10A NCAC 09 .0803 · Violation

Name of Operation: PRIMROSE SCHOOL OF CHAPEL HILL EAST Facility ID: 32002271 Consultant: KIA REID Operation Type: Center Case Number: Visit Date: 2/9/2026 Number Present: 147 Completed Date: 2/9/2026 Age: From 0 To 7 Total Minutes: 195 Time In: 11:45 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Lillian Whetzel, Administrator assisted me with the visit. Currently, this Child Care Center operates with a five (5) star license issued January 6, 2022, earning seven (7) points in education, five (5) points in program standards and one (1) point. The NC Secretary of State website was reviewed on 2/6/26 and Cognitive Niche Inc. was listed as current- active. 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. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Files for new staff were reviewed as well as CPR/First Aid training, Criminal Background Checks and SIDS training for existing staff. Fire and sanitation inspections have not occurred since the last visit and remain current. Six violations were observed today. One was corrected during the visit, and the others must be corrected immediately. The violations are as follows: Violation Number Comment Rule 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. Three bottles did not have a date or child's name. 15A NCAC 18A .2804(d) 847 Parent's medication authorization did not include required information. The medication authorization for one epi-pen in space #10 expired on 12/30/25. 10A NCAC 09 .0803(4)(6-9) 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). One staff did not complete and submit the 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. One staff did not have First Aid training on file. .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. One staff did not have CPR training on file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter for one staff expired on 2/3/26. G.S. 110-90.2(b) & (d) & .2703(e) 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. The program’s compliance history was 86% as of 2/6/26. The violations documented must be corrected immediately. On or before February 23, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how the violations were corrected. Email the letter to: Kia.Reid@dhhs.nc.gov -Name, position -Facility name -Facility ID number -Your Signature TECHNICAL ASSISTANCE STAFF RECORDS Creating a checklist to track expiation dates of all required items for staff will ensure ongoing compliance. Best practice would be to periodically check files throughout the year to ensure there are no expired items. CRIMINAL BACKGROUND CHECK The qualification letter for L. Whetzel expired 2/3/26. You have 15 days from today’s visit to complete a new CBC and obtain a new qualifying letter. If a new qualifying letter is not submitted to me by 2/24/26, a return visit will be made to the facility. At that time, I will re-cite the violation, and you would have to leave the facility until a new qualification letter is obtained and available for my review. The following staff will need to complete the 5-year re-check by the dates listed. Please note your paperwork for the 5-year re-check can be submitted six months prior to the expiration of the qualification letter. A. Diggs 5-23-26 L. Mason 5-21-26 J. Castaneda 5-25-26 S. Jordan 6-21-26 *Please check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently and click the “what’s new” tab to stay informed of all updates available to you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (919) 819-9378, Kia.Reid@dhhs.nc.com or Holli Hemby, Supervisor, 919-819-9363, Holli.Hemby@dhhs.nc.gov if you have questions. Shamequa Wilkerson-Harris continues to be your Child Care Consultant. 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: PRIMROSE SCHOOL OF CHAPEL HILL EAST Facility ID: 32002271 Consultant: KIA REID Operation Type: Center Case Number: Visit Date: 2/9/2026 Number Present: 147 Completed Date: 2/9/2026 Age: From 0 To 7 Total Minutes: 195 Time In: 11:45 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Lillian Whetzel, Administrator assisted me with the visit. Currently, this Child Care Center operates with a five (5) star license issued January 6, 2022, earning seven (7) points in education, five (5) points in program standards and one (1) point. The NC Secretary of State website was reviewed on 2/6/26 and Cognitive Niche Inc. was listed as current- active. 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. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Files for new staff were reviewed as well as CPR/First Aid training, Criminal Background Checks and SIDS training for existing staff. Fire and sanitation inspections have not occurred since the last visit and remain current. Six violations were observed today. One was corrected during the visit, and the others must be corrected immediately. The violations are as follows: Violation Number Comment Rule 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. Three bottles did not have a date or child's name. 15A NCAC 18A .2804(d) 847 Parent's medication authorization did not include required information. The medication authorization for one epi-pen in space #10 expired on 12/30/25. 