10A NCAC 09 .0902 · Violation

Name of Operation: THE LITTLE SCHOOL AT DUKE Facility ID: 32002041 Consultant: TONI FULLER Operation Type: Center Case Number: 1025-360L Visit Date: 10/30/2025 Number Present: 127 Completed Date: 10/30/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced Upon arrival the director greeted me. The purpose of today’s visit was to assess applicable child-care requirements related to concerns received by the NC Division of Child Development and Early Education. This program operates with a five-star license, which was issued on 11/12/19. During today’s visit the director openly discussed the incident that occurred on 9/25/25. The director stated that a child (age 1) in classroom B4 gagged/choked on a tortilla chip. The afternoon snack on 9/25/25 consisted of tortilla chips and cheese cubes. OBSERVATIONS: During today’s visit I observed the three chefs preparing food for lunch. The three chefs stated that they did all the chopping of meats, vegetables, and fruit. I observed the toddlers eating lunch in classroom space B2, B3, and B4. Lunch today consisted of Greek garbanzo beans over rice, kale salad with butternut squash, sunflower seeds, pickled onions and feta cheese. The three children eating in classroom space #B2 were less than one year of age. In classroom space B3, there were 8 children eating lunch. Two of the 8 children were 11 months old; the other 6 children were older than 1 and under 15 months. The 10 children eating lunch in classroom B4 were older than 15 months, but less than age 2. In all three classrooms the children were adequately seated. The caregivers were seated with them or within arm’s length of the children. The staff in each of the three classrooms stated that the children did not typically have difficulty eating the food. The teacher in classroom space #B2 stated that he would cut pieces even smaller, if needed. I did not observe any of the children having difficulties eating their lunch. None of the children were asked to eat faster to finish their lunch. I talked with the teacher, who was present in the classroom on 9/25/25, when a child choked/gagged on a tortilla chip. The teacher stated that the lead teacher acted quickly, applying force to the child’s back. The child coughed immediately and was breathing normally. She stated that the parents were notified immediately. The teacher stated that the child had not previously had difficulty eating tortilla chips. The lead teacher in classroom space B4 on the day of the incident was no longer employed at the center. During today’s visit I was given the signed incident report for the incident. The director stated that the incident would be entered into the incident log tomorrow at the end of the month. Based on observations and interviews conducted during today’s visit, it was determined that the allegation regarding nutrition concerns was UNSUBSTANTIATED. During today’s visit one violation was cited, based on NC child care nutrition requirements. 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). (1) One child, under the age of 15 months, needed a feeding schedule on file. (2) Two children needed updated information on their feeding schedule, regarding eating table food. 10A NCAC 09 .0902(a) All violations must be corrected immediately. Please send me a signed Corrective Action letter by 11/13/25, explaining how the violation cited today has been corrected. Compliance History: The compliance history for this facility for the previous eighteen-month time frame was 85%. TECHNICAL ASSISTANCE WAS PROVIDED IN THE FOLLOWING AREAS TODAY: NUTRITION FOR YOUNG CHILDREN: During today’s visit I was given a copy of the existing center policy that discussed the nutrition policy at The Little School at Duke. Prior to today’s visit and in response to the 9/25/25 incident, the director had developed a revised food policy section to add to the center’s policies. The director stated that the policy would be given to parents and implemented after one final review. I was given a copy of the new policy addition. The new policy contained a section explaining the difference between gagging and choking. I talked with the director about the first section of the new policy: “Readiness for Food Introduction at School”. The new policy gave parents criteria and input into the timing for the introduction of center solid food. The policy will not supersede the required feeding schedule. Parents of children under the age of 15 months would provide information about solid food on the required feeding schedule. The policy required a parent signature with space for parental restrictions, if needed. The policy included a list of items that would not be served to children under the age of two. The list included Tortilla chips and cheese cubes. During today’s visit resource information from the USDA, Caring for Our Children, and MyPlate.gov was given to the director. The information listed food items that were choking risks for young children, based on their size, shape, and texture. The information included items that needed to be cut into small pieces for young children. I stated that I would return later to conduct a Routine Unannounced visit. Technical Assistance on the new QRIS system was provided during the visit. RATED LICENSE: The director had not been able to attend the 9/28/25 QRIS training. I stated that all the information shared during the training was on the DCDEE website, under the “What’s New” tab, QRIS Modernization. https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization During today’s visit the director stated that the center was interested in Pathway I, because the NC Rated License Assessment Project had conducted several practice assessments at this center, using the ITERS-3 and ECERS-3 assessment tools. During today’s visit the director learned that the education status of staff would be based on evaluations made by the DCDEE Workforce Unit, and not EEC evaluations. The timeline for completing the star-rated license was reviewed. AGENCY NEWS AND UPDATES: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ often. Click on the “What’s New” tab for new requirements and updates. CONTACT INFORMATION: Please contact me if I can be of any assistance to you. I can be reached at toni.fuller@dhhs.nc.gov or (919) 819-9366. 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.

