10A NCAC 09 .2204 · Violation

Name of Operation: OUT OF THE BOX CHILDCARE CENTER Facility ID: 21000063 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 22 Completed Date: 3/10/2026 Age: From 0 To 6 Total Minutes: 70 Time In: 03:35 PM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my February 26, 2026, “Other” visit. J. White, Administrator, assisted me with the visit. I visited each indoor space used by children. Children enrolled in space #1a were sitting on the carpet completing puzzles, eating snacks, completing toileting and hand-washing routines, and interacting with the caregiver. Children in space #1b were participating in diaper changing, eating snacks and interacting with the caregiver. Children under twelve months old received care according to individual needs and were observed participating in floor play with the caregiver. Snacks were observed and consisted of chips, and water. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent as of March 10, 2026. The following violations were documented today and included one repeated violation as reflected in the violation customization. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children's hands were not washed prior to eating snack in Space 1a and after diaper changes in Space 1b. 15A NCAC 18A .2803(c) 1756 Enhanced staff/child ratios and group sizes were not met. One caregiver was observed providing care for thirteen (13) children ranging from ages two (2) to six (6) years old. 10A NCAC 09 .2818 As stated in the February 26, 2026, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 On February 26, 2026, a staff/child ratio violation was observed and documented. Today I observed one caregiver providing care for thirteen (13) children ranging from ages two (2) to six (6) years old. You confirmed you were aware the program is currently meeting enhanced ratio requirements. The administrator stated the school-age children present and combined with the preschool children in Space #1a should not have been dropped off at that facility. She added the caregiver was instructed not to receive the children from the school bus; however, she accepted them when the bus arrived. The administrator further stated the group leader was over at the other facility. She then contacted the group leader to come over and retrieve the children. Today, I confirmed capacity requirements were in compliance; however, a repeated violation regarding enhanced staff/child ratio requirements was documented. The compliance letter for the February 26, 2026, visit has not been received yet. You stated is has been drafted for submission and would be submitted by the due date of March 12, 2026. I advised you to include clear specific details about correction and that the letter could be utilized for both visits. Both visit dates must be included for the letter to cover compliance for each visit. Repeated violations demonstrate a pattern of noncompliance and may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). Due to a violation regarding staff/child ratio requirements that were documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted to monitor applicable child care requirements and staff/child ratios. STAFF/CHILD RATIO REQUIREMENTS: Research indicates that group size and staff/child ratios are strong indicators of the quality of child care. Sufficient staff should be available to provide children with supervision, frequent personal contact, meaningful learning activities, and immediate care as needed. Smaller groups and lower staff to child ratios are related to positive outcomes for children, including increased adult-child interaction, less aggression and more cooperation among children. Appropriate staff-child ratios in early education are crucial for ensuring child safety, promoting optimal developmental outcomes, and supporting high-quality learning environments. Low ratios lead to better supervision, increased opportunities for individual interaction, improved social-emotional development, and fewer behavior problems. This not only enhances the child's experience by making them feel more secure and engaged, but also reduces caregiver stress, allowing for more focused and effective guidance. UNENROLLED CHILD: One of the school-age children observed in the group was later moved to the administrator’s office. You reported that the child was not enrolled in the program and explained that she was your granddaughter who was waiting to be picked up by her mother. The child’s exact age was not provided during the visit. You also stated that this arrangement had been occurring since August and that you were not aware that this was not permitted. I explained that children who are not enrolled in the child care program and are present on-site should not intermingle with children who are currently in care. I also informed you that additional research would be conducted to determine how this matter should be addressed. Additionally, I shared my concern that the child had been placed in the office with the door closed without an adult present to supervise or care for her. This was observed throughout the remaining observation of the visit. HAND WASHING REQUIREMENTS: Children hands were not washed after each diaper change and prior to eating snacks. Children were sent to the table from the carpet to eat their snacks without washing hands. I informed you hand washing must occur after each diaper changes and prior to children being served and eating their meals. Hand washing helps