10A NCAC 09 .0803(4)(6-9) 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). One staff did not complete and submit the 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. One staff did not have First Aid training on file. .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. One staff did not have CPR training on file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter for one staff expired on 2/3/26. G.S. 110-90.2(b) & (d) & .2703(e) 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. The program’s compliance history was 86% as of 2/6/26. The violations documented must be corrected immediately. On or before February 23, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how the violations were corrected. Email the letter to: Kia.Reid@dhhs.nc.gov -Name, position -Facility name -Facility ID number -Your Signature TECHNICAL ASSISTANCE STAFF RECORDS Creating a checklist to track expiation dates of all required items for staff will ensure ongoing compliance. Best practice would be to periodically check files throughout the year to ensure there are no expired items. CRIMINAL BACKGROUND CHECK The qualification letter for L. Whetzel expired 2/3/26. You have 15 days from today’s visit to complete a new CBC and obtain a new qualifying letter. If a new qualifying letter is not submitted to me by 2/24/26, a return visit will be made to the facility. At that time, I will re-cite the violation, and you would have to leave the facility until a new qualification letter is obtained and available for my review. The following staff will need to complete the 5-year re-check by the dates listed. Please note your paperwork for the 5-year re-check can be submitted six months prior to the expiration of the qualification letter. A. Diggs 5-23-26 L. Mason 5-21-26 J. Castaneda 5-25-26 S. Jordan 6-21-26 *Please check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently and click the “what’s new” tab to stay informed of all updates available to you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (919) 819-9378, Kia.Reid@dhhs.nc.com or Holli Hemby, Supervisor, 919-819-9363, Holli.Hemby@dhhs.nc.gov if you have questions. Shamequa Wilkerson-Harris continues to be your Child Care Consultant. 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: PRIMROSE SCHOOL OF CHAPEL HILL EAST Facility ID: 32002271 Consultant: KIA REID Operation Type: Center Case Number: Visit Date: 2/9/2026 Number Present: 147 Completed Date: 2/9/2026 Age: From 0 To 7 Total Minutes: 195 Time In: 11:45 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Lillian Whetzel, Administrator assisted me with the visit. Currently, this Child Care Center operates with a five (5) star license issued January 6, 2022, earning seven (7) points in education, five (5) points in program standards and one (1) point. The NC Secretary of State website was reviewed on 2/6/26 and Cognitive Niche Inc. was listed as current- active. 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. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal care routines. Infants were engaged in tummy time, napping, and diapering routines. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Files for new staff were reviewed as well as CPR/First Aid training, Criminal Background Checks and SIDS training for existing staff. Fire and sanitation inspections have not occurred since the last visit and remain current. Six violations were observed today. One was corrected during the visit, and the others must be corrected immediately. The violations are as follows: Violation Number Comment Rule 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. Three bottles did not have a date or child's name. 15A NCAC 18A .2804(d) 847 Parent's medication authorization did not include required information. The medication authorization for one epi-pen in space #10 expired on 12/30/25. 10A NCAC 09 .0803(4)(6-9) 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). One staff did not complete and submit the 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. One staff did not have First Aid training on file. .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. One staff did not have CPR training on file. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter for one staff expired on 2/3/26. G.S. 110-90.2(b) & (d) & .2703(e) 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. The program’s compliance history was 86% as of 2/6/26. The violations documented must be corrected immediately. On or before February 23, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how the violations were corrected. Email the letter to: Kia.Reid@dhhs.nc.gov -Name, position -Facility name -Facility ID number -Your Signature TECHNICAL ASSISTANCE STAFF RECORDS Creating a checklist to track expiation dates of all required items for staff will ensure ongoing compliance. Best practice would be to periodically check files throughout the year to ensure there are no expired items. CRIMINAL BACKGROUND CHECK The qualification letter