10A NCAC 09 .0606 · Violation

Name of Operation: SALEM PRESCHOOL AND CHILDCARE Facility ID: 26002557 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/29/2025 Number Present: 72 Completed Date: 5/29/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 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 compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed on November 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was 96% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Notice of Compliance issued June 12, 2023. The information on record with DCDEE was verified as correct by Denise Kirkwood, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on May 06, 2025. Fire Classification of Approved for Daytime Care Only was completed on February 03, 2025. Sandra Rothwell, Assistant Director, was present while I observed the indoor and outdoor areas. Seventy-two (72) children and nineteen (19) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and outdoor play activities. Children had access to blocks, fine motor, creative art, dramatic play, and literacy materials. In Space #1, infants were observed participating in tummy time activities and resting in individual cribs. A diaper change was observed. The teacher did not wash the infant’s hands before placing her back in the play area. Infant feeding plans were available for review. Documentation of visual sleep checks for the current month were not available for review. In Space #2, children were observed sitting in a carpeted area while the teacher read a book titled, “Teeth Are Not for Biting.” After reading the book, they discussed how biting hurts others. They discussed how teeth are used for eating food. They also discussed how it is best to use words when feeling angry. The group from Space #3 was observed in the outdoor learning environment. Children were observed playing “Red Light, Green Light”, playing tag, and exploring the stationary equipment. The group lined up to transition back inside. When the group returned to their classroom, the children used the bathroom, washed their hands, and sat in a carpeted area. When the group finished using the bathroom and washing their hands, the teacher pulled out flashcards. The teacher reviewed the numbers 1-20 and lowercase letters with the children. In Space #4, the children were observed sitting in a carpeted area while the teacher read a book titled, “There Was an Old Lady Who Swallowed a Trout.” In Space #5, children were observed sitting at tables while the teacher read a story titled, “This is the Tree We Planted.” After reading the book, the teacher reviewed animal sounds with the children. The children from Spaces #7 and #8 were on a field trip during the walkthrough. The spaces were monitored for general health and safety requirements. Spaces #6, #9, and #10 were not used for child care, but were monitored for general health and safety requirements. Routine care and handwashing practices were observed. Lunch consisted of cheese pizza, green beans, mandarin oranges, and milk. Two staff files were reviewed. Two staff members did not complete first aid and CPR training courses within 90 days of employment. Denise Kirkwood, Administrator, arrived at the facility at 1:00PM. At the completion of the visit, the Visit Summary was reviewed with D. Kirkwood. The following violations were observed: Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. In Space #1, after the teacher changed an infant's diaper, she did not wash the infant's hands prior to placing her back in the play area. When it was brought to the teacher's attention, she took the infant to the sink to wash her hands. 15A NCAC 18A .2803(c)(2) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In Space #1, documentation of sleep checks for the current month were not available for review. Sleep checks for the current day were documented when checked later during the visit. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff members (D.A. and B.B.) did not complete First Aid training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff members (D.A. and B.B.) did not complete CPR training within 90 days of employment. .1102(d) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 12, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA/Reminders CPR & First Aid Requirements Two violations were cited today for staff members not completing CPR and First Aid training within 90 days of employment. Staff members who are trained in pediatric first aid, including pediatric CPR, coupled with a facility that has been designed or modified to ensure the safety of children, can mitigate the consequences of injury, and reduce the potential for death from life-threatening conditions. Knowledge of pediatric first aid, including pediatric CPR which addresses management of a blocked airway and rescue breathing, and the confidence to use these skills, are critically important to the outcome of an emergency situation. The administrator stated that they have already scheduled CPR and First Aid training for all staff in the facility in June. More information about CPR and First Aid training requirements can be found in child care rule 10A NCAC 09 .1102(c-d). Safe Sleep Practices A violation was cited today for staff members not documenting visual sleep checks. Despite the decrease in deaths attributed to sleeping practices and the decreased frequency of prone (tummy) infant sleep positioning over the past two decades, some caregivers/teachers continue to place infants to sleep in positions or environments that are not safe. Most sleep-related deaths in child care facilities occur in the first day or first week that an infant starts attending a child care program. Use of safe sleep policies, continued education of parents/guardians, expanded training efforts for child care professionals, statewide regulations and mandates, and increased monitoring and observation of infants while they are sleeping are critical to reduce the risk of SIDS in child care. More information about safe sleep practices can be found in child care rule 10A NCAC 09 .0606. Infant/Toddler Classroom Observation I discussed the results of my observation in Space #2 with D. Kirkwood. Both staff were responsive to the needs of the infants, and promptly responded to crying by feeding, changing, and interacting with the infants. I encouraged the teachers to continue facilitating exploration by playing with infants, giving them space to explore, following their attention and interest, and building on those interests to create learning opportunities. Some strategies for this are: (1) Initiating interactions, play and talk to infants during routine play, mirror behaviors; (2) Giving infants opportunities to safely explore the classroom and things that interest them; (3) Encouraging infants to persist in experiences by providing verbal encouragement, enthusiasm, and variations that keep them interested and create learning opportunities. Preschool Classroom Observation I discussed the results of my observation in Space #4 with D. Kirkwood. I discussed the positive interactions and various learning opportunities provided to children throughout the visit. I encouraged teachers to continue to be flexible in their posted schedule based on children’s interest and attention span. I suggest teachers continue to have meaningful conversations and interactions with children. I encouraged teachers to give children opportunities to respond to their statements or questions and encourage peer conversations. NCAEYC Advocacy Circle: A Space to be Heard Advocacy doesn’t have to be scary. The most influential change happens when passionate people get together to push for progress on a grassroots level. The North Carolina Association for the Education of Young Children Advocacy Circle is a safe space to team up with other early education professionals and discuss localized ways to help our profession thrive. The NCAEYC Advocacy Circle is open to all individuals passionate about early education in North Carolina. The event will take place on June 10, 2025, from 12:00PM – 1:00PM. To register for the event, please visit https://us02web.zoom.us/meeting/register/hQLDZgyzTMGRfM0SaPKP0A#/registration. DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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 .1102 · Violation

Name of Operation: SALEM PRESCHOOL AND CHILDCARE Facility ID: 26002557 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/29/2025 Number Present: 72 Completed Date: 5/29/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 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 compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed on November 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was 96% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Notice of Compliance issued June 12, 2023. The information on record with DCDEE was verified as correct by Denise Kirkwood, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on May 06, 2025. Fire Classification of Approved for Daytime Care Only was completed on February 03, 2025. Sandra Rothwell, Assistant Director, was present while I observed the indoor and outdoor areas. Seventy-two (72) children and nineteen (19) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and outdoor play activities. Children had access to blocks, fine motor, creative art, dramatic play, and literacy materials. In Space #1, infants were observed participating in tummy time activities and resting in individual cribs. A diaper change was observed. The teacher did not wash the infant’s hands before placing her back in the play area. Infant feeding plans were available for review. Documentation of visual sleep checks for the current month were not available for review. In Space #2, children were observed sitting in a carpeted area while the teacher read a book titled, “Teeth Are Not for Biting.” After reading the book, they discussed how biting hurts others. They discussed how teeth are used for eating food. They also discussed how it is best to use words when feeling angry. The group from Space #3 was observed