10A NCAC 09 .0601 · Violation

Name of Operation: THE LITTLE SCHOOL AT DUKE Facility ID: 32002041 Consultant: TONI FULLER Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 117 Completed Date: 4/24/2025 Age: From 1 To 5 Total Minutes: 330 Time In: 08:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Upon arrival the director greeted me. The purpose of today’s unannounced visit was to monitor applicable child care requirements during an Annual Compliance visit. This center operates with a five-star license, which was issued on 11/12/19. The last Annual Compliance visit was conducted on 5/1/24. COMPLIANCE HISTORY: The compliance history for this center for the previous eighteen-month timeframe was 82%. CORPORATION: According to the NC Secretary of State web site, the status of The Little School at Duke, Inc. is “current-active”. During today’s visit all indoor and outdoor licensed space was monitored. OBSERVATIONS: I observed the children engaged in indoor free play activities, enjoying the outdoor environment, and eating morning snack outside at picnic tables. The morning snack consisted of poppy seed bread, sliced oranges, and bananas. Each classroom had current activity plans posted, along with the staff/child ratio chart, food allergy list, and current menus. The medical authorization information was reviewed for emergency mediations. INCIDENT LOG: I observed that the center was maintaining an incident log of injuries. CHILDREN’S RECORDS: Twenty children’s records were randomly selected and reviewed today. STAFF RECORDS: During today’s visit I reviewed the files for 17 staff, who began employment after the 5/1/24 Annual Compliance visit. I also reviewed the files for seven additional staff to include tallying their yearly in-service training requirement. CURRICULUM: This center implements the Bank Street curriculum in the preschool classrooms. TRANSPORTATION: This center does not offer transportation services. INSPECTIONS: The last documented annual fire inspection was completed on 2/3/25. The last documented sanitation inspection was conducted on 9/9/24. The last documented fire drill was conducted on 3/27/25. The last documented lockdown drill was conducted on 1/27/25. The director stated that an updated lockdown drill would be conducted this month. The last documented playground inspection was completed on 3/27/25. The last documented water testing for Clean Water for NC Kids was completed on 9/7/24. The center completed Clean Classrooms for Carolina Kids (lead paint/asbestos) program and gained clearance on 12/10/24. The following violations were cited today: Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Additional surfacing was needed for both dome climbers and the tire climber. .0605(j) 807 A safe indoor and outdoor environment was not provided for the children. (1) The hill slide on the back left playground was set-up with three black milk containers. The slide needed to be installed properly for stability. (2) The window seal, which was accessible to children on the back left playground, was rotted out with sharp edges exposed to children. (3) The foundation tiles at the bottom of the building, located on the fenced-in space outside classroom space #A3 and #A4 were broken and jagged. The area was accessible to the children. 10A NCAC 09 .0601(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training expired for one staff in March 2025. .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. CPR training expired for one staff in March 2025. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. In-service training requirements were tallied today for seven staff. Of the seven staff, three needed additional training hours to meet their yearly requirement. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The staff person, who began employment on 4/7/25, had not received the orientation training. .1101(a)(b) All violations must be corrected immediately. Please send me a signed Corrective Action letter by 5/8/24, stating how each violation has been corrected. TECHNICAL ASSISTANCE was provided today in the following areas: EDUCATION: I observed that education evaluations were not on file for the seventeen staff, who had begun employment after 5/1/24. Workforce evaluation information was on file for the seven staff, who had been employed for a longer timeframe. The director stated that she was working with staff, regarding obtaining NCECC or a CDA. CPR/FIRST AID: I reminded the director that CPR/First Aid training would expire for several staff this month. RATED LICENSE: Please know that the “hold harmless” status for Rated License reassessment has been extended until the new QRIS guidelines are ready for implementation. The new Rated License assessment rules (QRIS) were approved by the NC Child Care Commission yesterday. AGENCY NEWS AND UPDATES: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ often. Click on the “What’s New” tab for new requirements and updates. CONTACT INFORMATION: Please contact me if I can be of any assistance to you. I can be reached at toni.fuller@dhhs.nc.gov or (919) 819-9366. 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.