for L. Whetzel expired 2/3/26. You have 15 days from today’s visit to complete a new CBC and obtain a new qualifying letter. If a new qualifying letter is not submitted to me by 2/24/26, a return visit will be made to the facility. At that time, I will re-cite the violation, and you would have to leave the facility until a new qualification letter is obtained and available for my review. The following staff will need to complete the 5-year re-check by the dates listed. Please note your paperwork for the 5-year re-check can be submitted six months prior to the expiration of the qualification letter. A. Diggs 5-23-26 L. Mason 5-21-26 J. Castaneda 5-25-26 S. Jordan 6-21-26 *Please check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently and click the “what’s new” tab to stay informed of all updates available to you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at (919) 819-9378, Kia.Reid@dhhs.nc.com or Holli Hemby, Supervisor, 919-819-9363, Holli.Hemby@dhhs.nc.gov if you have questions. Shamequa Wilkerson-Harris continues to be your Child Care Consultant. 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 .0304 · Violation

Name of Operation: PRIMROSE SCHOOL OF CHAPEL HILL EAST Facility ID: 32002271 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 145 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 265 Time In: 10:00 AM Time Out: 02:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to assess applicable child-care requirements during your annual compliance visit. A checklist was used to note the requirements monitored today. Upon arrival I was greeted by Lillian Whetzel, the Director. You assisted us with today’s visit. There was a total of 145 children present, aging in range from infant to five years old. The children were observed playing in centers and with materials, participating in circle time, playing outside, eating lunch, and completing routine tasks. LICENSE STATUS Currently, this Child Care Center operates with a five (5) star license issued January 6, 2022, earning seven (7) points in education, five (5) points in program standards and one (1) quality point. I reviewed the NC Secretary of State’s website and observed the owner of the facility as Cognitive Niche, Inc., listed as current/active. INSPECTIONS *The last fire drill was conducted on 8/29/25. *The last emergency drill was conducted 6/9/25. *The last playground inspection was completed 8/22/25. *The last sanitation was completed on February 11,2025 with an ‘Approved’ classification. *The last fire inspection was conducted on 5/7/24. MONITORING During today’s visit, a full assessment was conducted, monitoring all space occupied by the children, including the outdoor play environment. New staff CPR/FA, qualification letters and newly enrolled children files were reviewed. All spaces were monitored for supervision, staff/child ratios, materials, equipment and required postings. The program records were reviewed for current inspections. Transportation is provided; therefore, these requirements were monitored and found in compliance. The following violations were observed and documented during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last documented fire inspection was conducted on 5/7/24. 10A NCAC 09 .0304(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. In space #1 two sets of bottles and two sippy cups was observed not have a current date. 15A NCAC 18A .2804(d) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One staff member was observed completing feeding an infant and did not wash her hands after feeding. Another staff member was observed entering into the room to work and did not wash her hands upon entering. 15A NCAC 18A .2803(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #2, #3, and #4 diaper cream and sunscreen was observed stored in multiple children cubbies. The medications stored in the cubbies did not belong to the named children. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #1 a prescription cream was observed not in its original labeled container with a signed written instructions from a health care professional. .0803(2)(a) 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. In space #2 expired medication with a date of 7/2025 was observed. .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. A staff member hired on 8/4/25 and 8/20/25 did not have a medical assessment on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 8/20/25 did not have a TB test or screening on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The last documented annual health questionnaire for one staff member was on 7/19/24. .0701(a) 1902 The professional development plan was not reviewed annually. Four staff members did not have a professional development plan reviewed annually on file. .1104 To comply with the NC Laws and Rules any violations cited today MUST be corrected immediately. A compliance letter must be received on or before September 17, 2025, letter must address each violation, explain how it has been corrected and how the violation will maintain compliance in the future. Please