reduce the spread of germs retrieved from contact with different surfaces while playing indoors and outdoors. Suggestions to ensure hand washing is completed as required could be to place signs around the classroom as a reminder for when hands should be washed or set timers to alert caregiver. Offering refresher trainings on the importance of proper hand washing would also help to ensure hand washing is always completed. SPACE CHANGES: During the visit, we discussed the changes made to Space 1 within your program. I explained that because the original space has been divided into two separate areas with two different groups of children and caregivers, it must be identified and documented that way on the floor plan. For that reason, the spaces will need to be measured to determine the appropriate capacity for each area. During the visit today, I attempted to measure the space; however, the tape measure available was not long enough to complete the measurement. You also requested to have the space at the back of the building remeasured as well, because it has been changed and is now set up to serve one-year-old children. You indicated that this topic had previously been discussed with another consultant; however, you were unsure whether the spaces had been measured at that time. I informed you that based on my review of the documentation, I did not see any records indicating that the spaces had been measured to determine the accurate capacity for each side; therefore, I would complete the measurements on your next visit. I also shared that the spaces have been documented on the enrollment sheets as two separate spaces and divided evenly as it appears the room is separated down the middle. This will help to reflect where the violations were observed and documented At the completion of the visit, a one-page visit summary report was completed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, Child Care Consultant, 252-214-2709, or email keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2818 · Violation

Name of Operation: OUT OF THE BOX CHILDCARE CENTER Facility ID: 21000063 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 22 Completed Date: 3/10/2026 Age: From 0 To 6 Total Minutes: 70 Time In: 03:35 PM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during my February 26, 2026, “Other” visit. J. White, Administrator, assisted me with the visit. I visited each indoor space used by children. Children enrolled in space #1a were sitting on the carpet completing puzzles, eating snacks, completing toileting and hand-washing routines, and interacting with the caregiver. Children in space #1b were participating in diaper changing, eating snacks and interacting with the caregiver. Children under twelve months old received care according to individual needs and were observed participating in floor play with the caregiver. Snacks were observed and consisted of chips, and water. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent as of March 10, 2026. The following violations were documented today and included one repeated violation as reflected in the violation customization. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children's hands were not washed prior to eating snack in Space 1a and after diaper changes in Space 1b. 15A NCAC 18A .2803(c) 1756 Enhanced staff/child ratios and group sizes were not met. One caregiver was observed providing care for thirteen (13) children ranging from ages two (2) to six (6) years old. 10A NCAC 09 .2818 As stated in the February 26, 2026, visit summary, all violations must be corrected immediately and a compliance letter verifying this must be received by the established due date. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 On February 26, 2026, a staff/child ratio violation was observed and documented. Today I observed one caregiver providing care for thirteen (13) children ranging from ages two (2) to six (6) years old. You confirmed you were aware the program is currently meeting enhanced ratio requirements. The administrator stated the school-age children present and combined with the preschool children in Space #1a should not have been dropped off at that facility. She added the caregiver was instructed not to receive the children from the school bus; however, she accepted them when the bus arrived. The administrator further stated the group leader was over at the other facility. She then contacted the group leader to come over and retrieve the children. Today, I confirmed capacity requirements were in compliance; however, a repeated violation regarding enhanced staff/child ratio requirements was documented. The compliance letter for the February 26, 2026, visit has not been received yet. You stated is has been drafted for submission and would be submitted by the due date of March 12, 2026. I advised you to include clear specific details about correction and that the letter could be utilized for both visits. Both visit dates must be included for the letter to cover compliance for each visit. Repeated violations demonstrate a pattern of noncompliance and may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). Due to a violation regarding staff/child ratio requirements that were documented on two consecutive visits, an administrative action may be recommended, and you will be notified in writing of any action taken. In addition, a follow-up visit will be conducted to monitor applicable child care requirements and staff/child ratios. STAFF/CHILD RATIO REQUIREMENTS: Research indicates that group size and staff/child ratios are strong indicators of the quality of child care. Sufficient staff should be available to provide children with supervision, frequent personal contact, meaningful learning activities, and immediate care as needed. Smaller groups and lower staff to child ratios are related to positive outcomes for children, including increased adult-child interaction, less aggression and more cooperation among children. Appropriate staff-child ratios in early education are crucial for ensuring child safety, promoting optimal developmental outcomes, and supporting high-quality learning environments. Low ratios lead to better supervision, increased opportunities for individual interaction, improved social-emotional development, and fewer behavior problems. This not only enhances the child's experience by making them feel more secure and engaged, but also reduces caregiver stress, allowing for more focused and effective guidance. UNENROLLED CHILD: One of the school-age children observed in the group was later moved to the administrator’s office. You reported that the child was not enrolled in the program and explained that she was your granddaughter who was waiting to be picked up by her mother. The child’s exact age was not provided during the visit. You also stated that this arrangement had been occurring since August and that you were not aware that this was not permitted. I explained that children who are not enrolled in the child care program and are present on-site should not intermingle with children who are currently in care. I also informed you that additional research would be conducted to determine how this matter should be addressed. Additionally, I shared my concern that the child had been placed in the office with the door closed without an adult present to supervise or care for her. This was observed throughout the remaining observation of the visit. HAND WASHING REQUIREMENTS: Children hands were not washed after each diaper change and prior to eating snacks. Children were sent to the table from the carpet to eat their snacks without washing hands. I informed you hand washing must occur after each diaper changes and prior to children being served and eating their meals. Hand washing helps reduce the spread of germs retrieved from contact with different surfaces while playing indoors and outdoors. Suggestions to ensure hand washing is completed as required could be to place signs around the classroom as a reminder for when hands should be washed or set timers to alert caregiver. Offering refresher trainings on the importance of proper hand washing would also help to ensure hand washing is always completed. SPACE CHANGES: During the visit, we discussed the changes made to Space 1 within your program. I explained that because the original space has been divided into two separate areas with two different groups of children and caregivers, it must be identified and documented that way on the floor plan. For that reason, the spaces will need to be measured to determine the appropriate capacity for each area. During the visit today, I attempted to measure the space; however, the tape measure available was not long enough to complete the measurement. You also requested to have the space at the back of the building remeasured as well, because it has been changed and is now set up to serve one-year-old children. You indicated that this topic had previously been discussed with another consultant; however, you were unsure whether the spaces had been measured at that time. I informed you that based on my review of the documentation, I did not see any records indicating that the spaces had been measured to determine the accurate capacity for each side; therefore, I would complete the measurements on your next visit. I also shared that the spaces have been documented on the enrollment sheets as two separate spaces and divided evenly as it appears the room is separated down the middle. This will help to reflect where the violations were observed and documented At the completion of the visit, a one-page visit summary report was completed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, Child Care Consultant, 252-214-2709, or email keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2809 · Violation

Name of Operation: OUT OF THE BOX CHILDCARE CENTER Facility ID: 21000063 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 2/26/2026 Number Present: 27 Completed Date: 2/26/2026 Age: From 1 To 9 Total Minutes: 25 Time In: 03:35 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today’s visit was to meet with the operator regarding the operation status of the After-School program and monitor compliance with applicable child care requirements. Upon entering the facility, I observed the following: -Space #1A- Seventeen children ranging from ages three (3) to nine (9) were cared for by one caregiver. -Space #1B – Six children all ages two (2) years old cared for by one caregiver. -Space #2 – Four (4) children cared for by one caregiver. -Space #3 – This space was not being used. Children in Space #1A, the school-age, were observed standing around and waiting to be signed in for arrival. The preschool children were sitting at the table. Children in Space 1A, were engaged in free choice play and diaper changing. Children in Space #2, were playing on the floor with developmentally appropriate materials/toys and interacting with the caregiver. Once the groups were separated the preschool