in the outdoor learning environment. Children were observed playing “Red Light, Green Light”, playing tag, and exploring the stationary equipment. The group lined up to transition back inside. When the group returned to their classroom, the children used the bathroom, washed their hands, and sat in a carpeted area. When the group finished using the bathroom and washing their hands, the teacher pulled out flashcards. The teacher reviewed the numbers 1-20 and lowercase letters with the children. In Space #4, the children were observed sitting in a carpeted area while the teacher read a book titled, “There Was an Old Lady Who Swallowed a Trout.” In Space #5, children were observed sitting at tables while the teacher read a story titled, “This is the Tree We Planted.” After reading the book, the teacher reviewed animal sounds with the children. The children from Spaces #7 and #8 were on a field trip during the walkthrough. The spaces were monitored for general health and safety requirements. Spaces #6, #9, and #10 were not used for child care, but were monitored for general health and safety requirements. Routine care and handwashing practices were observed. Lunch consisted of cheese pizza, green beans, mandarin oranges, and milk. Two staff files were reviewed. Two staff members did not complete first aid and CPR training courses within 90 days of employment. Denise Kirkwood, Administrator, arrived at the facility at 1:00PM. At the completion of the visit, the Visit Summary was reviewed with D. Kirkwood. The following violations were observed: Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. In Space #1, after the teacher changed an infant's diaper, she did not wash the infant's hands prior to placing her back in the play area. When it was brought to the teacher's attention, she took the infant to the sink to wash her hands. 15A NCAC 18A .2803(c)(2) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In Space #1, documentation of sleep checks for the current month were not available for review. Sleep checks for the current day were documented when checked later during the visit. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff members (D.A. and B.B.) did not complete First Aid training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff members (D.A. and B.B.) did not complete CPR training within 90 days of employment. .1102(d) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 12, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA/Reminders CPR & First Aid Requirements Two violations were cited today for staff members not completing CPR and First Aid training within 90 days of employment. Staff members who are trained in pediatric first aid, including pediatric CPR, coupled with a facility that has been designed or modified to ensure the safety of children, can mitigate the consequences of injury, and reduce the potential for death from life-threatening conditions. Knowledge of pediatric first aid, including pediatric CPR which addresses management of a blocked airway and rescue breathing, and the confidence to use these skills, are critically important to the outcome of an emergency situation. The administrator stated that they have already scheduled CPR and First Aid training for all staff in the facility in June. More information about CPR and First Aid training requirements can be found in child care rule 10A NCAC 09 .1102(c-d). Safe Sleep Practices A violation was cited today for staff members not documenting visual sleep checks. Despite the decrease in deaths attributed to sleeping practices and the decreased frequency of prone (tummy) infant sleep positioning over the past two decades, some caregivers/teachers continue to place infants to sleep in positions or environments that are not safe. Most sleep-related deaths in child care facilities occur in the first day or first week that an infant starts attending a child care program. Use of safe sleep policies, continued education of parents/guardians, expanded training efforts for child care professionals, statewide regulations and mandates, and increased monitoring and observation of infants while they are sleeping are critical to reduce the risk of SIDS in child care. More information about safe sleep practices can be found in child care rule 10A NCAC 09 .0606. Infant/Toddler Classroom Observation I discussed the results of my observation in Space #2 with D. Kirkwood. Both staff were responsive to the needs of the infants, and promptly responded to crying by feeding, changing, and interacting with the infants. I encouraged the teachers to continue facilitating exploration by playing with infants, giving them space to explore, following their attention and interest, and building on those interests to create learning opportunities. Some strategies for this are: (1) Initiating interactions, play and talk to infants during routine play, mirror behaviors; (2) Giving infants opportunities to safely explore the classroom and things that interest them; (3) Encouraging infants to persist in experiences by providing verbal encouragement, enthusiasm, and variations that keep them interested and create learning opportunities. Preschool Classroom Observation I discussed the results of my observation in Space #4 with D. Kirkwood. I discussed the positive interactions and various learning opportunities provided to children throughout the visit. I encouraged teachers to continue to be flexible in their posted schedule based on children’s interest and attention span. I suggest teachers continue to have meaningful conversations and interactions with children. I encouraged teachers to give children opportunities to respond to their statements or questions and encourage peer conversations. NCAEYC Advocacy Circle: A Space to be Heard Advocacy doesn’t have to be scary. The most influential change happens when passionate people get together to push for progress on a grassroots level. The North Carolina Association for the Education of Young Children Advocacy Circle is a safe space to team up with other early education professionals and discuss localized ways to help our profession thrive. The NCAEYC Advocacy Circle is open to all individuals passionate about early education in North Carolina. The event will take place on June 10, 2025, from 12:00PM – 1:00PM. To register for the event, please visit https://us02web.zoom.us/meeting/register/hQLDZgyzTMGRfM0SaPKP0A#/registration. DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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: SALEM PRESCHOOL AND CHILDCARE Facility ID: 26002557 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/29/2025 Number Present: 72 Completed Date: 5/29/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:30 AM Time Out: 02:00 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 compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed on November 07, 2024, and prior to today’s visit, the eighteen-month compliance history score was 96% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Notice of Compliance issued June 12, 2023. The information on record with DCDEE was verified as correct by Denise Kirkwood, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on May 06, 2025. Fire Classification of Approved for Daytime Care Only was completed on February 03, 2025. Sandra Rothwell, Assistant Director, was present while I observed the indoor and outdoor areas. Seventy-two (72) children and nineteen (19) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and outdoor play activities. Children had access to blocks, fine motor, creative art, dramatic play, and literacy materials. In Space #1, infants were observed participating in tummy time activities and resting in individual cribs. A diaper change was observed. The teacher did not wash the infant’s hands before placing her back in the play area. Infant feeding plans were available for review. Documentation of visual sleep checks for the current month were not available for review. In Space #2, children were observed sitting in a carpeted area while the teacher read a book titled, “Teeth Are Not for Biting.” After reading the book, they discussed how biting hurts others. They discussed how teeth are used for eating food. They also discussed how it is best to use words when feeling angry. The group from Space #3 was observed in the outdoor learning environment. Children were observed playing “Red Light, Green Light”, playing tag, and exploring the stationary equipment. The group lined up to transition back inside. When the group returned to their classroom, the children used the bathroom, washed their hands, and sat in a carpeted area. When the group finished using the bathroom and washing their hands, the teacher pulled out flashcards. The teacher reviewed the numbers 1-20 and lowercase letters with the children. In Space #4, the children were observed sitting in a carpeted area while the teacher read a book titled, “There Was an Old Lady Who Swallowed a Trout.” In Space #5, children were observed sitting at tables while the teacher read a story titled, “This is the Tree We Planted.” After reading the book, the teacher reviewed animal sounds with the children. The children from Spaces #7 and #8 were on a field trip during the walkthrough. The spaces were monitored for general health and safety requirements. Spaces #6, #9, and #10 were not used for child care, but were monitored for general health and safety requirements. Routine care and handwashing practices were observed. Lunch consisted of cheese pizza, green beans, mandarin oranges, and milk. Two staff files were reviewed. Two staff members did not complete first aid and CPR training courses within 90 days of employment. Denise Kirkwood, Administrator, arrived at the facility at 1:00PM. At the completion of the visit, the Visit Summary was reviewed with D. Kirkwood. The following violations were observed: Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. In Space #1, after the teacher changed an infant's diaper, she did not wash the infant's hands prior to placing her back in the play area. When it was brought to the teacher's attention, she took the infant to the sink to wash her hands. 