make sure to include: -Facility name -Facility ID number -Each item number The letter can be emailed to Shamequa.Wilkerson-Harris@dhhs.nc.gov COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 88%. According to NC General Statue 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. TECHNICAL ASSISTANCE The following items were discussed during today’s visit to help you maintain quality within your program and to prevent further violations. NON-PRESCRIPTION/PRESCRIPTION MEDICATION During today’s visit I observed non-prescription diaper cream and sunscreen with expired forms, expired diaper cream. I would recommend that classroom medication need to be checked on a weekly basis for expired forms and medication. I would also have the parents drop medications at the front desk with forms to make sure all forms and medications are in compliance. STORAGE OF NON-PRESCRIPTION/PRESCRIPTION MEDICATION In space #2, #3, and #4 non-prescription diaper cream, and sunscreen were stored in different children cubbies. The diaper cream and sunscreen observed in the cubby did not belong to three children’s cubbies. The director stated that the children had transitioned into different classrooms yesterday. I would recommend going over the policy for non-prescription and prescription medication storage with all teachers. I would also recommend that the new teacher check all cubbies weekly to ensure that medications are not being stored in the cubby. I would recommend having a checklist for transitions. STAFF FILES One staff members did not have an updated Health Questionnaire. A staff member hired on 8/20/25 did not have a medical assessment or TB on file. A staff member hired on 8/4/25 did not have a medical assessment on file. Four staff members were observed to not have a Staff Development Plan on file. I would recommend having all staff to update all annual forms on the same day each year. I would also recommend using an outlook calendar to remind you when those items are due to be updated. The Director discussed with me that the center is in a transition with management, however, they are working to get all files in order. I discussed with the Director that I am available to assist during the transition. HANDWASHING A teacher was observed entering the infant classroom and working without washing hands. Another teacher in the infant room was observed finishing feeding a bottle to a child and did not wash hands after. I would recommend going over proper handwashing procedures, and when to wash hands. I would also recommend that you view Caring For Our Children, https://nrckids.org/CFOC regarding health promotion and protection Chapter 3. I would also recommend that you reach out to your Health Consultant with any tips on handwashing. You can reach the Health Consultant, Ellie Morris at 919.809.9645 or morrise@unc.edu. ANNUAL INSPECTIONS The last annual fire inspection was completed on 5/7/24. I would recommend contacting your local Fire Marshall to complete your annual fire inspection. I would also recommend using your outlook calendar to remind you when the annual inspections are due. INFANT BOTTLE LABELS In space #1 bottles were not labeled with dates. It is important to make sure all bottles are labeled with a name and current date to avoid serving old items. I would recommend having the teachers to check all bottles when bottles are placed in the refrigerator for a name and current date. CONSULTATION AND REMINDERS The following items were discussed during today’s visit to improve the quality of your program. HEALTH AND SAFETY TRAINING Health and Safety training is now available through Moodle on the DCDEE website. This training is provided free of charge. You should use your NCID username and password to access the Moodle portal. The Health and Safety trainings must be renewed at least every five (5) years. If you completed the training in 2020, you should begin to retake the training now. CRIMINAL BACKGROUND As of July 11, 2022, criminal record checks are now to be renewed every five (5) years instead of three (3) years. Please make arrangements to complete your 5-year re-qualification before the expiration date. ONGOING TRAINING HOURS I observed training hours from 9/11/24 to 9/3/25 and all staff were found in compliance. Please send updated ongoing training hours by 9/10/25 to remain in compliance. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website (ncchildcare.gov) on a weekly basis to stay up to date on all new policies and rules. If you have any questions or need assistance, please contact me at Shamequa.Wilkerson-Harris@dhhs.nc.gov or by phone at 919 417-2872. 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 .0701 · Violation