10A NCAC 09 .0304 · Violation

Name of Operation: THE LITTLE SCHOOL AT DUKE Facility ID: 32002041 Consultant: TONI FULLER Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 136 Completed Date: 1/15/2025 Age: From 0 To 5 Total Minutes: 220 Time In: 09:30 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Upon arrival the director greeted me. The purpose of today’s visit was to monitor applicable child care requirements during a Routine Unannounced visit. This center operates with a five-star license, which was issued on 11/12/19. The last Annual Compliance visit was conducted on 5/1/24. COMPLIANCE HISTORY: The compliance history for this center for the previous eighteen-month timeframe was 84%. During today’s visit I all indoor and outdoor licensed space was monitored. I observed the children engaged in free play activities, having circle time, having music time, dancing to music, and working on art activities in the multi-purpose space in building #1. I observed the children getting ready for morning snack, which consisted of cut-up fruit and coconut mango bread. I observed the infants having tummy time and sleeping for a morning nap. I observed one child having therapy in the multi-purpose space in building #2. I verified that the therapist had Criminal Record Check clearance. During today’s visit Duke students, who were completing their practicum were present in classroom space #A2 and #A4. CHILDREN’S RECORDS: Children’s records were not monitored today. NEW STAFF: I reviewed the files for three staff, who had begun employment after the 5/1/24 Annual Compliance visit. I also verified that staff had current Criminal Record Check clearance and current CPR/First Aid training. CURRICULUM: The center implements the Bank Street curriculum in the preschool classrooms. Each classroom had current lesson plans posted. TRANSPORTATION: The center does not offer any transportation services. INSPECTIONS: The last documented annual fire inspection was completed on 11/7/23. The last documented sanitation inspection was conducted on 9/9/24. The last documented fire drill was conducted on 12/30/24. The last documented lockdown drill was conducted on 4/30/24. The last documented playground inspection was completed on 11/27/24. The last documented water testing for Clean Water for NC Kids was completed on 9/7/24. The center completed the lead/asbestos testing for clearance on 12/10/24. The following violations were cited today: 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 completed on 11/7/23. 10A NCAC 09 .0304(a) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Additional surfacing was needed around the two metal doom climbers, the rubber tire dome climber, and at the exit points of the slides. .0605(j) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last documented playground inspection was conducted on 11/27/24. .0605(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The staff person, who began employment on 5/6/24, had not completed the required 16 hours of new staff orientation .1101(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented lockdown drill was conducted on 4/30/24. .0604(u);.0302(d)(8) All violations must be corrected immediately. Please send me a signed Corrective Action letter by 1/29/25, stating how each violation has been corrected. TECHNICAL ASSISTANCE was provided today in the following areas: ANNUAL FIRE INSPECTION: I stated that the annual fire inspection was due to be completed by 11/6/24. During today’s visit an individual was present, inspecting the alarm system. Please send me a copy of the fire inspection when completed. PRE-SERVICE ADMINISTRATOR FORM: The director stated that she had never completed a pre-service administrator form since transitioning to the position of director at this center. The director was provided a copy of the pre-service form to complete and return to me. OUTDOOR ENVIRONMENT: There was a Little Tykes cube climber on the toddler playground. The climber was not designed to be anchored to the ground. The climber could be moved by the staff. I asked the director to ask the staff to be diligent in keeping the climber turned, so if a toddler fell while trying to climb the steps on the climber, the toddler would hit the surfacing instead of the fence. The steps were on two sides of the climber. Small branches from last week’s winter storm need to be picked-up on the playgrounds behind building #2, prior to the children playing on those fenced-in spaces. RATED LICENSE: Please know that the “hold harmless” status for Rated License reassessment has been extended until the new QRIS guidelines are ready for implementation. I urged the director to have the new staff register in WORKS. The director stated that this center was a training site for the ITERS-3 and ECERS-3. NEXT VISIT: I stated that I would return prior to 5/1/25 to conduct the 2025 Annual Compliance visit. AGENCY NEWS AND UPDATES: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ often. Click on the “What’s New” tab for new requirements and updates. CONTACT INFORMATION: Please contact me if I can be of any assistance to you. I can be reached at toni.fuller@dhhs.nc.gov or (919) 819-9366. 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.

10A NCAC 09 .0604 · Violation

Name of Operation: THE LITTLE SCHOOL AT DUKE Facility ID: 32002041 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 142 Completed Date: 5/1/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 09:45 AM Time Out: 04:00 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 children care requirements for an annual compliance visit. Vanessa Price, Child Care Consultant, accompanied me on the visit. Upon arrival, I was greeted by Heather Rose, and she accompanied me throughout the visit. The program currently operates with a 5 Star License, issued on 11/12/19. The program received 6 points in staff education, 6 points in program standard, and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. INSPECTIONS: The last sanitation inspection was completed on: 4/12/24. The last fire inspection was completed on 11/7/23. The last outdoor play area inspection was completed on 4/30/24. The last fire drill was conducted on 4/30/24. The last lock down/shelter-in-place drill was completed on 4/30/24. The EPR plan was updated on 11/8/23. The last annual compliance visit was conducted on 5/10/23. A full assessment was conducted. A monitoring checklist was used to observe all minimum licensing requirements and applicable enhanced requirements including but not limited to approved space, child interactions, required in-service trainings, indoor and outdoor materials and equipment, storage of hazardous items, storage of medication and medication forms, children records, Staff Criminal Record Checks, attendance records, CPR and First Aid certificates, ITSIDS certificates, activity plans and supervision. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 81%. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, THE LITTLE SCHOOL AT DUKE, INC. was current/active. You visited all indoor and outdoor space with me. Children enrolled in space #N4, N5, S4, and N7 were engaged in outdoor activities. Children in space #N1 received individual care which included bottle feeding and floor time activities. Proper handwashing procedures were observed. Lunch was observed and consisted of barbecue beef, green beans, potato, and milk. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The current activity plan posted in space S3 and N7 was dated 4/22/24. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space S2, S3, and N7 power plugs did not have safety shield. 10A NCAC 09 .0604(c) 843 A drug or medicine was administered after its expiration date. Medication with expiration date 2/24 and 3/24 was being applied after the expiration date. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. Desitin cream did not have the required information to apply. 10A NCAC 09 .0803(4)(6-9) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Twenty staff members did not have verification on file for their yearly training. .1103(a) Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. Your letter is due by no later than 5/15/24 and should be emailed to: corrine.fulp@dhhs.nc.gov. The center was not in compliance with all applicable minimum licensing requirements during today's visit and violations were cited that could impact the center’s overall Compliance History Score. An updated Compliance History Score will be generated after today’s visit, and you will be informed of the results on the next visit to your center. TECHNICAL ASSISTANCE Best practice would be to have staff post activity plans on Friday evening and parent can view and plan for upcoming week activities. REMINDERS: Two staff members will need CPR/FA by June and July. CONSULTATION Per our conversation on the large pillows, think about how you are going to keep them clean. I know that the outer covering can be removed and washed but if a child has an accident, it could potentially leak through and soil the stuffing materials. MEDICATION A good suggestion to prevent future violation would be to assign a staff member to do a weekly safety check for all classrooms with medication. Check that the name of the medication on the permission form to see if it is the same as the name of the medication on the container. Check the name, dates, times, dose, and route on the medication container to see if it matches the dates, times, dose and route permission form. ON GOING TRAINING HOURS Several staff members have not met their yearly on-going training hours; check staff training worksheets for hours needed. DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached at: 919-606-2388 or email me at corrine.fulp@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: THE LITTLE SCHOOL AT DUKE Facility ID: 32002041 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 142 Completed Date: 5/1/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 09:45 AM Time Out: 04:00 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 children care requirements for an annual compliance visit. Vanessa Price, Child Care Consultant, accompanied me on the visit. Upon arrival, I was greeted by Heather Rose, and she accompanied me throughout the visit. The program currently operates with a 5 Star License, issued on 11/12/19. The program received 6 points in staff education, 6 points in program standard, and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. INSPECTIONS: The last sanitation inspection was completed on: 4/12/24. The last fire inspection was completed on 11/7/23. The last outdoor play area inspection was completed on 4/30/24. The last fire drill was conducted on 4/30/24. The last lock down/shelter-in-place drill was completed on 4/30/24. The EPR plan was updated on 11/8/23. The last annual compliance visit was conducted on 5/10/23. A full assessment was conducted. A monitoring checklist was used to observe all minimum licensing requirements and applicable enhanced requirements including but not limited to approved space, child interactions, required in-service trainings, indoor and outdoor materials and equipment, storage of hazardous items, storage of medication and medication forms, children records, Staff Criminal Record Checks, attendance records, CPR and First Aid certificates, ITSIDS certificates, activity plans and supervision. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 81%. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, THE LITTLE SCHOOL AT DUKE, INC. was current/active. You visited all indoor and outdoor space with me. Children enrolled in space #N4, N5, S4, and N7 were engaged in outdoor activities. Children in space #N1 received individual care which included bottle feeding and floor time activities. Proper handwashing procedures were observed. Lunch was observed and consisted of barbecue beef, green beans, potato, and milk. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The current activity plan posted in space S3 and N7 was dated 4/22/24. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space S2, S3, and N7 power plugs did not have safety shield. 10A NCAC 09 .0604(c) 843 A drug or medicine was administered after its expiration date. Medication with expiration date 2/24 and 3/24 was being applied after the expiration date. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. Desitin cream did not have the required information to apply. 10A NCAC 09 .0803(4)(6-9) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Twenty staff members did not have verification on file for their yearly training. .1103(a) Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. Your letter is due by no later than 5/15/24 and should be emailed to: corrine.fulp@dhhs.nc.gov. The center was not in compliance with all applicable minimum licensing requirements during today's visit and violations were cited that could impact the center’s overall Compliance History Score. An updated Compliance History Score will be generated after today’s visit, and you will be informed of the results on the next visit to your center. TECHNICAL ASSISTANCE Best practice would be to have staff post activity plans on Friday evening and parent can view and plan for upcoming week activities. REMINDERS: Two staff members will need CPR/FA by June and July. CONSULTATION Per our conversation on the large pillows, think about how you are going to keep them clean. I know that the outer covering can be removed and washed but if a child has an accident, it could potentially leak through and soil the stuffing materials. MEDICATION A good suggestion to prevent future violation would be to assign a staff member to do a weekly safety check for all classrooms with medication. Check that the name of the medication on the permission form to see if it is the same as the name of the medication on the container. Check the name, dates, times, dose, and route on the medication container to see if it matches the dates, times, dose and route permission form. ON GOING TRAINING HOURS Several staff members have not met their yearly on-going training hours; check staff training worksheets for hours needed. DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached at: 919-606-2388 or email me at corrine.fulp@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: THE LITTLE SCHOOL AT DUKE Facility ID: 32002041 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 142 Completed Date: 5/1/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 