15A NCAC 18A .2803(c)(2) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In Space #1, documentation of sleep checks for the current month were not available for review. Sleep checks for the current day were documented when checked later during the visit. .0606(g) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff members (D.A. and B.B.) did not complete First Aid training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff members (D.A. and B.B.) did not complete CPR training within 90 days of employment. .1102(d) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 12, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA/Reminders CPR & First Aid Requirements Two violations were cited today for staff members not completing CPR and First Aid training within 90 days of employment. Staff members who are trained in pediatric first aid, including pediatric CPR, coupled with a facility that has been designed or modified to ensure the safety of children, can mitigate the consequences of injury, and reduce the potential for death from life-threatening conditions. Knowledge of pediatric first aid, including pediatric CPR which addresses management of a blocked airway and rescue breathing, and the confidence to use these skills, are critically important to the outcome of an emergency situation. The administrator stated that they have already scheduled CPR and First Aid training for all staff in the facility in June. More information about CPR and First Aid training requirements can be found in child care rule 10A NCAC 09 .1102(c-d). Safe Sleep Practices A violation was cited today for staff members not documenting visual sleep checks. Despite the decrease in deaths attributed to sleeping practices and the decreased frequency of prone (tummy) infant sleep positioning over the past two decades, some caregivers/teachers continue to place infants to sleep in positions or environments that are not safe. Most sleep-related deaths in child care facilities occur in the first day or first week that an infant starts attending a child care program. Use of safe sleep policies, continued education of parents/guardians, expanded training efforts for child care professionals, statewide regulations and mandates, and increased monitoring and observation of infants while they are sleeping are critical to reduce the risk of SIDS in child care. More information about safe sleep practices can be found in child care rule 10A NCAC 09 .0606. Infant/Toddler Classroom Observation I discussed the results of my observation in Space #2 with D. Kirkwood. Both staff were responsive to the needs of the infants, and promptly responded to crying by feeding, changing, and interacting with the infants. I encouraged the teachers to continue facilitating exploration by playing with infants, giving them space to explore, following their attention and interest, and building on those interests to create learning opportunities. Some strategies for this are: (1) Initiating interactions, play and talk to infants during routine play, mirror behaviors; (2) Giving infants opportunities to safely explore the classroom and things that interest them; (3) Encouraging infants to persist in experiences by providing verbal encouragement, enthusiasm, and variations that keep them interested and create learning opportunities. Preschool Classroom Observation I discussed the results of my observation in Space #4 with D. Kirkwood. I discussed the positive interactions and various learning opportunities provided to children throughout the visit. I encouraged teachers to continue to be flexible in their posted schedule based on children’s interest and attention span. I suggest teachers continue to have meaningful conversations and interactions with children. I encouraged teachers to give children opportunities to respond to their statements or questions and encourage peer conversations. NCAEYC Advocacy Circle: A Space to be Heard Advocacy doesn’t have to be scary. The most influential change happens when passionate people get together to push for progress on a grassroots level. The North Carolina Association for the Education of Young Children Advocacy Circle is a safe space to team up with other early education professionals and discuss localized ways to help our profession thrive. The NCAEYC Advocacy Circle is open to all individuals passionate about early education in North Carolina. The event will take place on June 10, 2025, from 12:00PM – 1:00PM. To register for the event, please visit https://us02web.zoom.us/meeting/register/hQLDZgyzTMGRfM0SaPKP0A#/registration. DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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 .1003 · Violation

Name of Operation: SALEM PRESCHOOL AND CHILDCARE Facility ID: 26002557 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 11/7/2024 Number Present: 80 Completed Date: 11/7/2024 Age: From 0 To 5 Total Minutes: 465 Time In: 09:30 AM Time Out: 05:15 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 compliance with applicable child care requirements pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on December 06, 2023, and prior to today’s visit, the eighteen-month compliance history score was 98% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Notice of Compliance issued June 12, 2023. The information on record with DCDEE was verified as correct and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior was completed on May 24, 2024. Fire Classification of Approved for Daytime Care Only was completed on January 31, 2024. Denise Kirkwood, Administrator, was present while I observed the indoor and outdoor areas. Eighty (80) children and eighteen (18) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and gross motor activities. In Space #1, children were observed resting in individual cribs and participating in quiet activities. An infant was observed being fed a bottle while being held by a teacher. All bottles were correctly labeled with a child’s name and today’s date. Documentation of visual sleep checks was reviewed. Infant feeding plans were posted in the space for teachers’ reference. In Space #2, children were observed participating in free-choice activities. Children played with toys cars, trucks, blocks, and dolls. In Space #3, children were observed returning to the classroom from outdoor play. The children came into the classroom, used the bathroom, washed their hands, and sat in a carpeted area to transition to a digital literacy activity. In Space #4, children were observed sitting at tables, participating in literacy and art activities. In Space #5, children were observed sitting at tables, singing various songs with their teachers. The group from Space #6 was observed transitioning from gross motor play in the gym to the bathroom. Children used the bathroom, washed their hands, and transitioned back to their classroom for free-choice activities. In Space #8, children were observed sitting in a carpeted area while they reviewed letter sounds and blends. When they completed the literacy activity, the group transitioned to the gym for gross motor play. Spaces #7, #9, and #10 were not used for childcare. The spaces were monitored for general health and safety requirements. The outdoor learning environment was monitored for health and safety requirements. All bathrooms were clean, stocked, and free of storage. Routine care and handwashing practices were observed. Lunch consisted of penne pasta with meat sauce, green beans, diced pears, and milk. Nine staff files were reviewed and all documentation was in compliance with applicable child care rules. Eight children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed and all documentation was in compliance with applicable child care rules. Transportation requirements were monitored. A first aid kit was not located in a vehicle that is used to transport children. While reviewing the facility’s floor plans on file, I observed that the gym was not listed as an approved space. Documentation to verify that the gym was previously listed as an approved space was not available for review. At the completion of the visit, the Visit Summary was reviewed with D. Kirkwood. The following violations were observed: Violation Number Comment Rule 209 Children used space that was not approved. Due to today's inclement weather, children were observed using a gym for gross motor play. Documentation verifying the gym was an approved space for child care was not available for review. GS 110-91(1)&(4-5) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. A first aid kit was not located in a vehicle that is used to transport children. During today's visit, a staff member found a first aid kit and placed it in the vehicle. 10A NCAC 09 .1003(c) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on November 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA/Reminders Transportation Requirements A violation was cited today for not having a first aid kit on a vehicle used to transport children. According to Child Care Rule 10A NCAC 09 .1003(c), a first aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. A staff member located a first aid kit and placed it in the vehicle during the visit. Approved Space A violation was cited today for children occupying space that has not been approved for child care. According to NC General Statute 110-91(4), satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. The facility will need an updated building inspection and a statement from the fire marshal, stating that the gym meets all requirements before adding the gym as approved space. Contact Tiffany Reed, Child Care Consultant, when the updated inspection and statement have been obtained. I will return to the facility to measure the gym, update the floor plan, and monitor the space for compliance with child care requirements. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged Darkness to Light Training Opportunity Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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.