Name of Operation: PRIMROSE SCHOOL OF CHAPEL HILL EAST Facility ID: 32002271 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 145 Completed Date: 9/3/2025 Age: From 0 To 5 Total Minutes: 265 Time In: 10:00 AM Time Out: 02:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to assess applicable child-care requirements during your annual compliance visit. A checklist was used to note the requirements monitored today. Upon arrival I was greeted by Lillian Whetzel, the Director. You assisted us with today’s visit. There was a total of 145 children present, aging in range from infant to five years old. The children were observed playing in centers and with materials, participating in circle time, playing outside, eating lunch, and completing routine tasks. LICENSE STATUS Currently, this Child Care Center operates with a five (5) star license issued January 6, 2022, earning seven (7) points in education, five (5) points in program standards and one (1) quality point. I reviewed the NC Secretary of State’s website and observed the owner of the facility as Cognitive Niche, Inc., listed as current/active. INSPECTIONS *The last fire drill was conducted on 8/29/25. *The last emergency drill was conducted 6/9/25. *The last playground inspection was completed 8/22/25. *The last sanitation was completed on February 11,2025 with an ‘Approved’ classification. *The last fire inspection was conducted on 5/7/24. MONITORING During today’s visit, a full assessment was conducted, monitoring all space occupied by the children, including the outdoor play environment. New staff CPR/FA, qualification letters and newly enrolled children files were reviewed. All spaces were monitored for supervision, staff/child ratios, materials, equipment and required postings. The program records were reviewed for current inspections. Transportation is provided; therefore, these requirements were monitored and found in compliance. The following violations were observed and documented during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last documented fire inspection was conducted on 5/7/24. 10A NCAC 09 .0304(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. In space #1 two sets of bottles and two sippy cups was observed not have a current date. 15A NCAC 18A .2804(d) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One staff member was observed completing feeding an infant and did not wash her hands after feeding. Another staff member was observed entering into the room to work and did not wash her hands upon entering. 15A NCAC 18A .2803(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #2, #3, and #4 diaper cream and sunscreen was observed stored in multiple children cubbies. The medications stored in the cubbies did not belong to the named children. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #1 a prescription cream was observed not in its original labeled container with a signed written instructions from a health care professional. .0803(2)(a) 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. In space #2 expired medication with a date of 7/2025 was observed. .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. A staff member hired on 8/4/25 and 8/20/25 did not have a medical assessment on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 8/20/25 did not have a TB test or screening on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The last documented annual health questionnaire for one staff member was on 7/19/24. .0701(a) 1902 The professional development plan was not reviewed annually. Four staff members did not have a professional development plan reviewed annually on file. .1104 To comply with the NC Laws and Rules any violations cited today MUST be corrected immediately. A compliance letter must be received on or before September 17, 2025, letter must address each violation, explain how it has been corrected and how the violation will maintain compliance in the future. Please make sure to include: -Facility name -Facility ID number -Each item number The letter can be emailed to Shamequa.Wilkerson-Harris@dhhs.nc.gov COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 88%. According to NC General Statue 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. TECHNICAL ASSISTANCE The following items were discussed during today’s visit to help you maintain quality within your program and to prevent further violations. NON-PRESCRIPTION/PRESCRIPTION MEDICATION During today’s visit I observed non-prescription diaper cream and sunscreen with expired forms, expired diaper cream. I would recommend that classroom medication need to be checked on a weekly basis for expired forms and medication. I would also have the parents drop medications at the front desk with forms to make sure all forms and medications are in compliance. STORAGE OF NON-PRESCRIPTION/PRESCRIPTION MEDICATION In space #2, #3, and #4 non-prescription diaper cream, and sunscreen were stored in different children cubbies. The diaper cream and sunscreen observed in the cubby did not belong to three children’s cubbies. The director stated that the children had transitioned into different classrooms yesterday. I would recommend going over the policy for non-prescription and prescription medication storage with all teachers. I would also recommend that the new teacher check all cubbies weekly to ensure that medications are not being stored in the cubby. I would recommend having a checklist for transitions. STAFF FILES One staff