24, 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 that any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The infant feeding plans should be developed with each infant’s parent and, when appropriate, in collaboration with the child’s primary care provider. Emergency Medication Designated emergency medications shall be stored out of reach of children at least five feet high, but are not required to be in locked storage. For purposes of this Rule, designated emergency medications are those that are used or needed for the immediate recovery from a life-threatening event and include Glucagon, epinephrine auto-injector, diazepam rectal installation and albuterol. Storage of Hazardous Materials Many child-resistant locks or latches can be put on doors or cabinets to keep young children from getting to poisons. Many of these devices lock automatically when the door is closed, and they need an adult’s hand or skill to open the door. Please make sure to keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care. Please ensure all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Electrical cords shall not be accessible Staff Records Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. We discussed outdoor equipment related to a tricycle pad and school bus, we also discussed shock resistant surfacing, and age-appropriate equipment the director will get with the owner to discuss removing it. Program Reminders Send me the fire inspection on the form on the Division’s website at https://ncchildcare.ncdhhs.gov/. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 56 Completed Date: 3/5/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 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 unannounced visit. Marcia Humphrey, Lead Child Care consultant accompanied me during today’s visit. Ms. Tracey Conyers, Director assisted us during the visit. Your program currently operates with a Five-Star issued September 9th 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 3/5/24. 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 NC Secretary of State website was reviewed on (3/5/24) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following was observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. We also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. We reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 2/15/24. Emergency drill log: Shelter and lock down drills on 1/29/24. Fire drill: 2/15/24. A checklist was used to note the requirements I monitored today. I also updated the telephone number in regulatory for the facility during today's visit. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Both infants classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two written feeding plans were not signed by the parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerators in both infant classrooms did not maintain a temperature of 45 degrees F. One refrigerator was 48 degrees F, the other was 46 degrees F. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan wasn't posted of filled out. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non- prescription Medications were not stored in a locked cabinet or other locked container EPS 2. 15A NCAC 18A .2820(d) 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. Some leftover medicines in Toddler 2 were not returned to the parent after the course of treatment and after authorization and medication 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. One staff member's medical report was older than 12 months when they were hired. The staff member started on 4/25/24 and the TB was 1/15/22. 10A NCAC 09 .0701(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member's SIDS training expired on 1/12/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hasn't had an annual staff evaluation since 1/30/23. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's medical exam was on file, however it was not within 30 days of enrollment. The child started 1/8/24 and the medical exam was dated 3/4/24. GS110-91(1) The violation(s) documented must be corrected immediately. On or before 3-20-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff reminders All staff existing staff who still on-going trainings to be completed have until 3/8/24 to get them done. Technical Assistance During today’s visit we discussed the violations cited. We gave recommendations on how to stay in compliance regarding the violations cited. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan SECTION .0700 STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 10A NCAC 09 .2806 CAREGIVING ACTIVITIES FOR PRESCHOOL-AGED CHILDREN 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. § 110-91. Mandatory standards for a license. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. The trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0508 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 56 Completed Date: 3/5/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 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 unannounced visit. Marcia Humphrey, Lead Child Care consultant accompanied me during today’s visit. Ms. Tracey Conyers, Director assisted us during the visit. Your program currently operates with a Five-Star issued September 9th 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 3/5/24. 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 NC Secretary of State website was reviewed on (3/5/24) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following was observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. We also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. We reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 2/15/24. Emergency drill log: Shelter and lock down drills on 1/29/24. Fire drill: 2/15/24. A checklist was used to note the requirements I monitored today. I also updated the telephone number in regulatory for the facility during today's visit. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Both infants classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two written feeding plans were not signed by the parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerators in both infant classrooms did not maintain a temperature of 45 degrees F. One refrigerator was 48 degrees F, the other was 46 degrees F. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan wasn't posted of filled out. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non- prescription Medications were not stored in a locked cabinet or other locked container EPS 2. 15A NCAC 18A .2820(d) 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. Some leftover medicines in Toddler 2 were not returned to the parent after the course of treatment and after authorization and medication 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. One staff member's medical report was older than 12 months when they were hired. The staff member started on 4/25/24 and the TB was 1/15/22. 10A NCAC 09 .0701(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member's SIDS training expired on 1/12/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hasn't had an annual staff evaluation since 1/30/23. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's medical exam was on file, however it was not within 30 days of enrollment. The child started 1/8/24 and the medical exam was dated 3/4/24. GS110-91(1) The violation(s) documented must be corrected immediately. On or before 3-20-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff reminders All staff existing staff who still on-going trainings to be completed have until 3/8/24 to get them done. Technical Assistance During today’s visit we discussed the violations cited. We gave recommendations on how to stay in compliance regarding the violations cited. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan SECTION .0700 STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 10A NCAC 09 .2806 CAREGIVING ACTIVITIES FOR PRESCHOOL-AGED CHILDREN 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. § 110-91. Mandatory standards for a license. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. The trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 56 Completed Date: 3/5/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 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 unannounced visit. Marcia Humphrey, Lead Child Care consultant accompanied me during today’s visit. Ms. Tracey Conyers, Director assisted us during the visit. Your program currently operates with a Five-Star issued September 9th 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 3/5/24. 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 NC Secretary of State website was reviewed on (3/5/24) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following was observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. We also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. We reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 2/15/24. Emergency drill log: Shelter and lock down drills on 1/29/24. Fire drill: 2/15/24. A checklist was used to note the requirements I monitored today. I also updated the telephone number in regulatory for the facility during today's visit. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Both infants classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two written feeding plans were not signed by the parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerators in both infant classrooms did not maintain a temperature of 45 degrees F. One refrigerator was 48 degrees F, the other was 46 degrees F. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan wasn't posted of filled out. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non- prescription Medications were not stored in a locked cabinet or other locked container EPS 2. 15A NCAC 18A .2820(d) 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. Some leftover medicines in Toddler 2 were not returned to the parent after the course of treatment and after authorization and medication 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. One staff member's medical report was older than 12 months when they were hired. The staff member started on 4/25/24 and the TB was 1/15/22. 10A NCAC 09 .0701(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member's SIDS training expired on 1/12/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hasn't had an annual staff evaluation since 1/30/23. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's medical exam was on file, however it was not within 30 days of enrollment. The child started 1/8/24 and the medical exam was dated 3/4/24. GS110-91(1) The violation(s) documented must be corrected immediately. On or before 3-20-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff reminders All staff existing staff who still on-going trainings to be completed have until 3/8/24 to get them done. Technical Assistance During today’s visit we discussed the violations cited. We gave recommendations on how to stay in compliance regarding the violations cited. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan SECTION .0700 STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 10A NCAC 09 .2806 CAREGIVING ACTIVITIES FOR PRESCHOOL-AGED CHILDREN 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. § 110-91. Mandatory standards for a license. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. The trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 56 Completed Date: 3/5/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 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 unannounced visit. Marcia Humphrey, Lead Child Care consultant accompanied me during today’s visit. Ms. Tracey Conyers, Director assisted us during the visit. Your program currently operates with a Five-Star issued September 9th 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 3/5/24. 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 NC Secretary of State website was reviewed on (3/5/24) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following was observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. We also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. We reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 2/15/24. Emergency drill log: Shelter and lock down drills on 1/29/24. Fire drill: 2/15/24. A checklist was used to note the requirements I monitored today. I also updated the telephone number in regulatory for the facility during today's visit. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Both infants classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two written feeding plans were not signed by the parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerators in both infant classrooms did not maintain a temperature of 45 degrees F. One refrigerator was 48 degrees F, the other was 46 degrees F. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan wasn't posted of filled out. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non- prescription Medications were not stored in a locked cabinet or other locked container EPS 2. 15A NCAC 18A .2820(d) 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. Some leftover medicines in Toddler 2 were not returned to the parent after the course of treatment and after authorization and medication 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. One staff member's medical report was older than 12 months when they were hired. The staff member started on 4/25/24 and the TB was 1/15/22. 10A NCAC 09 .0701(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member's SIDS training expired on 1/12/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hasn't had an annual staff evaluation since 1/30/23. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's medical exam was on file, however it was not within 30 days of enrollment. The child started 1/8/24 and the medical exam was dated 3/4/24. GS110-91(1) The violation(s) documented must be corrected immediately. On or before 3-20-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff reminders All staff existing staff who still on-going trainings to be completed have until 3/8/24 to get them done. Technical Assistance During today’s visit we discussed the violations cited. We gave recommendations on how to stay in compliance regarding the violations cited. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan SECTION .0700 STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 10A NCAC 09 .2806 CAREGIVING ACTIVITIES FOR PRESCHOOL-AGED CHILDREN 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. § 110-91. Mandatory standards for a license. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. The trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 56 Completed Date: 3/5/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 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 unannounced visit. Marcia Humphrey, Lead Child Care consultant accompanied me during today’s visit. Ms. Tracey Conyers, Director assisted us during the visit. Your program currently operates with a Five-Star issued September 9th 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 3/5/24. 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 NC Secretary of State website was reviewed on (3/5/24) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following was observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. We also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. We reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 2/15/24. Emergency drill log: Shelter and lock down drills on 1/29/24. Fire drill: 2/15/24. A checklist was used to note the requirements I monitored today. I also updated the telephone number in regulatory for the facility during today's visit. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Both infants classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two written feeding plans were not signed by the parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerators in both infant classrooms did not maintain a temperature of 45 degrees F. One refrigerator was 48 degrees F, the other was 46 degrees F. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan wasn't posted of filled out. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non- prescription Medications were not stored in a locked cabinet or other locked container EPS 2. 15A NCAC 18A .2820(d) 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. Some leftover medicines in Toddler 2 were not returned to the parent after the course of treatment and after authorization and medication 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. One staff member's medical report was older than 12 months when they were hired. The staff member started on 4/25/24 and the TB was 1/15/22. 10A NCAC 09 .0701(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member's SIDS training expired on 1/12/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hasn't had an annual staff evaluation since 1/30/23. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's medical exam was on file, however it was not within 30 days of enrollment. The child started 1/8/24 and the medical exam was dated 3/4/24. GS110-91(1) The violation(s) documented must be corrected immediately. On or before 3-20-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff reminders All staff existing staff who still on-going trainings to be completed have until 3/8/24 to get them done. Technical Assistance During today’s visit we discussed the violations cited. We gave recommendations on how to stay in compliance regarding the violations cited. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan SECTION .0700 STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 10A NCAC 09 .2806 CAREGIVING ACTIVITIES FOR PRESCHOOL-AGED CHILDREN 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. § 110-91. Mandatory standards for a license. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. The trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 56 Completed Date: 3/5/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 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 unannounced visit. Marcia Humphrey, Lead Child Care consultant accompanied me during today’s visit. Ms. Tracey Conyers, Director assisted us during the visit. Your program currently operates with a Five-Star issued September 9th 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 3/5/24. 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 NC Secretary of State website was reviewed on (3/5/24) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following was observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. We also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. We reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 2/15/24. Emergency drill log: Shelter and lock down drills on 1/29/24. Fire drill: 2/15/24. A checklist was used to note the requirements I monitored today. I also updated the telephone number in regulatory for the facility during today's visit. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Both infants classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two written feeding plans were not signed by the parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerators in both infant classrooms did not maintain a temperature of 45 degrees F. One refrigerator was 48 degrees F, the other was 46 degrees F. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan wasn't posted of filled out. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non- prescription Medications were not stored in a locked cabinet or other locked container EPS 2. 15A NCAC 18A .2820(d) 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. Some leftover medicines in Toddler 2 were not returned to the parent after the course of treatment and after authorization and medication 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. One staff member's medical report was older than 12 months when they were hired. The staff member started on 4/25/24 and the TB was 1/15/22. 10A NCAC 09 .0701(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member's SIDS training expired on 1/12/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hasn't had an annual staff evaluation since 1/30/23. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's medical exam was on file, however it was not within 30 days of enrollment. The child started 1/8/24 and the medical exam was dated 3/4/24. GS110-91(1) The violation(s) documented must be corrected immediately. On or before 3-20-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff reminders All staff existing staff who still on-going trainings to be completed have until 3/8/24 to get them done. Technical Assistance During today’s visit we discussed the violations cited. We gave recommendations on how to stay in compliance regarding the violations cited. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan SECTION .0700 STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 10A NCAC 09 .2806 CAREGIVING ACTIVITIES FOR PRESCHOOL-AGED CHILDREN 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. § 110-91. Mandatory standards for a license. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. The trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 56 Completed Date: 3/5/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 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 unannounced visit. Marcia Humphrey, Lead Child Care consultant accompanied me during today’s visit. Ms. Tracey Conyers, Director assisted us during the visit. Your program currently operates with a Five-Star issued September 9th 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 3/5/24. 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 NC Secretary of State website was reviewed on (3/5/24) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following was observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. We also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. We reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 2/15/24. Emergency drill log: Shelter and lock down drills on 1/29/24. Fire drill: 2/15/24. A checklist was used to note the requirements I monitored today. I also updated the telephone number in regulatory for the facility during today's visit. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Both infants classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two written feeding plans were not signed by the parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerators in both infant classrooms did not maintain a temperature of 45 degrees F. One refrigerator was 48 degrees F, the other was 46 degrees F. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan wasn't posted of filled out. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non- prescription Medications were not stored in a locked cabinet or other locked container EPS 2. 