GS 110-91 · Violation

Name of Operation: SALEM PRESCHOOL AND CHILDCARE Facility ID: 26002557 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 11/7/2024 Number Present: 80 Completed Date: 11/7/2024 Age: From 0 To 5 Total Minutes: 465 Time In: 09:30 AM Time Out: 05:15 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 compliance with applicable child care requirements pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on December 06, 2023, and prior to today’s visit, the eighteen-month compliance history score was 98% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Notice of Compliance issued June 12, 2023. The information on record with DCDEE was verified as correct and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior was completed on May 24, 2024. Fire Classification of Approved for Daytime Care Only was completed on January 31, 2024. Denise Kirkwood, Administrator, was present while I observed the indoor and outdoor areas. Eighty (80) children and eighteen (18) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and gross motor activities. In Space #1, children were observed resting in individual cribs and participating in quiet activities. An infant was observed being fed a bottle while being held by a teacher. All bottles were correctly labeled with a child’s name and today’s date. Documentation of visual sleep checks was reviewed. Infant feeding plans were posted in the space for teachers’ reference. In Space #2, children were observed participating in free-choice activities. Children played with toys cars, trucks, blocks, and dolls. In Space #3, children were observed returning to the classroom from outdoor play. The children came into the classroom, used the bathroom, washed their hands, and sat in a carpeted area to transition to a digital literacy activity. In Space #4, children were observed sitting at tables, participating in literacy and art activities. In Space #5, children were observed sitting at tables, singing various songs with their teachers. The group from Space #6 was observed transitioning from gross motor play in the gym to the bathroom. Children used the bathroom, washed their hands, and transitioned back to their classroom for free-choice activities. In Space #8, children were observed sitting in a carpeted area while they reviewed letter sounds and blends. When they completed the literacy activity, the group transitioned to the gym for gross motor play. Spaces #7, #9, and #10 were not used for childcare. The spaces were monitored for general health and safety requirements. The outdoor learning environment was monitored for health and safety requirements. All bathrooms were clean, stocked, and free of storage. Routine care and handwashing practices were observed. Lunch consisted of penne pasta with meat sauce, green beans, diced pears, and milk. Nine staff files were reviewed and all documentation was in compliance with applicable child care rules. Eight children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed and all documentation was in compliance with applicable child care rules. Transportation requirements were monitored. A first aid kit was not located in a vehicle that is used to transport children. While reviewing the facility’s floor plans on file, I observed that the gym was not listed as an approved space. Documentation to verify that the gym was previously listed as an approved space was not available for review. At the completion of the visit, the Visit Summary was reviewed with D. Kirkwood. The following violations were observed: Violation Number Comment Rule 209 Children used space that was not approved. Due to today's inclement weather, children were observed using a gym for gross motor play. Documentation verifying the gym was an approved space for child care was not available for review. GS 110-91(1)&(4-5) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. A first aid kit was not located in a vehicle that is used to transport children. During today's visit, a staff member found a first aid kit and placed it in the vehicle. 10A NCAC 09 .1003(c) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on November 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA/Reminders Transportation Requirements A violation was cited today for not having a first aid kit on a vehicle used to transport children. According to Child Care Rule 10A NCAC 09 .1003(c), a first aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. A staff member located a first aid kit and placed it in the vehicle during the visit. Approved Space A violation was cited today for children occupying space that has not been approved for child care. According to NC General Statute 110-91(4), satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. The facility will need an updated building inspection and a statement from the fire marshal, stating that the gym meets all requirements before adding the gym as approved space. Contact Tiffany Reed, Child Care Consultant, when the updated inspection and statement have been obtained. I will return to the facility to measure the gym, update the floor plan, and monitor the space for compliance with child care requirements. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged Darkness to Light Training Opportunity Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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: SALEM PRESCHOOL AND CHILDCARE Facility ID: 26002557 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 11/7/2024 Number Present: 80 Completed Date: 11/7/2024 Age: From 0 To 5 Total Minutes: 465 Time In: 09:30 AM Time Out: 05:15 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 compliance with applicable child care requirements pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on December 06, 2023, and prior to today’s visit, the eighteen-month compliance history score was 98% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Notice of Compliance issued June 12, 2023. The information on record with DCDEE was verified as correct and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior was completed on May 24, 2024. Fire Classification of Approved for Daytime Care Only was completed on January 31, 2024. Denise Kirkwood, Administrator, was present while I observed the indoor and outdoor areas. Eighty (80) children and eighteen (18) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and gross motor activities. In Space #1, children were observed resting in individual cribs and participating in quiet activities. An infant was observed being fed a bottle while being held by a teacher. All bottles were correctly labeled with a child’s name and today’s date. Documentation of visual sleep checks was reviewed. Infant feeding plans were posted in the space for teachers’ reference. In Space #2, children were observed participating in free-choice activities. Children played with toys cars, trucks, blocks, and dolls. In Space #3, children were observed returning to the classroom from outdoor play. The children came into the classroom, used the bathroom, washed their hands, and sat in a carpeted area to transition to a digital literacy activity. In Space #4, children were observed sitting at tables, participating in literacy and art activities. In Space #5, children were observed sitting at tables, singing various songs with their teachers. The group from Space #6 was observed transitioning from gross motor play in the gym to the bathroom. Children used the bathroom, washed their hands, and transitioned back to their classroom for free-choice activities. In Space #8, children were observed sitting in a carpeted area while they reviewed letter sounds and blends. When they completed the literacy activity, the group transitioned to the gym for gross motor play. Spaces #7, #9, and #10 were not used for childcare. The spaces were monitored for general health and safety requirements. The outdoor learning environment was monitored for health and safety requirements. All bathrooms were clean, stocked, and free of storage. Routine care and handwashing practices were observed. Lunch consisted of penne pasta with meat sauce, green beans, diced pears, and milk. Nine staff files were reviewed and all documentation was in compliance with applicable child care rules. Eight children’s records were reviewed, and all documentation was in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed and all documentation was in compliance with applicable child care rules. Transportation requirements were monitored. A first aid kit was not located in a vehicle that is used to transport children. While reviewing the facility’s floor plans on file, I observed that the gym was not listed as an approved space. Documentation to verify that the gym was previously listed as an approved space was not available for review. At the completion of the visit, the Visit Summary was reviewed with D. Kirkwood. The following violations were observed: Violation Number Comment Rule 209 Children used space that was not approved. Due to today's inclement weather, children were observed using a gym for gross motor play. Documentation verifying the gym was an approved space for child care was not available for review. GS 110-91(1)&(4-5) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. A first aid kit was not located in a vehicle that is used to transport children. During today's visit, a staff member found a first aid kit and placed it in the vehicle. 