members did not have an updated Health Questionnaire. A staff member hired on 8/20/25 did not have a medical assessment or TB on file. A staff member hired on 8/4/25 did not have a medical assessment on file. Four staff members were observed to not have a Staff Development Plan on file. I would recommend having all staff to update all annual forms on the same day each year. I would also recommend using an outlook calendar to remind you when those items are due to be updated. The Director discussed with me that the center is in a transition with management, however, they are working to get all files in order. I discussed with the Director that I am available to assist during the transition. HANDWASHING A teacher was observed entering the infant classroom and working without washing hands. Another teacher in the infant room was observed finishing feeding a bottle to a child and did not wash hands after. I would recommend going over proper handwashing procedures, and when to wash hands. I would also recommend that you view Caring For Our Children, https://nrckids.org/CFOC regarding health promotion and protection Chapter 3. I would also recommend that you reach out to your Health Consultant with any tips on handwashing. You can reach the Health Consultant, Ellie Morris at 919.809.9645 or morrise@unc.edu. ANNUAL INSPECTIONS The last annual fire inspection was completed on 5/7/24. I would recommend contacting your local Fire Marshall to complete your annual fire inspection. I would also recommend using your outlook calendar to remind you when the annual inspections are due. INFANT BOTTLE LABELS In space #1 bottles were not labeled with dates. It is important to make sure all bottles are labeled with a name and current date to avoid serving old items. I would recommend having the teachers to check all bottles when bottles are placed in the refrigerator for a name and current date. CONSULTATION AND REMINDERS The following items were discussed during today’s visit to improve the quality of your program. HEALTH AND SAFETY TRAINING Health and Safety training is now available through Moodle on the DCDEE website. This training is provided free of charge. You should use your NCID username and password to access the Moodle portal. The Health and Safety trainings must be renewed at least every five (5) years. If you completed the training in 2020, you should begin to retake the training now. CRIMINAL BACKGROUND As of July 11, 2022, criminal record checks are now to be renewed every five (5) years instead of three (3) years. Please make arrangements to complete your 5-year re-qualification before the expiration date. ONGOING TRAINING HOURS I observed training hours from 9/11/24 to 9/3/25 and all staff were found in compliance. Please send updated ongoing training hours by 9/10/25 to remain in compliance. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website (ncchildcare.gov) on a weekly basis to stay up to date on all new policies and rules. If you have any questions or need assistance, please contact me at Shamequa.Wilkerson-Harris@dhhs.nc.gov or by phone at 919 417-2872. 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: PRIMROSE SCHOOL OF CHAPEL HILL EAST Facility ID: 32002271 Consultant: SHAMEQUA WILKERSON-HARRIS Operation Type: Center Case Number: Visit Date: 9/10/2024 Number Present: 143 Completed Date: 9/10/2024 Age: From 0 To 5 Total Minutes: 235 Time In: 09:50 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to assess applicable child-care requirements during your annual compliance visit. A checklist was used to note the requirements monitored today. Upon arrival we were greeted by Aundria Edwards, the Director. You assisted us with today’s visit. Vanessa Price, Child Care Consultant accompanied me on this visit. There was a total of 143 children present, aging in range from infant to five years old. The children were observed playing in centers and with materials, participating in circle time, playing outside, and completing routine tasks. LICENSE STATUS Currently, this Child Care Center operates with a five (5) star license issued January 6, 2022, earning seven (7) points in education, five (5) points in program standards and one (1) quality point. I reviewed the NC Secretary of State’s website and observed the owner of the facility as Cognitive Niche, Inc., listed as current/active. INSPECTIONS *The last fire drill was conducted 8/2/24. *The last emergency drill was conducted 6/14/24. *The last playground inspection was completed 9/5/24. *The last sanitation was completed on 3/12/24 with a ‘Superior’ classification. *The last fire inspection was conducted on 5/7/24. MONITORING During today’s visit, a full assessment was conducted, monitoring all space occupied by the children, including the outdoor play environment. New staff CPR/FA, qualification letters and newly enrolled children files were reviewed. All spaces were monitored for supervision, staff/child ratios, materials, equipment and required postings. The program records were reviewed for current inspections. Transportation is provided; therefore, these requirements were monitored and found in compliance. The following violations were observed and documented during today’s visit. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #3 four non prescription medications were not stored in a locked cabinet/locked container. The medications were stored in the children cubbies. 15A NCAC 18A .2820(d) 843 A drug or medicine was administered after its expiration date. In space #2 a medication observed had an expiration date of 3/2024. 10A NCAC 09 .0803(1)(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. In Space #4 two forms were expired with dates of 6/24 and 8/7/24. .0803(12) 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. Three staff members First Aid training expired on 8/31/24, 6/2024 and 10/16/23. .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. Three staff members CPR training hand an expiration date of 8/31/24, 6/2024, and 10/16/23. .1102(d) 1314 Emergency information did not name childs health care professional. A child enrolled on 10/23/23 did not have a hospital preference on file. A child enrolled on 8/12/24 did not have a hospital preference on file. .0802(c)(2) 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. Three staff members did not have an updated health questionnaire on file. The last dates were 10/17/23, 7/17/23, and 9/1/23. .0701(d) 1898 Staff did not complete the health and safety training within one year of employment. Three staff members did not complete all of the Health and Safety training. Three staff did not complete The Administration of Medication training. .1102(a) To comply with the NC Laws and Rules any violations cited today MUST be corrected immediately. A compliance letter must be received on or before September 24, 2024, letter must address each violation, explain how it has been corrected and how the violation will maintain compliance in the future. Please make sure to include: -Facility name -Facility ID number -Each item number The letter can be emailed to Shamequa.Wilkerson-Harris@dhhs.nc.gov or mailed to: Shamequa Wilkerson-Harris 300 Sugar Maple Avenue Wake Forest, NC 27587 COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 96%. According to NC General Statue 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. TECHNICAL ASSISTANCE The following items were discussed during today’s visit to help you maintain quality within your program and to prevent further violations. NON-PRESCRIPTION/PRESCRIPTION MEDICATION During today’s visit I observed non-prescription diaper cream and sunscreen with expired forms, expired diaper cream. I would recommend that classroom medication need to be checked on a weekly basis for expired forms and medication. I would also have the parents drop medications at the front desk with forms to make sure all forms and medications are in compliance. STORAGE OF NON-PRESCRIPTION/PRESCRIPTION MEDICATION In space #3 for non-prescription diaper cream were stored in four different children cubbies. The teacher and director stated that the children had transitioned into space #3. I would recommend going over the policy for non-prescription and prescription medication storage with all teachers. I would also recommend that the new teacher check all cubbies weekly to ensure that medications are not being stored in the cubby. HEALTH AND SAFETY TRAINING Three staff members health and safety training were observed not completed during today’s visit. I would recommend that you create an outlook reminder or excel spreadsheet to remind you of trainings that are due for all staff. Please remember staff hired will have one year from their higher date to complete all the Health and Safety training. Also, every five years staff should retake all Health and Safety training courses. The following individuals need to complete Administration of Medication: D. Jones, N. Thompson-Adler, and J. Tcherkassky immediately. STAFF FILES Three staff members did not have an updated Health Questionnaire. I would recommend having all staff to update all annual forms on the same day each year. I would also recommend using an outlook calendar to remind you when those items are due to be updated. Three staff members CPR/FA were observed expired during today’s visit. I would recommend using an outlook calendar to remind you when staff CPR/FA trainings are due. CHILDREN FILES Two children files observed did not have an emergency medical health care professional documented. I would recommend using the child file checklist to ensure all necessary information is collected for each child enrolled. CONSULTATION AND REMINDERS The following items were discussed during today’s visit to improve the quality of your program. HEALTH AND SAFETY TRAINING Health and Safety training is now available through Moodle on the DCDEE website. This training is provided free of charge. You should use your NCID username and password to access the Moodle portal. The Health and Safety trainings must be renewed at least every five (5) years. If you completed the training in 2019, you should begin to retake the training now. CRIMINAL BACKGROUND As of July 11, 2022, criminal record checks are now to be renewed every five (5) years instead of three (3) years. Please make arrangements to complete your 5-year re-qualification before the expiration date. ONGOING TRAINING HOURS I observed training hours from 9/27/23 to 9/10/24 and all staff were found in compliance. Please send updated ongoing training hours by 9/31/24 to remain in compliance. REMINDERS Please be reminded to conduct your emergency drill on or before September 30, 2024. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website (ncchildcare.gov) on a weekly basis to stay up to date on all new policies and rules. If you have any questions or need assistance, please contact me at Shamequa.Wilkerson-Harris@dhhs.nc.gov or by phone at 919 417-2872. 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 .0304 · Violation

Name of Operation: PRIMROSE SCHOOL OF CHAPEL HILL EAST Facility ID: 32002271 Consultant: SHANNEL HALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 154 Completed Date: 5/1/2024 Age: From 0 To 5 Total Minutes: 120 Time In: 11:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor applicable child care requirements during your routine unannounced visit. The director, Aundria Edwards, assisted me with today's visit. Upon arrival, you greeted me and welcomed me into your program. I observed ten (10) classrooms of children during today's visit. The children were observed having circle time, outdoor play, and playing in centers during this visit. RATED LICENSE STATUS The program holds a 5 star-rated license issued on 1/6/22. The program received 5 points in Program Standards, 7 points in Staff Education, and 1 Quality point. INSPECTIONS The last fire drill was conducted on 4/29/24. The last emergency drill was conducted on 3/11/24. The last playground inspection was conducted on 4/25/24. The last sanitation inspection was conducted on 3/12/24. The fire inspection was conducted on 4/10/23. During this visit, a partial assessment of the child care requirements was conducted. The following items were monitored and found in compliance during this visit: nurturing interactions, daily attendance, license posted & permit restrictions followed, safe indoor environment, fire drills & inspections, CBC qualifications, CPR/First Aid certification, and storage of medications & hazardous materials. The following violations were observed and recorded during today's visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A current fire inspections was not available for review during today's visit. The last fire inspection was conducted on 4/10/23. 10A NCAC 09 .0304(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The thermometer in space #1 did not maintain a temperature of 45 degrees or below. The refrigerator temperature is reading 50 degrees. 15A NCAC 18A .2806(j)(2) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. An employee in space #3 did not wash hands before serving other children food. An employee in space #11 did not wash hands after diapering. 15A NCAC 18A .2803(a) In order to comply with the NC Laws & Rules, any violations cited today must be corrected immediately. A compliance letter should be sent to me by May 15, 2024. The letter should address each violation, and explain how and when it has been corrected. Please send the letter to shannel.hall@dhhs.nc.gov and include the following: -Facility name -Facility ID number -Each item number COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 97%. It will be updated after today's visit, and you will be informed of the new score. TECHNICAL ASSISTANCE The following items were discussed to help you prevent a reoccurrence of the violations observed during today's visit. I would suggest making sure teachers are checking the temperature of the refrigerator on a daily basis. I would suggest putting a reminder on the calendar to reach out to the fire marshal two to three months before your inspection is due. I would suggest having a meeting with the employees to review the “Handwashing” Procedures. CONSULTATION Criminal background checks must be renewed every five (5) years. Criminal background checks can be completed up to six months prior to the expiration date. We are encouraging all staff to begin their renewal process early to avoid lapses in their qualification. HEALTH AND SAFETY TRAININGS Health and Safety trainings are now available through Moodle on the DCDEE website. These trainings are provided free of charge. You should use your NCID username and password to access the Moodle portal. As per Child Care Rule .1103(b) the Health and Safety trainings must be renewed at least every 5 years. Some of your staff completed the trainings in 2017, they should begin to retake the training. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: nchildcare.ncdhhs.gov frequently to stay updated on rule requirements. CONTACT INFORMATION If you have any questions or need assistance, please contact me at shannel.hall@dhhs.nc.gov or by phone at (919) 703- 5003. 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: ratio. Open / not marked corrected.