09:45 AM Time Out: 04:00 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 children care requirements for an annual compliance visit. Vanessa Price, Child Care Consultant, accompanied me on the visit. Upon arrival, I was greeted by Heather Rose, and she accompanied me throughout the visit. The program currently operates with a 5 Star License, issued on 11/12/19. The program received 6 points in staff education, 6 points in program standard, and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. INSPECTIONS: The last sanitation inspection was completed on: 4/12/24. The last fire inspection was completed on 11/7/23. The last outdoor play area inspection was completed on 4/30/24. The last fire drill was conducted on 4/30/24. The last lock down/shelter-in-place drill was completed on 4/30/24. The EPR plan was updated on 11/8/23. The last annual compliance visit was conducted on 5/10/23. A full assessment was conducted. A monitoring checklist was used to observe all minimum licensing requirements and applicable enhanced requirements including but not limited to approved space, child interactions, required in-service trainings, indoor and outdoor materials and equipment, storage of hazardous items, storage of medication and medication forms, children records, Staff Criminal Record Checks, attendance records, CPR and First Aid certificates, ITSIDS certificates, activity plans and supervision. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 81%. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, THE LITTLE SCHOOL AT DUKE, INC. was current/active. You visited all indoor and outdoor space with me. Children enrolled in space #N4, N5, S4, and N7 were engaged in outdoor activities. Children in space #N1 received individual care which included bottle feeding and floor time activities. Proper handwashing procedures were observed. Lunch was observed and consisted of barbecue beef, green beans, potato, and milk. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The current activity plan posted in space S3 and N7 was dated 4/22/24. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space S2, S3, and N7 power plugs did not have safety shield. 10A NCAC 09 .0604(c) 843 A drug or medicine was administered after its expiration date. Medication with expiration date 2/24 and 3/24 was being applied after the expiration date. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. Desitin cream did not have the required information to apply. 10A NCAC 09 .0803(4)(6-9) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Twenty staff members did not have verification on file for their yearly training. .1103(a) Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. Your letter is due by no later than 5/15/24 and should be emailed to: corrine.fulp@dhhs.nc.gov. The center was not in compliance with all applicable minimum licensing requirements during today's visit and violations were cited that could impact the center’s overall Compliance History Score. An updated Compliance History Score will be generated after today’s visit, and you will be informed of the results on the next visit to your center. TECHNICAL ASSISTANCE Best practice would be to have staff post activity plans on Friday evening and parent can view and plan for upcoming week activities. REMINDERS: Two staff members will need CPR/FA by June and July. CONSULTATION Per our conversation on the large pillows, think about how you are going to keep them clean. I know that the outer covering can be removed and washed but if a child has an accident, it could potentially leak through and soil the stuffing materials. MEDICATION A good suggestion to prevent future violation would be to assign a staff member to do a weekly safety check for all classrooms with medication. Check that the name of the medication on the permission form to see if it is the same as the name of the medication on the container. Check the name, dates, times, dose, and route on the medication container to see if it matches the dates, times, dose and route permission form. ON GOING TRAINING HOURS Several staff members have not met their yearly on-going training hours; check staff training worksheets for hours needed. DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached at: 919-606-2388 or email me at corrine.fulp@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: THE LITTLE SCHOOL AT DUKE Facility ID: 32002041 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 142 Completed Date: 5/1/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 09:45 AM Time Out: 04:00 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 children care requirements for an annual compliance visit. Vanessa Price, Child Care Consultant, accompanied me on the visit. Upon arrival, I was greeted by Heather Rose, and she accompanied me throughout the visit. The program currently operates with a 5 Star License, issued on 11/12/19. The program received 6 points in staff education, 6 points in program standard, and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. INSPECTIONS: The last sanitation inspection was completed on: 4/12/24. The last fire inspection was completed on 11/7/23. The last outdoor play area inspection was completed on 4/30/24. The last fire drill was conducted on 4/30/24. The last lock down/shelter-in-place drill was completed on 4/30/24. The EPR plan was updated on 11/8/23. The last annual compliance visit was conducted on 5/10/23. A full assessment was conducted. A monitoring checklist was used to observe all minimum licensing requirements and applicable enhanced requirements including but not limited to approved space, child interactions, required in-service trainings, indoor and outdoor materials and equipment, storage of hazardous items, storage of medication and medication forms, children records, Staff Criminal Record Checks, attendance records, CPR and First Aid certificates, ITSIDS certificates, activity plans and supervision. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 81%. Prior to the visit I reviewed the NC Secretary of State's website and observed that the owner of this facility, THE LITTLE SCHOOL AT DUKE, INC. was current/active. You visited all indoor and outdoor space with me. Children enrolled in space #N4, N5, S4, and N7 were engaged in outdoor activities. Children in space #N1 received individual care which included bottle feeding and floor time activities. Proper handwashing procedures were observed. Lunch was observed and consisted of barbecue beef, green beans, potato, and milk. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The current activity plan posted in space S3 and N7 was dated 4/22/24. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space S2, S3, and N7 power plugs did not have safety shield. 10A NCAC 09 .0604(c) 843 A drug or medicine was administered after its expiration date. Medication with expiration date 2/24 and 3/24 was being applied after the expiration date. 10A NCAC 09 .0803(1)(d) 847 Parent's medication authorization did not include required information. Desitin cream did not have the required information to apply. 