10A NCAC 09 .1003(c) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on November 21, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA/Reminders Transportation Requirements A violation was cited today for not having a first aid kit on a vehicle used to transport children. According to Child Care Rule 10A NCAC 09 .1003(c), a first aid kit and fire extinguisher shall be located in each vehicle used to transport children. The First Aid kit and fire extinguisher shall be mounted or secured if kept in the passenger compartment. A staff member located a first aid kit and placed it in the vehicle during the visit. Approved Space A violation was cited today for children occupying space that has not been approved for child care. According to NC General Statute 110-91(4), satisfactorily written reports from representatives of building inspection agencies shall be required prior to the issuance of a license and whenever renovations are made to a child care center, or when the operator requests licensure of space not previously approved for child care. The facility will need an updated building inspection and a statement from the fire marshal, stating that the gym meets all requirements before adding the gym as approved space. Contact Tiffany Reed, Child Care Consultant, when the updated inspection and statement have been obtained. I will return to the facility to measure the gym, update the floor plan, and monitor the space for compliance with child care requirements. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged Darkness to Light Training Opportunity Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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 .0102 · Violation

Name of Operation: SALEM PRESCHOOL AND CHILDCARE Facility ID: 26002557 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 81 Completed Date: 5/23/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 09:30 AM Time Out: 02:15 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 compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed on December 06, 2023, and prior to today’s visit, the eighteen-month compliance history score was 100% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Notice of Compliance issued June 12, 2023. The information on record with DCDEE was verified as correct by Denise Kirkwood, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 10, 2023. Fire Classification of Approved for Daytime Care Only was completed on January 31, 2024. D. Kirkwood, Administrator, was present while I observed the indoor and outdoor areas. Eighty-one (81) children and sixteen (16) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and outdoor play activities. The group from Space #2 was observed in the outdoor learning environment. Children were observed exploring with rocking toys, balls, slides, push toys, and a caterpillar tunnel. In Space #4, children were observed sitting on a carpet while the teacher told a ‘Five Little Monkeys’ story using felt board. Each time the crocodile snapped a monkey out of the tree in the story, the teacher asked the children to count how many monkeys were left. The teacher also read a book to the children, titled “What Do You Think the Monkey’s Going to Do?” Before reading the book, the teacher asked the children, “What do you think the monkey’s going to do?” A child responded by saying, “Make a happy smile.” Routine care and handwashing practices were observed. Lunch consisted of chicken fries, carrots, applesauce, ketchup, and milk. Four staff files were reviewed. One staff member did not obtain a medical report or TB test prior to the first day of work. The most recent fire inspection was received during today’s visit. During today’s visit, the administrator requested for two vehicles to be approved for transporting children. The vehicles were monitored, to include seating, seat-belts, rear-view and side-view mirrors, tires, liability insurance, driver’s license and registration. The vehicles (GMC 50-Passenger Bus and Ford 15-Passenger Bus) have been approved, effective today, for the transportation of children. At the completion of the visit, the Visit Summary was reviewed with D. Kirkwood. The following violations were observed: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A sanitation inspection was not scheduled and obtained annually. The most recent sanitation inspection was completed on March 10, 2023. 10A NCAC 09 .0304(b) 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 most recent fire inspection was not scheduled and obtained within 12 months of the previous inspection (Current Fire Inspection Completed: 1/31/2024; Previous Fire Inspection Completed: 1/26/2023). The most recent fire inspection was not submitted to DCDEE within 7 days of the inspection visit (Fire Inspection Visit Date: 1/31/2024; Fire Inspection Report Received: 5/23/2024). 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, K. Reid, did not obtain a medical report prior to the first day of work (Date of Employment: 10/23/2023; Medical Report Date: 12/11/2023). 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. One staff member, K. Reid, did not obtain a TB test or screening on or before the first day of work (Date of Employment: 10/23/2023; Date of TB Test Results: 4/17/2024). .0701(a) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 06, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA/Reminders: Sanitation Inspection A violation was cited today for not scheduling and obtaining an annual sanitation inspection. According to Child Care Rule 10A NCAC 09 .0304(b), each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. The administrator stated that she has made multiple attempts to schedule a sanitation inspection and has shown me emails between herself and the Environmental Health Department attempting to schedule an inspection. Staff Medical Requirements A violation was cited today for a staff member not obtaining a medical report prior to the first day of work. According to Child Care Rule 10A NCAC 09 .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement must be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was cited today for a staff member not obtaining a valid TB test on or before the first day of work. According to Child Care Rule 10A NCAC 09.0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) test or screening with results indicating that the individual is free of active tuberculosis. The TB test or screening must be obtained on or prior to the first day of work. When submitted, the TB test or screening shall not be older than 12 months. Infant/Toddler Classroom Observation I discussed the results of my observation in Space #2 with D. Kirkwood. The teachers were always aware of their surroundings. Self-talk and Parallel talk were not observed during today’s visit. We discussed how self-talk offers an opportunity to allow conversation to occur in a silent classroom. For example, the teachers can talk out loud about what they are doing, seeing, hearing, or feeling. Parallel talk is also important for the teachers to engage in conversations by talking about what the child is doing, seeing, hearing, or feeling. I encouraged staff to implement these methods of classroom interactions. Preschool Classroom Observation I discussed the results of my observation in Space #4 with D. Kirkwood. We discussed the positive interactions and various learning opportunities provided to children throughout the visit. I encouraged teachers to continue to be flexible in their posted schedule based on children’s interest and attention span. I suggest teachers continue to have meaningful conversations and interactions with children. I encourage teachers to give children opportunities to respond to their statements or questions and encourage peer conversations. Natural Outdoor Learning Initiative The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Transportation Two vehicles were approved for the transportation of children, effective today. I reviewed the transportation standards in Child Care Rules 10A NCAC 09 Section .1000. I also reviewed transportation documentation requirements with the administrator. Hard copies of the following documents were left with the administrator: Off-Premise Activity Permission Form, Off-Premise Attendance Record, Off-Premise Master List and Staffing Pattern, Transportation Permission Form, Daily Transportation Roster, and Safe Procedures for Pickup and Delivery. DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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: SALEM PRESCHOOL AND CHILDCARE Facility ID: 26002557 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 81 Completed Date: 5/23/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 