children were served snacks which consisted of chips and water. You shared because you were unable to get to the other building to open it for school-age children, you received them from the bus and transitioned them into this facility. You stated that you planned to transition the children to their assigned location once the other caregiver returned from the restroom. During today’s visit, we discussed space capacity requirements, as seventeen (17) children were observed in a classroom licensed for a maximum capacity of fifteen (15) children. Additionally, staff/child ratio requirements were reviewed. One caregiver was providing care to seventeen (17) children, and the youngest child in the group was three (3) years old. I explained, based on my observation, two violations were warranted and would be documented. The following violations were observed & documented: The following violations were documented: Violation Number Comment Rule 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. Seventeen (17) children were cared for in a space with the licensing capacity for fifteen (15) children @ 30 sq. ft. per child. 10A NCAC 09 .2809(a) 1756 Enhanced staff/child ratios and group sizes were not met. One (1) caregiver provided care to seventeen (17) children ranging from ages three (3) to nine (9) in Space #1A. 10A NCAC 09 .2818 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 12, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 You were informed no more than fifteen (15) children may be cared for in Space #1A at any one time. You were also informed that when the youngest child in a mixed age group is three (3 years old, the required staff child ratio under the program’s enhanced ratio restriction is 1 to 10. TECHNICAL ASSISTANCE & GUIDANCE: To ensure compliance is consistently maintained, program must actively monitor and follow staff/child ratio requirements accordance with the licensing regulations. Additionally, capacity limits must be strictly observed by ensuring that no more than the maximum number of children approved for each classroom or designated space are present at any given time. Administrative staff are responsible for scheduling personnel to ensure appropriate coverage throughout the operating hours. Staffing arrangements should account for children’s ages, group sizes, transitions, staff breaks, and any unforeseen absences to ensure ratio and capacity requirements are maintained. Proactive planning and ongoing supervision will prevent noncompliance and promote a safe, well-supervised environment for children. STAFF RECORDS: One new employee was observed working today. The staff file was reviewed and compliance was maintained. UNANNOUNCED FOLLOW-UP VISIT: I informed you an unannounced follow-up visit will be conducted in the future to verify compliance with applicable child care requirements and that children are cared for in their approved space. At the completion of the visit, a one-page visit summary report was completed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, Child Care Consultant, 252-214-2709, or email keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2818 · Violation

Name of Operation: OUT OF THE BOX CHILDCARE CENTER Facility ID: 21000063 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 2/26/2026 Number Present: 27 Completed Date: 2/26/2026 Age: From 1 To 9 Total Minutes: 25 Time In: 03:35 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today’s visit was to meet with the operator regarding the operation status of the After-School program and monitor compliance with applicable child care requirements. Upon entering the facility, I observed the following: -Space #1A- Seventeen children ranging from ages three (3) to nine (9) were cared for by one caregiver. -Space #1B – Six children all ages two (2) years old cared for by one caregiver. -Space #2 – Four (4) children cared for by one caregiver. -Space #3 – This space was not being used. Children in Space #1A, the school-age, were observed standing around and waiting to be signed in for arrival. The preschool children were sitting at the table. Children in Space 1A, were engaged in free choice play and diaper changing. Children in Space #2, were playing on the floor with developmentally appropriate materials/toys and interacting with the caregiver. Once the groups were separated the preschool children were served snacks which consisted of chips and water. You shared because you were unable to get to the other building to open it for school-age children, you received them from the bus and transitioned them into this facility. You stated that you planned to transition the children to their assigned location once the other caregiver returned from the restroom. During today’s visit, we discussed space capacity requirements, as seventeen (17) children were observed in a classroom licensed for a maximum capacity of fifteen (15) children. Additionally, staff/child ratio requirements were reviewed. One caregiver was providing care to seventeen (17) children, and the youngest child in the group was three (3) years old. I explained, based on my observation, two violations were warranted and would be documented. The following violations were observed & documented: The following violations were documented: Violation Number Comment Rule 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. Seventeen (17) children were cared for in a space with the licensing capacity for fifteen (15) children @ 30 sq. ft. per child. 