10A NCAC 09 .0803(4)(6-9) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Twenty staff members did not have verification on file for their yearly training. .1103(a) Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. Your letter is due by no later than 5/15/24 and should be emailed to: corrine.fulp@dhhs.nc.gov. The center was not in compliance with all applicable minimum licensing requirements during today's visit and violations were cited that could impact the center’s overall Compliance History Score. An updated Compliance History Score will be generated after today’s visit, and you will be informed of the results on the next visit to your center. TECHNICAL ASSISTANCE Best practice would be to have staff post activity plans on Friday evening and parent can view and plan for upcoming week activities. REMINDERS: Two staff members will need CPR/FA by June and July. CONSULTATION Per our conversation on the large pillows, think about how you are going to keep them clean. I know that the outer covering can be removed and washed but if a child has an accident, it could potentially leak through and soil the stuffing materials. MEDICATION A good suggestion to prevent future violation would be to assign a staff member to do a weekly safety check for all classrooms with medication. Check that the name of the medication on the permission form to see if it is the same as the name of the medication on the container. Check the name, dates, times, dose, and route on the medication container to see if it matches the dates, times, dose and route permission form. ON GOING TRAINING HOURS Several staff members have not met their yearly on-going training hours; check staff training worksheets for hours needed. DCDEE UPDATES AND NEWS For the latest information on child care rules and regulations, please visit the DCDEE website at www.ncchildcare.nc.gov. CONTACT INFORMATION If you have any questions about today’s visit, I can be reached at: 919-606-2388 or email me at corrine.fulp@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: THE LITTLE SCHOOL AT DUKE Facility ID: 32002041 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 139 Completed Date: 11/8/2023 Age: From 0 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose for today’s visit was to conduct a routine monitoring visit. Upon arrival, I was greeted by Heather Rose, and she accompanied me throughout the visit. The program currently operates with a 5 Star License, issued on 11/12/19. The program received 6 points in staff education, 6 points in program standard, and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. INSPECTION/SAFTEY DRILL STATUS: The last sanitation inspection was completed on 4/25/23. The last fire inspection was completed on 9/22/22. The last outdoor play area inspection was completed on 10/30/23. The last fire drill was conducted on 10/30/23. The last shelter-in-place/lock down was conducted on 8/15/23. The last updated version of the EPR plan is 11/8/23. The last annual Compliance visit was completed on 5/9/23. A partial monitoring of applicable child care requirements was conducted, monitoring Supervision, Staff Child Ratio, CPR/First Aid, Special Training, Storage of Hazardous Substances, Storage of Medication, Adequate Approved/Space, Staff Records, Program Records, License Posted, and Permit Restrictions. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #S4, and N5 was dated 10/30/23 - 11/3/23. GS 110-91(12); .0508(a) 533 Breast 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. Bottles in space N1 and N2 did not have the current date. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. The Explores playground the sand box had a large rock and a pipe that was potentially hazardous. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Surge protectors had uncovered outlets in space # S1 and N 1. 10A NCAC 09 .0604(c) 843 A drug or medicine was administered after its expiration date. Three containers of Aquaphor in space N5 was expired. 10A NCAC 09 .0803(1)(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space S4 authorization to administer medication for an epi pen expired on 9/23. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member that started employment on 9/23/21 did not complete the Recognizing and Responding to Suspicion of Child Maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member that started employment on 9/23/21 did not complete the health and safety training .1102(a) Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. Your letter is due by no later than 11/22/23 and should be sent to: Corrine.fulp@dhhs.nc.gov. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 84%. The center was not in compliance with all applicable minimum licensing requirements during today's visit and violations were cited that could impact the center’s overall Compliance History Score. An updated Compliance History Score will be generated after today’s visit, and you will be informed of the results on the next visit to your center. TECHNICAL ASSISTANCE We reviewed the following rules to assist you in gaining and maintaining compliance with applicable child care requirements: Epi-pens and albuterol inhalers are considered emergency medications and do not have to be in locked storage. The medications may be kept at least 5 feet high out of the children's reach. These medications must also have a medication authorization form signed by the parent and are valid for six months. The outdoor sand box needs more sand. Sand should be loose enough for the children to dig, sift and pour. Also, we noticed a large rock and pipe exposed in the sand box, resulting in potential bodily harm. Please add additional sand and remove the rock and pipe. Weekly activity plans should be posted no later than Monday morning. Best practice is to have staff post activity plan on Friday evening before closing their classroom. CONSULTATION RATED LICENSE TIMELINE: Your planning period begins 7/1/24 and your Assessment period starts 7/1/25. Make sure to update WORKS accounts to reflect all currently BSAC certification and completed coursework (DCDEE-WORKS). The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. Also, can visit www.ncrlap.org for updated trainings and videos. DCDEE UPDATES AND NEWS CRC Qualification Letters are now valid for 5-years from the date of issuance. Re-Qualification can be started up to 6-months before expiration; you have a few staff that will need to re-qualify in 2024. DCDEE UPDATES AND NEWS Visit the DCDEE website at www.ncchildcare.nc.gov often for the What’s New section for the new rules and other updates. The summary of the North Carolina Child Care Law and Rules was revised in September 2023. Please make sure you have updated your posting on the parent board. CONTACT INFORMATION Thank you for your time today. If you have any questions about today’s visit, I can be reached via email at corrine.fulp@dhhs.nc.gov or by phone at (919) 606-2388. 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 .0604 · Violation