09:30 AM Time Out: 02:15 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 compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed on December 06, 2023, and prior to today’s visit, the eighteen-month compliance history score was 100% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Notice of Compliance issued June 12, 2023. The information on record with DCDEE was verified as correct by Denise Kirkwood, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 10, 2023. Fire Classification of Approved for Daytime Care Only was completed on January 31, 2024. D. Kirkwood, Administrator, was present while I observed the indoor and outdoor areas. Eighty-one (81) children and sixteen (16) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and outdoor play activities. The group from Space #2 was observed in the outdoor learning environment. Children were observed exploring with rocking toys, balls, slides, push toys, and a caterpillar tunnel. In Space #4, children were observed sitting on a carpet while the teacher told a ‘Five Little Monkeys’ story using felt board. Each time the crocodile snapped a monkey out of the tree in the story, the teacher asked the children to count how many monkeys were left. The teacher also read a book to the children, titled “What Do You Think the Monkey’s Going to Do?” Before reading the book, the teacher asked the children, “What do you think the monkey’s going to do?” A child responded by saying, “Make a happy smile.” Routine care and handwashing practices were observed. Lunch consisted of chicken fries, carrots, applesauce, ketchup, and milk. Four staff files were reviewed. One staff member did not obtain a medical report or TB test prior to the first day of work. The most recent fire inspection was received during today’s visit. During today’s visit, the administrator requested for two vehicles to be approved for transporting children. The vehicles were monitored, to include seating, seat-belts, rear-view and side-view mirrors, tires, liability insurance, driver’s license and registration. The vehicles (GMC 50-Passenger Bus and Ford 15-Passenger Bus) have been approved, effective today, for the transportation of children. At the completion of the visit, the Visit Summary was reviewed with D. Kirkwood. The following violations were observed: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A sanitation inspection was not scheduled and obtained annually. The most recent sanitation inspection was completed on March 10, 2023. 10A NCAC 09 .0304(b) 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 most recent fire inspection was not scheduled and obtained within 12 months of the previous inspection (Current Fire Inspection Completed: 1/31/2024; Previous Fire Inspection Completed: 1/26/2023). The most recent fire inspection was not submitted to DCDEE within 7 days of the inspection visit (Fire Inspection Visit Date: 1/31/2024; Fire Inspection Report Received: 5/23/2024). 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, K. Reid, did not obtain a medical report prior to the first day of work (Date of Employment: 10/23/2023; Medical Report Date: 12/11/2023). 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. One staff member, K. Reid, did not obtain a TB test or screening on or before the first day of work (Date of Employment: 10/23/2023; Date of TB Test Results: 4/17/2024). .0701(a) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 06, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA/Reminders: Sanitation Inspection A violation was cited today for not scheduling and obtaining an annual sanitation inspection. According to Child Care Rule 10A NCAC 09 .0304(b), each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. The administrator stated that she has made multiple attempts to schedule a sanitation inspection and has shown me emails between herself and the Environmental Health Department attempting to schedule an inspection. Staff Medical Requirements A violation was cited today for a staff member not obtaining a medical report prior to the first day of work. According to Child Care Rule 10A NCAC 09 .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement must be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was cited today for a staff member not obtaining a valid TB test on or before the first day of work. According to Child Care Rule 10A NCAC 09.0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) test or screening with results indicating that the individual is free of active tuberculosis. The TB test or screening must be obtained on or prior to the first day of work. When submitted, the TB test or screening shall not be older than 12 months. Infant/Toddler Classroom Observation I discussed the results of my observation in Space #2 with D. Kirkwood. The teachers were always aware of their surroundings. Self-talk and Parallel talk were not observed during today’s visit. We discussed how self-talk offers an opportunity to allow conversation to occur in a silent classroom. For example, the teachers can talk out loud about what they are doing, seeing, hearing, or feeling. Parallel talk is also important for the teachers to engage in conversations by talking about what the child is doing, seeing, hearing, or feeling. I encouraged staff to implement these methods of classroom interactions. Preschool Classroom Observation I discussed the results of my observation in Space #4 with D. Kirkwood. We discussed the positive interactions and various learning opportunities provided to children throughout the visit. I encouraged teachers to continue to be flexible in their posted schedule based on children’s interest and attention span. I suggest teachers continue to have meaningful conversations and interactions with children. I encourage teachers to give children opportunities to respond to their statements or questions and encourage peer conversations. Natural Outdoor Learning Initiative The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Transportation Two vehicles were approved for the transportation of children, effective today. I reviewed the transportation standards in Child Care Rules 10A NCAC 09 Section .1000. I also reviewed transportation documentation requirements with the administrator. Hard copies of the following documents were left with the administrator: Off-Premise Activity Permission Form, Off-Premise Attendance Record, Off-Premise Master List and Staffing Pattern, Transportation Permission Form, Daily Transportation Roster, and Safe Procedures for Pickup and Delivery. DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: SALEM PRESCHOOL AND CHILDCARE Facility ID: 26002557 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 81 Completed Date: 5/23/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 09:30 AM Time Out: 02:15 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 compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed on December 06, 2023, and prior to today’s visit, the eighteen-month compliance history score was 100% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Notice of Compliance issued June 12, 2023. The information on record with DCDEE was verified as correct by Denise Kirkwood, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 10, 2023. Fire Classification of Approved for Daytime Care Only was completed on January 31, 2024. D. Kirkwood, Administrator, was present while I observed the indoor and outdoor areas. Eighty-one (81) children and sixteen (16) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and outdoor play activities. The group from Space #2 was observed in the outdoor learning environment. Children were observed exploring with rocking toys, balls, slides, push toys, and a caterpillar tunnel. In Space #4, children were observed sitting on a carpet while the teacher told a ‘Five Little Monkeys’ story using felt board. Each time the crocodile snapped a monkey out of the tree in the story, the teacher asked the children to count how many monkeys were left. The teacher also read a book to the children, titled “What Do You Think the Monkey’s Going to Do?” Before reading the book, the teacher asked the children, “What do you think the monkey’s going to do?” A child responded by saying, “Make a happy smile.” Routine care and handwashing practices were observed. Lunch consisted of chicken fries, carrots, applesauce, ketchup, and milk. Four staff files were reviewed. One staff member did not obtain a medical report or TB test prior to the first day of work. The most recent fire inspection was received during today’s visit. During today’s visit, the administrator requested for two vehicles to be approved for transporting children. The vehicles were monitored, to include seating, seat-belts, rear-view and side-view mirrors, tires, liability insurance, driver’s license and registration. The vehicles (GMC 50-Passenger Bus and Ford 15-Passenger Bus) have been approved, effective today, for the transportation of children. At the completion of the visit, the Visit Summary was reviewed with D. Kirkwood. The following violations were observed: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A sanitation inspection was not scheduled and obtained annually. The most recent sanitation inspection was completed on March 10, 2023. 