15A NCAC 18A .2820(d) 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. Some leftover medicines in Toddler 2 were not returned to the parent after the course of treatment and after authorization and medication 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. One staff member's medical report was older than 12 months when they were hired. The staff member started on 4/25/24 and the TB was 1/15/22. 10A NCAC 09 .0701(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member's SIDS training expired on 1/12/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hasn't had an annual staff evaluation since 1/30/23. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's medical exam was on file, however it was not within 30 days of enrollment. The child started 1/8/24 and the medical exam was dated 3/4/24. GS110-91(1) The violation(s) documented must be corrected immediately. On or before 3-20-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff reminders All staff existing staff who still on-going trainings to be completed have until 3/8/24 to get them done. Technical Assistance During today’s visit we discussed the violations cited. We gave recommendations on how to stay in compliance regarding the violations cited. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan SECTION .0700 STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 10A NCAC 09 .2806 CAREGIVING ACTIVITIES FOR PRESCHOOL-AGED CHILDREN 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. § 110-91. Mandatory standards for a license. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. The trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 56 Completed Date: 3/5/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 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 unannounced visit. Marcia Humphrey, Lead Child Care consultant accompanied me during today’s visit. Ms. Tracey Conyers, Director assisted us during the visit. Your program currently operates with a Five-Star issued September 9th 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 3/5/24. 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 NC Secretary of State website was reviewed on (3/5/24) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following was observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. We also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. We reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 2/15/24. Emergency drill log: Shelter and lock down drills on 1/29/24. Fire drill: 2/15/24. A checklist was used to note the requirements I monitored today. I also updated the telephone number in regulatory for the facility during today's visit. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Both infants classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two written feeding plans were not signed by the parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerators in both infant classrooms did not maintain a temperature of 45 degrees F. One refrigerator was 48 degrees F, the other was 46 degrees F. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan wasn't posted of filled out. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non- prescription Medications were not stored in a locked cabinet or other locked container EPS 2. 15A NCAC 18A .2820(d) 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. Some leftover medicines in Toddler 2 were not returned to the parent after the course of treatment and after authorization and medication 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. One staff member's medical report was older than 12 months when they were hired. The staff member started on 4/25/24 and the TB was 1/15/22. 10A NCAC 09 .0701(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member's SIDS training expired on 1/12/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hasn't had an annual staff evaluation since 1/30/23. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's medical exam was on file, however it was not within 30 days of enrollment. The child started 1/8/24 and the medical exam was dated 3/4/24. GS110-91(1) The violation(s) documented must be corrected immediately. On or before 3-20-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff reminders All staff existing staff who still on-going trainings to be completed have until 3/8/24 to get them done. Technical Assistance During today’s visit we discussed the violations cited. We gave recommendations on how to stay in compliance regarding the violations cited. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan SECTION .0700 STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 10A NCAC 09 .2806 CAREGIVING ACTIVITIES FOR PRESCHOOL-AGED CHILDREN 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. § 110-91. Mandatory standards for a license. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. The trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1103 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 56 Completed Date: 3/5/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 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 unannounced visit. Marcia Humphrey, Lead Child Care consultant accompanied me during today’s visit. Ms. Tracey Conyers, Director assisted us during the visit. Your program currently operates with a Five-Star issued September 9th 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 3/5/24. 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 NC Secretary of State website was reviewed on (3/5/24) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following was observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. We also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. We reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 2/15/24. Emergency drill log: Shelter and lock down drills on 1/29/24. Fire drill: 2/15/24. A checklist was used to note the requirements I monitored today. I also updated the telephone number in regulatory for the facility during today's visit. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Both infants classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two written feeding plans were not signed by the parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerators in both infant classrooms did not maintain a temperature of 45 degrees F. One refrigerator was 48 degrees F, the other was 46 degrees F. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan wasn't posted of filled out. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non- prescription Medications were not stored in a locked cabinet or other locked container EPS 2. 15A NCAC 18A .2820(d) 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. Some leftover medicines in Toddler 2 were not returned to the parent after the course of treatment and after authorization and medication 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. One staff member's medical report was older than 12 months when they were hired. The staff member started on 4/25/24 and the TB was 1/15/22. 10A NCAC 09 .0701(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member's SIDS training expired on 1/12/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hasn't had an annual staff evaluation since 1/30/23. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's medical exam was on file, however it was not within 30 days of enrollment. The child started 1/8/24 and the medical exam was dated 3/4/24. GS110-91(1) The violation(s) documented must be corrected immediately. On or before 3-20-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff reminders All staff existing staff who still on-going trainings to be completed have until 3/8/24 to get them done. Technical Assistance During today’s visit we discussed the violations cited. We gave recommendations on how to stay in compliance regarding the violations cited. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan SECTION .0700 STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 10A NCAC 09 .2806 CAREGIVING ACTIVITIES FOR PRESCHOOL-AGED CHILDREN 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. § 110-91. Mandatory standards for a license. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. The trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2703 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 56 Completed Date: 3/5/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 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 unannounced visit. Marcia Humphrey, Lead Child Care consultant accompanied me during today’s visit. Ms. Tracey Conyers, Director assisted us during the visit. Your program currently operates with a Five-Star issued September 9th 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 3/5/24. 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 NC Secretary of State website was reviewed on (3/5/24) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following was observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. We also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. We reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 2/15/24. Emergency drill log: Shelter and lock down drills on 1/29/24. Fire drill: 2/15/24. A checklist was used to note the requirements I monitored today. I also updated the telephone number in regulatory for the facility during today's visit. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Both infants classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two written feeding plans were not signed by the parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerators in both infant classrooms did not maintain a temperature of 45 degrees F. One refrigerator was 48 degrees F, the other was 46 degrees F. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan wasn't posted of filled out. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non- prescription Medications were not stored in a locked cabinet or other locked container EPS 2. 15A NCAC 18A .2820(d) 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. Some leftover medicines in Toddler 2 were not returned to the parent after the course of treatment and after authorization and medication 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. One staff member's medical report was older than 12 months when they were hired. The staff member started on 4/25/24 and the TB was 1/15/22. 10A NCAC 09 .0701(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member's SIDS training expired on 1/12/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hasn't had an annual staff evaluation since 1/30/23. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's medical exam was on file, however it was not within 30 days of enrollment. The child started 1/8/24 and the medical exam was dated 3/4/24. GS110-91(1) The violation(s) documented must be corrected immediately. On or before 3-20-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff reminders All staff existing staff who still on-going trainings to be completed have until 3/8/24 to get them done. Technical Assistance During today’s visit we discussed the violations cited. We gave recommendations on how to stay in compliance regarding the violations cited. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan SECTION .0700 STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 10A NCAC 09 .2806 CAREGIVING ACTIVITIES FOR PRESCHOOL-AGED CHILDREN 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. § 110-91. Mandatory standards for a license. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. The trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2806 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 56 Completed Date: 3/5/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 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 unannounced visit. Marcia Humphrey, Lead Child Care consultant accompanied me during today’s visit. Ms. Tracey Conyers, Director assisted us during the visit. Your program currently operates with a Five-Star issued September 9th 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 3/5/24. 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 NC Secretary of State website was reviewed on (3/5/24) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following was observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. We also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. We reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 2/15/24. Emergency drill log: Shelter and lock down drills on 1/29/24. Fire drill: 2/15/24. A checklist was used to note the requirements I monitored today. I also updated the telephone number in regulatory for the facility during today's visit. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Both infants classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two written feeding plans were not signed by the parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerators in both infant classrooms did not maintain a temperature of 45 degrees F. One refrigerator was 48 degrees F, the other was 46 degrees F. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan wasn't posted of filled out. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non- prescription Medications were not stored in a locked cabinet or other locked container EPS 2. 15A NCAC 18A .2820(d) 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. Some leftover medicines in Toddler 2 were not returned to the parent after the course of treatment and after authorization and medication 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. One staff member's medical report was older than 12 months when they were hired. The staff member started on 4/25/24 and the TB was 1/15/22. 10A NCAC 09 .0701(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member's SIDS training expired on 1/12/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hasn't had an annual staff evaluation since 1/30/23. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's medical exam was on file, however it was not within 30 days of enrollment. The child started 1/8/24 and the medical exam was dated 3/4/24. GS110-91(1) The violation(s) documented must be corrected immediately. On or before 3-20-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff reminders All staff existing staff who still on-going trainings to be completed have until 3/8/24 to get them done. Technical Assistance During today’s visit we discussed the violations cited. We gave recommendations on how to stay in compliance regarding the violations cited. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan SECTION .0700 STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 10A NCAC 09 .2806 CAREGIVING ACTIVITIES FOR PRESCHOOL-AGED CHILDREN 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. § 110-91. Mandatory standards for a license. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. The trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-86 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 56 Completed Date: 3/5/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 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 unannounced visit. Marcia Humphrey, Lead Child Care consultant accompanied me during today’s visit. Ms. Tracey Conyers, Director assisted us during the visit. Your program currently operates with a Five-Star issued September 9th 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 3/5/24. 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 NC Secretary of State website was reviewed on (3/5/24) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following was observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. We also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. We reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 2/15/24. Emergency drill log: Shelter and lock down drills on 1/29/24. Fire drill: 2/15/24. A checklist was used to note the requirements I monitored today. I also updated the telephone number in regulatory for the facility during today's visit. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Both infants classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two written feeding plans were not signed by the parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerators in both infant classrooms did not maintain a temperature of 45 degrees F. One refrigerator was 48 degrees F, the other was 46 degrees F. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan wasn't posted of filled out. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non- prescription Medications were not stored in a locked cabinet or other locked container EPS 2. 15A NCAC 18A .2820(d) 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. Some leftover medicines in Toddler 2 were not returned to the parent after the course of treatment and after authorization and medication 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. One staff member's medical report was older than 12 months when they were hired. The staff member started on 4/25/24 and the TB was 1/15/22. 10A NCAC 09 .0701(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member's SIDS training expired on 1/12/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hasn't had an annual staff evaluation since 1/30/23. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's medical exam was on file, however it was not within 30 days of enrollment. The child started 1/8/24 and the medical exam was dated 3/4/24. GS110-91(1) The violation(s) documented must be corrected immediately. On or before 3-20-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff reminders All staff existing staff who still on-going trainings to be completed have until 3/8/24 to get them done. Technical Assistance During today’s visit we discussed the violations cited. We gave recommendations on how to stay in compliance regarding the violations cited. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan SECTION .0700 STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 10A NCAC 09 .2806 CAREGIVING ACTIVITIES FOR PRESCHOOL-AGED CHILDREN 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. § 110-91. Mandatory standards for a license. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. The trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 56 Completed Date: 3/5/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 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 unannounced visit. Marcia Humphrey, Lead Child Care consultant accompanied me during today’s visit. Ms. Tracey Conyers, Director assisted us during the visit. Your program currently operates with a Five-Star issued September 9th 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 3/5/24. 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 NC Secretary of State website was reviewed on (3/5/24) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following was observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. We also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. We reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 2/15/24. Emergency drill log: Shelter and lock down drills on 1/29/24. Fire drill: 2/15/24. A checklist was used to note the requirements I monitored today. I also updated the telephone number in regulatory for the facility during today's visit. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Both infants classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two written feeding plans were not signed by the parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerators in both infant classrooms did not maintain a temperature of 45 degrees F. One refrigerator was 48 degrees F, the other was 46 degrees F. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan wasn't posted of filled out. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non- prescription Medications were not stored in a locked cabinet or other locked container EPS 2. 15A NCAC 18A .2820(d) 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. Some leftover medicines in Toddler 2 were not returned to the parent after the course of treatment and after authorization and medication 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. One staff member's medical report was older than 12 months when they were hired. The staff member started on 4/25/24 and the TB was 1/15/22. 10A NCAC 09 .0701(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member's SIDS training expired on 1/12/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hasn't had an annual staff evaluation since 1/30/23. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's medical exam was on file, however it was not within 30 days of enrollment. The child started 1/8/24 and the medical exam was dated 3/4/24. GS110-91(1) The violation(s) documented must be corrected immediately. On or before 3-20-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff reminders All staff existing staff who still on-going trainings to be completed have until 3/8/24 to get them done. Technical Assistance During today’s visit we discussed the violations cited. We gave recommendations on how to stay in compliance regarding the violations cited. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan SECTION .0700 STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 10A NCAC 09 .2806 CAREGIVING ACTIVITIES FOR PRESCHOOL-AGED CHILDREN 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. § 110-91. Mandatory standards for a license. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. The trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 56 Completed Date: 3/5/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 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 unannounced visit. Marcia Humphrey, Lead Child Care consultant accompanied me during today’s visit. Ms. Tracey Conyers, Director assisted us during the visit. Your program currently operates with a Five-Star issued September 9th 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 3/5/24. 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 NC Secretary of State website was reviewed on (3/5/24) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following was observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. We also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. We reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 2/15/24. Emergency drill log: Shelter and lock down drills on 1/29/24. Fire drill: 2/15/24. A checklist was used to note the requirements I monitored today. I also updated the telephone number in regulatory for the facility during today's visit. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Both infants classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two written feeding plans were not signed by the parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerators in both infant classrooms did not maintain a temperature of 45 degrees F. One refrigerator was 48 degrees F, the other was 46 degrees F. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan wasn't posted of filled out. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non- prescription Medications were not stored in a locked cabinet or other locked container EPS 2. 15A NCAC 18A .2820(d) 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. Some leftover medicines in Toddler 2 were not returned to the parent after the course of treatment and after authorization and medication 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. One staff member's medical report was older than 12 months when they were hired. The staff member started on 4/25/24 and the TB was 1/15/22. 10A NCAC 09 .0701(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member's SIDS training expired on 1/12/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hasn't had an annual staff evaluation since 1/30/23. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's medical exam was on file, however it was not within 30 days of enrollment. The child started 1/8/24 and the medical exam was dated 3/4/24. GS110-91(1) The violation(s) documented must be corrected immediately. On or before 3-20-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff reminders All staff existing staff who still on-going trainings to be completed have until 3/8/24 to get them done. Technical Assistance During today’s visit we discussed the violations cited. We gave recommendations on how to stay in compliance regarding the violations cited. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan SECTION .0700 STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 10A NCAC 09 .2806 CAREGIVING ACTIVITIES FOR PRESCHOOL-AGED CHILDREN 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. § 110-91. Mandatory standards for a license. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. The trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 56 Completed Date: 3/5/2024 Age: From 0 To 5 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 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 unannounced visit. Marcia Humphrey, Lead Child Care consultant accompanied me during today’s visit. Ms. Tracey Conyers, Director assisted us during the visit. Your program currently operates with a Five-Star issued September 9th 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent (82%) as of 3/5/24. 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 NC Secretary of State website was reviewed on (3/5/24) and DURHAM CHILDCARE COLLABORATIVE LLC was listed as current- active. A full assessment and walk-through of the facility was completed today. The following was observed: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan posted, activity plans posted, daily schedule posted, menus posted, allergies posted, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. We also observed children in the indoor and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in, free play in activity areas, art, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. We reviewed staff files during today’s visit. Some existing staff files were not reviewed during the visit because a Staff and Training Worksheet was e-mailed to the director prior to today’s visit. I received the Staff and Training Worksheet and reviewed it for compliance before today’s visit. A sampling of Children’s files (ten percent of enrollment) was reviewed today. The playground Inspection was conducted on 2/15/24. Emergency drill log: Shelter and lock down drills on 1/29/24. Fire drill: 2/15/24. A checklist was used to note the requirements I monitored today. I also updated the telephone number in regulatory for the facility during today's visit. Ten violations were cited during today’s visit. Technical assistance was given to the provider to ensure compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Both infants classrooms did not have a current activity plan posted. GS 110-91(12); .0508(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two written feeding plans were not signed by the parent. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Refrigerators in both infant classrooms did not maintain a temperature of 45 degrees F. One refrigerator was 48 degrees F, the other was 46 degrees F. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. The emergency medical care plan wasn't posted of filled out. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non- prescription Medications were not stored in a locked cabinet or other locked container EPS 2. 15A NCAC 18A .2820(d) 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. Some leftover medicines in Toddler 2 were not returned to the parent after the course of treatment and after authorization and medication 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. One staff member's medical report was older than 12 months when they were hired. The staff member started on 4/25/24 and the TB was 1/15/22. 10A NCAC 09 .0701(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member's SIDS training expired on 1/12/24. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hasn't had an annual staff evaluation since 1/30/23. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's medical exam was on file, however it was not within 30 days of enrollment. The child started 1/8/24 and the medical exam was dated 3/4/24. GS110-91(1) The violation(s) documented must be corrected immediately. On or before 3-20-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Staff reminders All staff existing staff who still on-going trainings to be completed have until 3/8/24 to get them done. Technical Assistance During today’s visit we discussed the violations cited. We gave recommendations on how to stay in compliance regarding the violations cited. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (a) After the first year of employment, the child care administrator and any staff who have responsibility for planning and supervising a child care center, and staff who work with children, shall participate in on-going training activities annually. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (f) In centers that are licensed to care for infants, the child care administrator and any child care provider scheduled to work in the infant room shall complete ITS-SIDS training. ITS-SIDS training shall be completed within two months of an individual assuming responsibilities in the infant room and every three years thereafter. Child care administrators, as defined in G.S. 110-86(2a), shall complete ITS-SIDS training within 90 days of employment and every three years thereafter. Completion of ITS-SIDS training shall be included once every three years in the number of hours needed to meet on-going training requirements in this Section. At all times, one child care provider who has completed ITS-SIDS training shall be present in the infant room while children are in care. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan SECTION .0700 STAFF QUALIFICATIONS 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Prior to employment. When submitted, the medical statement shall not be older than 12 months. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. (b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. (d) Each infant shall be served only bottles labeled with their individual name. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 10A NCAC 09 .2806 CAREGIVING ACTIVITIES FOR PRESCHOOL-AGED CHILDREN 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (c) (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. § 110-91. Mandatory standards for a license. Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. However, no health assessment shall be required of any staff or child who is and has been in normal health when the staff, or the child's parent, guardian, or full-time custodian objects in writing to a health assessment on religious grounds which conform to the teachings and practice of any recognized church or religious denomination. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. The trainings are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2200 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: CUSARAH RIDDICK Operation Type: Center Case Number: 0124-237A Visit Date: 1/26/2024 Number Present: 53 Completed Date: 1/26/2024 Age: From 0 To 4 Total Minutes: 125 Time In: 09:10 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Tracy Conyers-Allen, Director, accompanied me during a walk-through of the facility . During the visit, I discussed the allegations with Ms. Conyers-Allen and two additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In January 2024, a staff member spoke loudly and handled a one-year-old child inappropriately by their upper arm when they addressed the child. G.S. 110-91(10) You may contact me at (Cusarah Riddick, Investigations Consultant, 919-208-0546, Cusarah.riddick@dhhs.nc.gov) or (Sheronda Harris, Supervisor, Sheronda.harris@dhhs.nc.gov). Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2200). If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: CUSARAH RIDDICK Operation Type: Center Case Number: 0124-237A Visit Date: 1/26/2024 Number Present: 53 Completed Date: 1/26/2024 Age: From 0 To 4 Total Minutes: 125 Time In: 09:10 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Tracy Conyers-Allen, Director, accompanied me during a walk-through of the facility . During the visit, I discussed the allegations with Ms. Conyers-Allen and two additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In January 2024, a staff member spoke loudly and handled a one-year-old child inappropriately by their upper arm when they addressed the child. G.S. 110-91(10) You may contact me at (Cusarah Riddick, Investigations Consultant, 919-208-0546, Cusarah.riddick@dhhs.nc.gov) or (Sheronda Harris, Supervisor, Sheronda.harris@dhhs.nc.gov). Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2200). If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0508 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 49 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 08:55 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ms. Conyers assisted us with the visit today.Marcia Humphrey lead child care consultant accompanied me during today's. Currently this facility operates with a Five -star license that was issued 9-9-23. The center's compliance history was reviewed with the operator. The program’s compliance history was 87% as of 10/26/23. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, outdoor time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Fire (9/29/23) and sanitation (10/23/23) inspections remain current. The last fire drill was conducted on 9/29/23. Shelter and lock down drills are due by 8/7/23. The outdoor check list is due by 9/29/23. Eight violations were cited during today’s visit; The violation was corrected during today’s visit. The provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in two of the classrooms. This was corrected during the visit. GS 110-91(12); .0508(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards.In the toddler 2 classroom the closet door was broken and not in good repair. .0601(c) 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. A staff members purse was not in a locked cabinet. .2820(b) 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.Three staff members did not have a emergency information form on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. One staff member K. Chappelle did not have a file made available for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.Three staff members did not receive at least 16 hrs of orientation within first 6 weeks. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four staff members didnt have the operational policies signed. 10A NCAC 09 .0514(g) 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. Five staff members did not have documentation that the EPR plan was reviwed. .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. Five staff memebers did not have a signed copy prevention of shaken baby syndrome and abusive head trauma. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two staff members didnt have a health questionnaire on file. .0701(d) The violation(s) documented must be corrected immediately. On or before 11-8-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (a) Each child care center licensed to care for children up to five years of age shall develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to licensure. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (a) For the purposes of this Rule, the Emergency Preparedness and Response in Child Care is a session training developed by the North Carolina Child Care Health and Safety Resource Center for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to and recovering from emergencies in child care centers. (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Staff Reminder R. Compasso needs First Aid and CPR by 10/31/23. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 49 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 08:55 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ms. Conyers assisted us with the visit today.Marcia Humphrey lead child care consultant accompanied me during today's. Currently this facility operates with a Five -star license that was issued 9-9-23. The center's compliance history was reviewed with the operator. The program’s compliance history was 87% as of 10/26/23. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, outdoor time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Fire (9/29/23) and sanitation (10/23/23) inspections remain current. The last fire drill was conducted on 9/29/23. Shelter and lock down drills are due by 8/7/23. The outdoor check list is due by 9/29/23. Eight violations were cited during today’s visit; The violation was corrected during today’s visit. The provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in two of the classrooms. This was corrected during the visit. GS 110-91(12); .0508(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards.In the toddler 2 classroom the closet door was broken and not in good repair. .0601(c) 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. A staff members purse was not in a locked cabinet. .2820(b) 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.Three staff members did not have a emergency information form on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. One staff member K. Chappelle did not have a file made available for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.Three staff members did not receive at least 16 hrs of orientation within first 6 weeks. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four staff members didnt have the operational policies signed. 10A NCAC 09 .0514(g) 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. Five staff members did not have documentation that the EPR plan was reviwed. .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. Five staff memebers did not have a signed copy prevention of shaken baby syndrome and abusive head trauma. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two staff members didnt have a health questionnaire on file. .0701(d) The violation(s) documented must be corrected immediately. On or before 11-8-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (a) Each child care center licensed to care for children up to five years of age shall develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to licensure. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (a) For the purposes of this Rule, the Emergency Preparedness and Response in Child Care is a session training developed by the North Carolina Child Care Health and Safety Resource Center for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to and recovering from emergencies in child care centers. (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Staff Reminder R. Compasso needs First Aid and CPR by 10/31/23. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 49 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 08:55 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ms. Conyers assisted us with the visit today.Marcia Humphrey lead child care consultant accompanied me during today's. Currently this facility operates with a Five -star license that was issued 9-9-23. The center's compliance history was reviewed with the operator. The program’s compliance history was 87% as of 10/26/23. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, outdoor time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Fire (9/29/23) and sanitation (10/23/23) inspections remain current. The last fire drill was conducted on 9/29/23. Shelter and lock down drills are due by 8/7/23. The outdoor check list is due by 9/29/23. Eight violations were cited during today’s visit; The violation was corrected during today’s visit. The provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in two of the classrooms. This was corrected during the visit. GS 110-91(12); .0508(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards.In the toddler 2 classroom the closet door was broken and not in good repair. .0601(c) 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. A staff members purse was not in a locked cabinet. .2820(b) 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.Three staff members did not have a emergency information form on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. One staff member K. Chappelle did not have a file made available for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.Three staff members did not receive at least 16 hrs of orientation within first 6 weeks. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four staff members didnt have the operational policies signed. 10A NCAC 09 .0514(g) 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. Five staff members did not have documentation that the EPR plan was reviwed. .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. Five staff memebers did not have a signed copy prevention of shaken baby syndrome and abusive head trauma. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two staff members didnt have a health questionnaire on file. .0701(d) The violation(s) documented must be corrected immediately. On or before 11-8-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (a) Each child care center licensed to care for children up to five years of age shall develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to licensure. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (a) For the purposes of this Rule, the Emergency Preparedness and Response in Child Care is a session training developed by the North Carolina Child Care Health and Safety Resource Center for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to and recovering from emergencies in child care centers. (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Staff Reminder R. Compasso needs First Aid and CPR by 10/31/23. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0607 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 49 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 08:55 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ms. Conyers assisted us with the visit today.Marcia Humphrey lead child care consultant accompanied me during today's. Currently this facility operates with a Five -star license that was issued 9-9-23. The center's compliance history was reviewed with the operator. The program’s compliance history was 87% as of 10/26/23. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, outdoor time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Fire (9/29/23) and sanitation (10/23/23) inspections remain current. The last fire drill was conducted on 9/29/23. Shelter and lock down drills are due by 8/7/23. The outdoor check list is due by 9/29/23. Eight violations were cited during today’s visit; The violation was corrected during today’s visit. The provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in two of the classrooms. This was corrected during the visit. GS 110-91(12); .0508(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards.In the toddler 2 classroom the closet door was broken and not in good repair. .0601(c) 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. A staff members purse was not in a locked cabinet. .2820(b) 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.Three staff members did not have a emergency information form on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. One staff member K. Chappelle did not have a file made available for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.Three staff members did not receive at least 16 hrs of orientation within first 6 weeks. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four staff members didnt have the operational policies signed. 10A NCAC 09 .0514(g) 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. Five staff members did not have documentation that the EPR plan was reviwed. .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. Five staff memebers did not have a signed copy prevention of shaken baby syndrome and abusive head trauma. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two staff members didnt have a health questionnaire on file. .0701(d) The violation(s) documented must be corrected immediately. On or before 11-8-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (a) Each child care center licensed to care for children up to five years of age shall develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to licensure. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (a) For the purposes of this Rule, the Emergency Preparedness and Response in Child Care is a session training developed by the North Carolina Child Care Health and Safety Resource Center for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to and recovering from emergencies in child care centers. (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Staff Reminder R. Compasso needs First Aid and CPR by 10/31/23. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0608 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 49 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 08:55 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ms. Conyers assisted us with the visit today.Marcia Humphrey lead child care consultant accompanied me during today's. Currently this facility operates with a Five -star license that was issued 9-9-23. The center's compliance history was reviewed with the operator. The program’s compliance history was 87% as of 10/26/23. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, outdoor time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Fire (9/29/23) and sanitation (10/23/23) inspections remain current. The last fire drill was conducted on 9/29/23. Shelter and lock down drills are due by 8/7/23. The outdoor check list is due by 9/29/23. Eight violations were cited during today’s visit; The violation was corrected during today’s visit. The provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in two of the classrooms. This was corrected during the visit. GS 110-91(12); .0508(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards.In the toddler 2 classroom the closet door was broken and not in good repair. .0601(c) 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. A staff members purse was not in a locked cabinet. .2820(b) 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.Three staff members did not have a emergency information form on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. One staff member K. Chappelle did not have a file made available for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.Three staff members did not receive at least 16 hrs of orientation within first 6 weeks. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four staff members didnt have the operational policies signed. 10A NCAC 09 .0514(g) 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. Five staff members did not have documentation that the EPR plan was reviwed. .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. Five staff memebers did not have a signed copy prevention of shaken baby syndrome and abusive head trauma. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two staff members didnt have a health questionnaire on file. .0701(d) The violation(s) documented must be corrected immediately. On or before 11-8-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (a) Each child care center licensed to care for children up to five years of age shall develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to licensure. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (a) For the purposes of this Rule, the Emergency Preparedness and Response in Child Care is a session training developed by the North Carolina Child Care Health and Safety Resource Center for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to and recovering from emergencies in child care centers. (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Staff Reminder R. Compasso needs First Aid and CPR by 10/31/23. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 49 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 08:55 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ms. Conyers assisted us with the visit today.Marcia Humphrey lead child care consultant accompanied me during today's. Currently this facility operates with a Five -star license that was issued 9-9-23. The center's compliance history was reviewed with the operator. The program’s compliance history was 87% as of 10/26/23. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, outdoor time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Fire (9/29/23) and sanitation (10/23/23) inspections remain current. The last fire drill was conducted on 9/29/23. Shelter and lock down drills are due by 8/7/23. The outdoor check list is due by 9/29/23. Eight violations were cited during today’s visit; The violation was corrected during today’s visit. The provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in two of the classrooms. This was corrected during the visit. GS 110-91(12); .0508(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards.In the toddler 2 classroom the closet door was broken and not in good repair. .0601(c) 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. A staff members purse was not in a locked cabinet. .2820(b) 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.Three staff members did not have a emergency information form on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. One staff member K. Chappelle did not have a file made available for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.Three staff members did not receive at least 16 hrs of orientation within first 6 weeks. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four staff members didnt have the operational policies signed. 10A NCAC 09 .0514(g) 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. Five staff members did not have documentation that the EPR plan was reviwed. .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. Five staff memebers did not have a signed copy prevention of shaken baby syndrome and abusive head trauma. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two staff members didnt have a health questionnaire on file. .0701(d) The violation(s) documented must be corrected immediately. On or before 11-8-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (a) Each child care center licensed to care for children up to five years of age shall develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to licensure. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (a) For the purposes of this Rule, the Emergency Preparedness and Response in Child Care is a session training developed by the North Carolina Child Care Health and Safety Resource Center for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to and recovering from emergencies in child care centers. (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Staff Reminder R. Compasso needs First Aid and CPR by 10/31/23. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 49 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 08:55 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ms. Conyers assisted us with the visit today.Marcia Humphrey lead child care consultant accompanied me during today's. Currently this facility operates with a Five -star license that was issued 9-9-23. The center's compliance history was reviewed with the operator. The program’s compliance history was 87% as of 10/26/23. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, outdoor time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Fire (9/29/23) and sanitation (10/23/23) inspections remain current. The last fire drill was conducted on 9/29/23. Shelter and lock down drills are due by 8/7/23. The outdoor check list is due by 9/29/23. Eight violations were cited during today’s visit; The violation was corrected during today’s visit. The provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in two of the classrooms. This was corrected during the visit. GS 110-91(12); .0508(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards.In the toddler 2 classroom the closet door was broken and not in good repair. .0601(c) 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. A staff members purse was not in a locked cabinet. .2820(b) 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.Three staff members did not have a emergency information form on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. One staff member K. Chappelle did not have a file made available for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.Three staff members did not receive at least 16 hrs of orientation within first 6 weeks. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four staff members didnt have the operational policies signed. 10A NCAC 09 .0514(g) 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. Five staff members did not have documentation that the EPR plan was reviwed. .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. Five staff memebers did not have a signed copy prevention of shaken baby syndrome and abusive head trauma. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two staff members didnt have a health questionnaire on file. .0701(d) The violation(s) documented must be corrected immediately. On or before 11-8-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (a) Each child care center licensed to care for children up to five years of age shall develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to licensure. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (a) For the purposes of this Rule, the Emergency Preparedness and Response in Child Care is a session training developed by the North Carolina Child Care Health and Safety Resource Center for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to and recovering from emergencies in child care centers. (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Staff Reminder R. Compasso needs First Aid and CPR by 10/31/23. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1101 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 49 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 08:55 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ms. Conyers assisted us with the visit today.Marcia Humphrey lead child care consultant accompanied me during today's. Currently this facility operates with a Five -star license that was issued 9-9-23. The center's compliance history was reviewed with the operator. The program’s compliance history was 87% as of 10/26/23. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, outdoor time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Fire (9/29/23) and sanitation (10/23/23) inspections remain current. The last fire drill was conducted on 9/29/23. Shelter and lock down drills are due by 8/7/23. The outdoor check list is due by 9/29/23. Eight violations were cited during today’s visit; The violation was corrected during today’s visit. The provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in two of the classrooms. This was corrected during the visit. GS 110-91(12); .0508(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards.In the toddler 2 classroom the closet door was broken and not in good repair. .0601(c) 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. A staff members purse was not in a locked cabinet. .2820(b) 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.Three staff members did not have a emergency information form on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. One staff member K. Chappelle did not have a file made available for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.Three staff members did not receive at least 16 hrs of orientation within first 6 weeks. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four staff members didnt have the operational policies signed. 10A NCAC 09 .0514(g) 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. Five staff members did not have documentation that the EPR plan was reviwed. .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. Five staff memebers did not have a signed copy prevention of shaken baby syndrome and abusive head trauma. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two staff members didnt have a health questionnaire on file. .0701(d) The violation(s) documented must be corrected immediately. On or before 11-8-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (a) Each child care center licensed to care for children up to five years of age shall develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to licensure. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (a) For the purposes of this Rule, the Emergency Preparedness and Response in Child Care is a session training developed by the North Carolina Child Care Health and Safety Resource Center for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to and recovering from emergencies in child care centers. (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Staff Reminder R. Compasso needs First Aid and CPR by 10/31/23. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 49 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 08:55 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ms. Conyers assisted us with the visit today.Marcia Humphrey lead child care consultant accompanied me during today's. Currently this facility operates with a Five -star license that was issued 9-9-23. The center's compliance history was reviewed with the operator. The program’s compliance history was 87% as of 10/26/23. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, outdoor time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Fire (9/29/23) and sanitation (10/23/23) inspections remain current. The last fire drill was conducted on 9/29/23. Shelter and lock down drills are due by 8/7/23. The outdoor check list is due by 9/29/23. Eight violations were cited during today’s visit; The violation was corrected during today’s visit. The provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in two of the classrooms. This was corrected during the visit. GS 110-91(12); .0508(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards.In the toddler 2 classroom the closet door was broken and not in good repair. .0601(c) 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. A staff members purse was not in a locked cabinet. .2820(b) 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.Three staff members did not have a emergency information form on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. One staff member K. Chappelle did not have a file made available for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.Three staff members did not receive at least 16 hrs of orientation within first 6 weeks. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four staff members didnt have the operational policies signed. 10A NCAC 09 .0514(g) 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. Five staff members did not have documentation that the EPR plan was reviwed. .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. Five staff memebers did not have a signed copy prevention of shaken baby syndrome and abusive head trauma. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two staff members didnt have a health questionnaire on file. .0701(d) The violation(s) documented must be corrected immediately. On or before 11-8-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (a) Each child care center licensed to care for children up to five years of age shall develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to licensure. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (a) For the purposes of this Rule, the Emergency Preparedness and Response in Child Care is a session training developed by the North Carolina Child Care Health and Safety Resource Center for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to and recovering from emergencies in child care centers. (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Staff Reminder R. Compasso needs First Aid and CPR by 10/31/23. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 49 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 08:55 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ms. Conyers assisted us with the visit today.Marcia Humphrey lead child care consultant accompanied me during today's. Currently this facility operates with a Five -star license that was issued 9-9-23. The center's compliance history was reviewed with the operator. The program’s compliance history was 87% as of 10/26/23. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, outdoor time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Fire (9/29/23) and sanitation (10/23/23) inspections remain current. The last fire drill was conducted on 9/29/23. Shelter and lock down drills are due by 8/7/23. The outdoor check list is due by 9/29/23. Eight violations were cited during today’s visit; The violation was corrected during today’s visit. The provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in two of the classrooms. This was corrected during the visit. GS 110-91(12); .0508(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards.In the toddler 2 classroom the closet door was broken and not in good repair. .0601(c) 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. A staff members purse was not in a locked cabinet. .2820(b) 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.Three staff members did not have a emergency information form on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. One staff member K. Chappelle did not have a file made available for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.Three staff members did not receive at least 16 hrs of orientation within first 6 weeks. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four staff members didnt have the operational policies signed. 10A NCAC 09 .0514(g) 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. Five staff members did not have documentation that the EPR plan was reviwed. .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. Five staff memebers did not have a signed copy prevention of shaken baby syndrome and abusive head trauma. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two staff members didnt have a health questionnaire on file. .0701(d) The violation(s) documented must be corrected immediately. On or before 11-8-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (a) Each child care center licensed to care for children up to five years of age shall develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to licensure. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (a) For the purposes of this Rule, the Emergency Preparedness and Response in Child Care is a session training developed by the North Carolina Child Care Health and Safety Resource Center for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to and recovering from emergencies in child care centers. (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Staff Reminder R. Compasso needs First Aid and CPR by 10/31/23. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: GILETTE PARKER Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 49 Completed Date: 10/26/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 08:55 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ms. Conyers assisted us with the visit today.Marcia Humphrey lead child care consultant accompanied me during today's. Currently this facility operates with a Five -star license that was issued 9-9-23. The center's compliance history was reviewed with the operator. The program’s compliance history was 87% as of 10/26/23. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, outdoor time, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. Fire (9/29/23) and sanitation (10/23/23) inspections remain current. The last fire drill was conducted on 9/29/23. Shelter and lock down drills are due by 8/7/23. The outdoor check list is due by 9/29/23. Eight violations were cited during today’s visit; The violation was corrected during today’s visit. The provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in two of the classrooms. This was corrected during the visit. GS 110-91(12); .0508(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards.In the toddler 2 classroom the closet door was broken and not in good repair. .0601(c) 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. A staff members purse was not in a locked cabinet. .2820(b) 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.Three staff members did not have a emergency information form on file. .0701(a) 1043 All staff records, except financial records, were not made available for review. One staff member K. Chappelle did not have a file made available for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.Three staff members did not receive at least 16 hrs of orientation within first 6 weeks. .1101(a) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four staff members didnt have the operational policies signed. 10A NCAC 09 .0514(g) 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. Five staff members did not have documentation that the EPR plan was reviwed. .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. Five staff memebers did not have a signed copy prevention of shaken baby syndrome and abusive head trauma. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Two staff members didnt have a health questionnaire on file. .0701(d) The violation(s) documented must be corrected immediately. On or before 11-8-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (a) Each child care center licensed to care for children up to five years of age shall develop and adopt policies to prevent shaken baby syndrome and abusive head trauma prior to licensure. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (a) For the purposes of this Rule, the Emergency Preparedness and Response in Child Care is a session training developed by the North Carolina Child Care Health and Safety Resource Center for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to and recovering from emergencies in child care centers. (b) Existing child care centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training. New centers shall have one person on staff who has completed the Emergency Preparedness and Response in Child Care training within one year of the effective date of the initial license. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. Staff Reminder R. Compasso needs First Aid and CPR by 10/31/23. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: CUSARAH RIDDICK Operation Type: Center Case Number: 0923-338A Visit Date: 9/29/2023 Number Present: 42 Completed Date: 9/29/2023 Age: From 0 To 4 Total Minutes: 121 Time In: 08:55 AM Time Out: 10:56 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Tracy Conyers-Allen, Director, accompanied me during a walk-through of the facility . During the visit, I discussed the allegations with Kezia Goodwin, Owner, Ms. Conyers-Allen and two additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On September 20, 2023, staff members failed to provide a safe environment for children, when a ten-month-old child sustained bilateral superficial second degree burns to the palms on both hands while in care. 10A NCAC 09 .0601(a) You may contact me at (Cusarah Riddick, Investigations Consultant, 919-208-0546, Cusarah.riddick@dhhs.nc.gov) or (Sheronda Harris, Supervisor, Sheronda.harris@dhhs.nc.gov). Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2200). If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2200 · Violation

Name of Operation: KATE'S KORNER LEARNING CENTER Facility ID: 32002326 Consultant: CUSARAH RIDDICK Operation Type: Center Case Number: 0923-338A Visit Date: 9/29/2023 Number Present: 42 Completed Date: 9/29/2023 Age: From 0 To 4 Total Minutes: 121 Time In: 08:55 AM Time Out: 10:56 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Tracy Conyers-Allen, Director, accompanied me during a walk-through of the facility . During the visit, I discussed the allegations with Kezia Goodwin, Owner, Ms. Conyers-Allen and two additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On September 20, 2023, staff members failed to provide a safe environment for children, when a ten-month-old child sustained bilateral superficial second degree burns to the palms on both hands while in care. 10A NCAC 09 .0601(a) You may contact me at (Cusarah Riddick, Investigations Consultant, 919-208-0546, Cusarah.riddick@dhhs.nc.gov) or (Sheronda Harris, Supervisor, Sheronda.harris@dhhs.nc.gov). Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2200). If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.