Name of Operation: THE LITTLE SCHOOL AT DUKE Facility ID: 32002041 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 139 Completed Date: 11/8/2023 Age: From 0 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose for today’s visit was to conduct a routine monitoring visit. Upon arrival, I was greeted by Heather Rose, and she accompanied me throughout the visit. The program currently operates with a 5 Star License, issued on 11/12/19. The program received 6 points in staff education, 6 points in program standard, and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. INSPECTION/SAFTEY DRILL STATUS: The last sanitation inspection was completed on 4/25/23. The last fire inspection was completed on 9/22/22. The last outdoor play area inspection was completed on 10/30/23. The last fire drill was conducted on 10/30/23. The last shelter-in-place/lock down was conducted on 8/15/23. The last updated version of the EPR plan is 11/8/23. The last annual Compliance visit was completed on 5/9/23. A partial monitoring of applicable child care requirements was conducted, monitoring Supervision, Staff Child Ratio, CPR/First Aid, Special Training, Storage of Hazardous Substances, Storage of Medication, Adequate Approved/Space, Staff Records, Program Records, License Posted, and Permit Restrictions. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #S4, and N5 was dated 10/30/23 - 11/3/23. GS 110-91(12); .0508(a) 533 Breast 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. Bottles in space N1 and N2 did not have the current date. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. The Explores playground the sand box had a large rock and a pipe that was potentially hazardous. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Surge protectors had uncovered outlets in space # S1 and N 1. 10A NCAC 09 .0604(c) 843 A drug or medicine was administered after its expiration date. Three containers of Aquaphor in space N5 was expired. 10A NCAC 09 .0803(1)(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space S4 authorization to administer medication for an epi pen expired on 9/23. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member that started employment on 9/23/21 did not complete the Recognizing and Responding to Suspicion of Child Maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member that started employment on 9/23/21 did not complete the health and safety training .1102(a) Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. Your letter is due by no later than 11/22/23 and should be sent to: Corrine.fulp@dhhs.nc.gov. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 84%. The center was not in compliance with all applicable minimum licensing requirements during today's visit and violations were cited that could impact the center’s overall Compliance History Score. An updated Compliance History Score will be generated after today’s visit, and you will be informed of the results on the next visit to your center. TECHNICAL ASSISTANCE We reviewed the following rules to assist you in gaining and maintaining compliance with applicable child care requirements: Epi-pens and albuterol inhalers are considered emergency medications and do not have to be in locked storage. The medications may be kept at least 5 feet high out of the children's reach. These medications must also have a medication authorization form signed by the parent and are valid for six months. The outdoor sand box needs more sand. Sand should be loose enough for the children to dig, sift and pour. Also, we noticed a large rock and pipe exposed in the sand box, resulting in potential bodily harm. Please add additional sand and remove the rock and pipe. Weekly activity plans should be posted no later than Monday morning. Best practice is to have staff post activity plan on Friday evening before closing their classroom. CONSULTATION RATED LICENSE TIMELINE: Your planning period begins 7/1/24 and your Assessment period starts 7/1/25. Make sure to update WORKS accounts to reflect all currently BSAC certification and completed coursework (DCDEE-WORKS). The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. Also, can visit www.ncrlap.org for updated trainings and videos. DCDEE UPDATES AND NEWS CRC Qualification Letters are now valid for 5-years from the date of issuance. Re-Qualification can be started up to 6-months before expiration; you have a few staff that will need to re-qualify in 2024. DCDEE UPDATES AND NEWS Visit the DCDEE website at www.ncchildcare.nc.gov often for the What’s New section for the new rules and other updates. The summary of the North Carolina Child Care Law and Rules was revised in September 2023. Please make sure you have updated your posting on the parent board. CONTACT INFORMATION Thank you for your time today. If you have any questions about today’s visit, I can be reached via email at corrine.fulp@dhhs.nc.gov or by phone at (919) 606-2388. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: THE LITTLE SCHOOL AT DUKE Facility ID: 32002041 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 139 Completed Date: 11/8/2023 Age: From 0 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose for today’s visit was to conduct a routine monitoring visit. Upon arrival, I was greeted by Heather Rose, and she accompanied me throughout the visit. The program currently operates with a 5 Star License, issued on 11/12/19. The program received 6 points in staff education, 6 points in program standard, and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. INSPECTION/SAFTEY DRILL STATUS: The last sanitation inspection was completed on 4/25/23. The last fire inspection was completed on 9/22/22. The last outdoor play area inspection was completed on 10/30/23. The last fire drill was conducted on 10/30/23. The last shelter-in-place/lock down was conducted on 8/15/23. The last updated version of the EPR plan is 11/8/23. The last annual Compliance visit was completed on 5/9/23. A partial monitoring of applicable child care requirements was conducted, monitoring Supervision, Staff Child Ratio, CPR/First Aid, Special Training, Storage of Hazardous Substances, Storage of Medication, Adequate Approved/Space, Staff Records, Program Records, License Posted, and Permit Restrictions. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #S4, and N5 was dated 10/30/23 - 11/3/23. GS 110-91(12); .0508(a) 533 Breast 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. Bottles in space N1 and N2 did not have the current date. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. The Explores playground the sand box had a large rock and a pipe that was potentially hazardous. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Surge protectors had uncovered outlets in space # S1 and N 1. 10A NCAC 09 .0604(c) 843 A drug or medicine was administered after its expiration date. Three containers of Aquaphor in space N5 was expired. 10A NCAC 09 .0803(1)(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space S4 authorization to administer medication for an epi pen expired on 9/23. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member that started employment on 9/23/21 did not complete the Recognizing and Responding to Suspicion of Child Maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member that started employment on 9/23/21 did not complete the health and safety training .1102(a) Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. Your letter is due by no later than 11/22/23 and should be sent to: Corrine.fulp@dhhs.nc.gov. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 84%. The center was not in compliance with all applicable minimum licensing requirements during today's visit and violations were cited that could impact the center’s overall Compliance History Score. An updated Compliance History Score will be generated after today’s visit, and you will be informed of the results on the next visit to your center. TECHNICAL ASSISTANCE We reviewed the following rules to assist you in gaining and maintaining compliance with applicable child care requirements: Epi-pens and albuterol inhalers are considered emergency medications and do not have to be in locked storage. The medications may be kept at least 5 feet high out of the children's reach. These medications must also have a medication authorization form signed by the parent and are valid for six months. The outdoor sand box needs more sand. Sand should be loose enough for the children to dig, sift and pour. Also, we noticed a large rock and pipe exposed in the sand box, resulting in potential bodily harm. Please add additional sand and remove the rock and pipe. Weekly activity plans should be posted no later than Monday morning. Best practice is to have staff post activity plan on Friday evening before closing their classroom. CONSULTATION RATED LICENSE TIMELINE: Your planning period begins 7/1/24 and your Assessment period starts 7/1/25. Make sure to update WORKS accounts to reflect all currently BSAC certification and completed coursework (DCDEE-WORKS). The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. Also, can visit www.ncrlap.org for updated trainings and videos. DCDEE UPDATES AND NEWS CRC Qualification Letters are now valid for 5-years from the date of issuance. Re-Qualification can be started up to 6-months before expiration; you have a few staff that will need to re-qualify in 2024. DCDEE UPDATES AND NEWS Visit the DCDEE website at www.ncchildcare.nc.gov often for the What’s New section for the new rules and other updates. The summary of the North Carolina Child Care Law and Rules was revised in September 2023. Please make sure you have updated your posting on the parent board. CONTACT INFORMATION Thank you for your time today. If you have any questions about today’s visit, I can be reached via email at corrine.fulp@dhhs.nc.gov or by phone at (919) 606-2388. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: THE LITTLE SCHOOL AT DUKE Facility ID: 32002041 Consultant: CORRINE FULP Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 139 Completed Date: 11/8/2023 Age: From 0 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose for today’s visit was to conduct a routine monitoring visit. Upon arrival, I was greeted by Heather Rose, and she accompanied me throughout the visit. The program currently operates with a 5 Star License, issued on 11/12/19. The program received 6 points in staff education, 6 points in program standard, and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. INSPECTION/SAFTEY DRILL STATUS: The last sanitation inspection was completed on 4/25/23. The last fire inspection was completed on 9/22/22. The last outdoor play area inspection was completed on 10/30/23. The last fire drill was conducted on 10/30/23. The last shelter-in-place/lock down was conducted on 8/15/23. The last updated version of the EPR plan is 11/8/23. The last annual Compliance visit was completed on 5/9/23. A partial monitoring of applicable child care requirements was conducted, monitoring Supervision, Staff Child Ratio, CPR/First Aid, Special Training, Storage of Hazardous Substances, Storage of Medication, Adequate Approved/Space, Staff Records, Program Records, License Posted, and Permit Restrictions. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #S4, and N5 was dated 10/30/23 - 11/3/23. GS 110-91(12); .0508(a) 533 Breast 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. Bottles in space N1 and N2 did not have the current date. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. The Explores playground the sand box had a large rock and a pipe that was potentially hazardous. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Surge protectors had uncovered outlets in space # S1 and N 1. 10A NCAC 09 .0604(c) 843 A drug or medicine was administered after its expiration date. Three containers of Aquaphor in space N5 was expired. 10A NCAC 09 .0803(1)(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space S4 authorization to administer medication for an epi pen expired on 9/23. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member that started employment on 9/23/21 did not complete the Recognizing and Responding to Suspicion of Child Maltreatment training. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member that started employment on 9/23/21 did not complete the health and safety training .1102(a) Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. Your letter is due by no later than 11/22/23 and should be sent to: Corrine.fulp@dhhs.nc.gov. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history score was 84%. The center was not in compliance with all applicable minimum licensing requirements during today's visit and violations were cited that could impact the center’s overall Compliance History Score. An updated Compliance History Score will be generated after today’s visit, and you will be informed of the results on the next visit to your center. TECHNICAL ASSISTANCE We reviewed the following rules to assist you in gaining and maintaining compliance with applicable child care requirements: Epi-pens and albuterol inhalers are considered emergency medications and do not have to be in locked storage. The medications may be kept at least 5 feet high out of the children's reach. These medications must also have a medication authorization form signed by the parent and are valid for six months. The outdoor sand box needs more sand. Sand should be loose enough for the children to dig, sift and pour. Also, we noticed a large rock and pipe exposed in the sand box, resulting in potential bodily harm. Please add additional sand and remove the rock and pipe. Weekly activity plans should be posted no later than Monday morning. Best practice is to have staff post activity plan on Friday evening before closing their classroom. CONSULTATION RATED LICENSE TIMELINE: Your planning period begins 7/1/24 and your Assessment period starts 7/1/25. Make sure to update WORKS accounts to reflect all currently BSAC certification and completed coursework (DCDEE-WORKS). The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. Also, can visit www.ncrlap.org for updated trainings and videos. DCDEE UPDATES AND NEWS CRC Qualification Letters are now valid for 5-years from the date of issuance. Re-Qualification can be started up to 6-months before expiration; you have a few staff that will need to re-qualify in 2024. DCDEE UPDATES AND NEWS Visit the DCDEE website at www.ncchildcare.nc.gov often for the What’s New section for the new rules and other updates. The summary of the North Carolina Child Care Law and Rules was revised in September 2023. Please make sure you have updated your posting on the parent board. CONTACT INFORMATION Thank you for your time today. If you have any questions about today’s visit, I can be reached via email at corrine.fulp@dhhs.nc.gov or by phone at (919) 606-2388. 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