10A NCAC 09 .0304(b) 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 most recent fire inspection was not scheduled and obtained within 12 months of the previous inspection (Current Fire Inspection Completed: 1/31/2024; Previous Fire Inspection Completed: 1/26/2023). The most recent fire inspection was not submitted to DCDEE within 7 days of the inspection visit (Fire Inspection Visit Date: 1/31/2024; Fire Inspection Report Received: 5/23/2024). 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, K. Reid, did not obtain a medical report prior to the first day of work (Date of Employment: 10/23/2023; Medical Report Date: 12/11/2023). 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. One staff member, K. Reid, did not obtain a TB test or screening on or before the first day of work (Date of Employment: 10/23/2023; Date of TB Test Results: 4/17/2024). .0701(a) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 06, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA/Reminders: Sanitation Inspection A violation was cited today for not scheduling and obtaining an annual sanitation inspection. According to Child Care Rule 10A NCAC 09 .0304(b), each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. The administrator stated that she has made multiple attempts to schedule a sanitation inspection and has shown me emails between herself and the Environmental Health Department attempting to schedule an inspection. Staff Medical Requirements A violation was cited today for a staff member not obtaining a medical report prior to the first day of work. According to Child Care Rule 10A NCAC 09 .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement must be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was cited today for a staff member not obtaining a valid TB test on or before the first day of work. According to Child Care Rule 10A NCAC 09.0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) test or screening with results indicating that the individual is free of active tuberculosis. The TB test or screening must be obtained on or prior to the first day of work. When submitted, the TB test or screening shall not be older than 12 months. Infant/Toddler Classroom Observation I discussed the results of my observation in Space #2 with D. Kirkwood. The teachers were always aware of their surroundings. Self-talk and Parallel talk were not observed during today’s visit. We discussed how self-talk offers an opportunity to allow conversation to occur in a silent classroom. For example, the teachers can talk out loud about what they are doing, seeing, hearing, or feeling. Parallel talk is also important for the teachers to engage in conversations by talking about what the child is doing, seeing, hearing, or feeling. I encouraged staff to implement these methods of classroom interactions. Preschool Classroom Observation I discussed the results of my observation in Space #4 with D. Kirkwood. We discussed the positive interactions and various learning opportunities provided to children throughout the visit. I encouraged teachers to continue to be flexible in their posted schedule based on children’s interest and attention span. I suggest teachers continue to have meaningful conversations and interactions with children. I encourage teachers to give children opportunities to respond to their statements or questions and encourage peer conversations. Natural Outdoor Learning Initiative The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Transportation Two vehicles were approved for the transportation of children, effective today. I reviewed the transportation standards in Child Care Rules 10A NCAC 09 Section .1000. I also reviewed transportation documentation requirements with the administrator. Hard copies of the following documents were left with the administrator: Off-Premise Activity Permission Form, Off-Premise Attendance Record, Off-Premise Master List and Staffing Pattern, Transportation Permission Form, Daily Transportation Roster, and Safe Procedures for Pickup and Delivery. DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0701 · Violation

Name of Operation: SALEM PRESCHOOL AND CHILDCARE Facility ID: 26002557 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 81 Completed Date: 5/23/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 09:30 AM Time Out: 02:15 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 compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed on December 06, 2023, and prior to today’s visit, the eighteen-month compliance history score was 100% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Notice of Compliance issued June 12, 2023. The information on record with DCDEE was verified as correct by Denise Kirkwood, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 10, 2023. Fire Classification of Approved for Daytime Care Only was completed on January 31, 2024. D. Kirkwood, Administrator, was present while I observed the indoor and outdoor areas. Eighty-one (81) children and sixteen (16) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and outdoor play activities. The group from Space #2 was observed in the outdoor learning environment. Children were observed exploring with rocking toys, balls, slides, push toys, and a caterpillar tunnel. In Space #4, children were observed sitting on a carpet while the teacher told a ‘Five Little Monkeys’ story using felt board. Each time the crocodile snapped a monkey out of the tree in the story, the teacher asked the children to count how many monkeys were left. The teacher also read a book to the children, titled “What Do You Think the Monkey’s Going to Do?” Before reading the book, the teacher asked the children, “What do you think the monkey’s going to do?” A child responded by saying, “Make a happy smile.” Routine care and handwashing practices were observed. Lunch consisted of chicken fries, carrots, applesauce, ketchup, and milk. Four staff files were reviewed. One staff member did not obtain a medical report or TB test prior to the first day of work. The most recent fire inspection was received during today’s visit. During today’s visit, the administrator requested for two vehicles to be approved for transporting children. The vehicles were monitored, to include seating, seat-belts, rear-view and side-view mirrors, tires, liability insurance, driver’s license and registration. The vehicles (GMC 50-Passenger Bus and Ford 15-Passenger Bus) have been approved, effective today, for the transportation of children. At the completion of the visit, the Visit Summary was reviewed with D. Kirkwood. The following violations were observed: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A sanitation inspection was not scheduled and obtained annually. The most recent sanitation inspection was completed on March 10, 2023. 10A NCAC 09 .0304(b) 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 most recent fire inspection was not scheduled and obtained within 12 months of the previous inspection (Current Fire Inspection Completed: 1/31/2024; Previous Fire Inspection Completed: 1/26/2023). The most recent fire inspection was not submitted to DCDEE within 7 days of the inspection visit (Fire Inspection Visit Date: 1/31/2024; Fire Inspection Report Received: 5/23/2024). 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, K. Reid, did not obtain a medical report prior to the first day of work (Date of Employment: 10/23/2023; Medical Report Date: 12/11/2023). 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. One staff member, K. Reid, did not obtain a TB test or screening on or before the first day of work (Date of Employment: 10/23/2023; Date of TB Test Results: 4/17/2024). .0701(a) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 06, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA/Reminders: Sanitation Inspection A violation was cited today for not scheduling and obtaining an annual sanitation inspection. According to Child Care Rule 10A NCAC 09 .0304(b), each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. The administrator stated that she has made multiple attempts to schedule a sanitation inspection and has shown me emails between herself and the Environmental Health Department attempting to schedule an inspection. Staff Medical Requirements A violation was cited today for a staff member not obtaining a medical report prior to the first day of work. According to Child Care Rule 10A NCAC 09 .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement must be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was cited today for a staff member not obtaining a valid TB test on or before the first day of work. According to Child Care Rule 10A NCAC 09.0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) test or screening with results indicating that the individual is free of active tuberculosis. The TB test or screening must be obtained on or prior to the first day of work. When submitted, the TB test or screening shall not be older than 12 months. Infant/Toddler Classroom Observation I discussed the results of my observation in Space #2 with D. Kirkwood. The teachers were always aware of their surroundings. Self-talk and Parallel talk were not observed during today’s visit. We discussed how self-talk offers an opportunity to allow conversation to occur in a silent classroom. For example, the teachers can talk out loud about what they are doing, seeing, hearing, or feeling. Parallel talk is also important for the teachers to engage in conversations by talking about what the child is doing, seeing, hearing, or feeling. I encouraged staff to implement these methods of classroom interactions. Preschool Classroom Observation I discussed the results of my observation in Space #4 with D. Kirkwood. We discussed the positive interactions and various learning opportunities provided to children throughout the visit. I encouraged teachers to continue to be flexible in their posted schedule based on children’s interest and attention span. I suggest teachers continue to have meaningful conversations and interactions with children. I encourage teachers to give children opportunities to respond to their statements or questions and encourage peer conversations. Natural Outdoor Learning Initiative The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Transportation Two vehicles were approved for the transportation of children, effective today. I reviewed the transportation standards in Child Care Rules 10A NCAC 09 Section .1000. I also reviewed transportation documentation requirements with the administrator. Hard copies of the following documents were left with the administrator: Off-Premise Activity Permission Form, Off-Premise Attendance Record, Off-Premise Master List and Staffing Pattern, Transportation Permission Form, Daily Transportation Roster, and Safe Procedures for Pickup and Delivery. DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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: SALEM PRESCHOOL AND CHILDCARE Facility ID: 26002557 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/23/2024 Number Present: 81 Completed Date: 5/23/2024 Age: From 0 To 5 Total Minutes: 285 Time In: 09:30 AM Time Out: 02:15 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 compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed on December 06, 2023, and prior to today’s visit, the eighteen-month compliance history score was 100% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Notice of Compliance issued June 12, 2023. The information on record with DCDEE was verified as correct by Denise Kirkwood, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on March 10, 2023. Fire Classification of Approved for Daytime Care Only was completed on January 31, 2024. D. Kirkwood, Administrator, was present while I observed the indoor and outdoor areas. Eighty-one (81) children and sixteen (16) teachers were present upon my arrival. Children were observed participating in free-choice activities, literacy activities, and outdoor play activities. The group from Space #2 was observed in the outdoor learning environment. Children were observed exploring with rocking toys, balls, slides, push toys, and a caterpillar tunnel. In Space #4, children were observed sitting on a carpet while the teacher told a ‘Five Little Monkeys’ story using felt board. Each time the crocodile snapped a monkey out of the tree in the story, the teacher asked the children to count how many monkeys were left. The teacher also read a book to the children, titled “What Do You Think the Monkey’s Going to Do?” Before reading the book, the teacher asked the children, “What do you think the monkey’s going to do?” A child responded by saying, “Make a happy smile.” Routine care and handwashing practices were observed. Lunch consisted of chicken fries, carrots, applesauce, ketchup, and milk. Four staff files were reviewed. One staff member did not obtain a medical report or TB test prior to the first day of work. The most recent fire inspection was received during today’s visit. During today’s visit, the administrator requested for two vehicles to be approved for transporting children. The vehicles were monitored, to include seating, seat-belts, rear-view and side-view mirrors, tires, liability insurance, driver’s license and registration. The vehicles (GMC 50-Passenger Bus and Ford 15-Passenger Bus) have been approved, effective today, for the transportation of children. At the completion of the visit, the Visit Summary was reviewed with D. Kirkwood. The following violations were observed: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A sanitation inspection was not scheduled and obtained annually. The most recent sanitation inspection was completed on March 10, 2023. 10A NCAC 09 .0304(b) 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 most recent fire inspection was not scheduled and obtained within 12 months of the previous inspection (Current Fire Inspection Completed: 1/31/2024; Previous Fire Inspection Completed: 1/26/2023). The most recent fire inspection was not submitted to DCDEE within 7 days of the inspection visit (Fire Inspection Visit Date: 1/31/2024; Fire Inspection Report Received: 5/23/2024). 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, K. Reid, did not obtain a medical report prior to the first day of work (Date of Employment: 10/23/2023; Medical Report Date: 12/11/2023). 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. One staff member, K. Reid, did not obtain a TB test or screening on or before the first day of work (Date of Employment: 10/23/2023; Date of TB Test Results: 4/17/2024). .0701(a) 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. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 06, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA/Reminders: Sanitation Inspection A violation was cited today for not scheduling and obtaining an annual sanitation inspection. According to Child Care Rule 10A NCAC 09 .0304(b), each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. The administrator stated that she has made multiple attempts to schedule a sanitation inspection and has shown me emails between herself and the Environmental Health Department attempting to schedule an inspection. Staff Medical Requirements A violation was cited today for a staff member not obtaining a medical report prior to the first day of work. According to Child Care Rule 10A NCAC 09 .0701(a), child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement must be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. A violation was cited today for a staff member not obtaining a valid TB test on or before the first day of work. According to Child Care Rule 10A NCAC 09.0701(a), all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) test or screening with results indicating that the individual is free of active tuberculosis. The TB test or screening must be obtained on or prior to the first day of work. When submitted, the TB test or screening shall not be older than 12 months. Infant/Toddler Classroom Observation I discussed the results of my observation in Space #2 with D. Kirkwood. The teachers were always aware of their surroundings. Self-talk and Parallel talk were not observed during today’s visit. We discussed how self-talk offers an opportunity to allow conversation to occur in a silent classroom. For example, the teachers can talk out loud about what they are doing, seeing, hearing, or feeling. Parallel talk is also important for the teachers to engage in conversations by talking about what the child is doing, seeing, hearing, or feeling. I encouraged staff to implement these methods of classroom interactions. Preschool Classroom Observation I discussed the results of my observation in Space #4 with D. Kirkwood. We discussed the positive interactions and various learning opportunities provided to children throughout the visit. I encouraged teachers to continue to be flexible in their posted schedule based on children’s interest and attention span. I suggest teachers continue to have meaningful conversations and interactions with children. I encourage teachers to give children opportunities to respond to their statements or questions and encourage peer conversations. Natural Outdoor Learning Initiative The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Transportation Two vehicles were approved for the transportation of children, effective today. I reviewed the transportation standards in Child Care Rules 10A NCAC 09 Section .1000. I also reviewed transportation documentation requirements with the administrator. Hard copies of the following documents were left with the administrator: Off-Premise Activity Permission Form, Off-Premise Attendance Record, Off-Premise Master List and Staffing Pattern, Transportation Permission Form, Daily Transportation Roster, and Safe Procedures for Pickup and Delivery. DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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