10A NCAC 09 .2809(a) 1756 Enhanced staff/child ratios and group sizes were not met. One (1) caregiver provided care to seventeen (17) children ranging from ages three (3) to nine (9) in Space #1A. 10A NCAC 09 .2818 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 12, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 You were informed no more than fifteen (15) children may be cared for in Space #1A at any one time. You were also informed that when the youngest child in a mixed age group is three (3 years old, the required staff child ratio under the program’s enhanced ratio restriction is 1 to 10. TECHNICAL ASSISTANCE & GUIDANCE: To ensure compliance is consistently maintained, program must actively monitor and follow staff/child ratio requirements accordance with the licensing regulations. Additionally, capacity limits must be strictly observed by ensuring that no more than the maximum number of children approved for each classroom or designated space are present at any given time. Administrative staff are responsible for scheduling personnel to ensure appropriate coverage throughout the operating hours. Staffing arrangements should account for children’s ages, group sizes, transitions, staff breaks, and any unforeseen absences to ensure ratio and capacity requirements are maintained. Proactive planning and ongoing supervision will prevent noncompliance and promote a safe, well-supervised environment for children. STAFF RECORDS: One new employee was observed working today. The staff file was reviewed and compliance was maintained. UNANNOUNCED FOLLOW-UP VISIT: I informed you an unannounced follow-up visit will be conducted in the future to verify compliance with applicable child care requirements and that children are cared for in their approved space. At the completion of the visit, a one-page visit summary report was completed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, Child Care Consultant, 252-214-2709, or email keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: OUT OF THE BOX CHILDCARE CENTER Facility ID: 21000063 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 2/26/2026 Number Present: 27 Completed Date: 2/26/2026 Age: From 1 To 9 Total Minutes: 25 Time In: 03:35 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today’s visit was to meet with the operator regarding the operation status of the After-School program and monitor compliance with applicable child care requirements. Upon entering the facility, I observed the following: -Space #1A- Seventeen children ranging from ages three (3) to nine (9) were cared for by one caregiver. -Space #1B – Six children all ages two (2) years old cared for by one caregiver. -Space #2 – Four (4) children cared for by one caregiver. -Space #3 – This space was not being used. Children in Space #1A, the school-age, were observed standing around and waiting to be signed in for arrival. The preschool children were sitting at the table. Children in Space 1A, were engaged in free choice play and diaper changing. Children in Space #2, were playing on the floor with developmentally appropriate materials/toys and interacting with the caregiver. Once the groups were separated the preschool children were served snacks which consisted of chips and water. You shared because you were unable to get to the other building to open it for school-age children, you received them from the bus and transitioned them into this facility. You stated that you planned to transition the children to their assigned location once the other caregiver returned from the restroom. During today’s visit, we discussed space capacity requirements, as seventeen (17) children were observed in a classroom licensed for a maximum capacity of fifteen (15) children. Additionally, staff/child ratio requirements were reviewed. One caregiver was providing care to seventeen (17) children, and the youngest child in the group was three (3) years old. I explained, based on my observation, two violations were warranted and would be documented. The following violations were observed & documented: The following violations were documented: Violation Number Comment Rule 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. Seventeen (17) children were cared for in a space with the licensing capacity for fifteen (15) children @ 30 sq. ft. per child. 10A NCAC 09 .2809(a) 1756 Enhanced staff/child ratios and group sizes were not met. One (1) caregiver provided care to seventeen (17) children ranging from ages three (3) to nine (9) in Space #1A. 10A NCAC 09 .2818 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 12, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 You were informed no more than fifteen (15) children may be cared for in Space #1A at any one time. You were also informed that when the youngest child in a mixed age group is three (3 years old, the required staff child ratio under the program’s enhanced ratio restriction is 1 to 10. TECHNICAL ASSISTANCE & GUIDANCE: To ensure compliance is consistently maintained, program must actively monitor and follow staff/child ratio requirements accordance with the licensing regulations. Additionally, capacity limits must be strictly observed by ensuring that no more than the maximum number of children approved for each classroom or designated space are present at any given time. Administrative staff are responsible for scheduling personnel to ensure appropriate coverage throughout the operating hours. Staffing arrangements should account for children’s ages, group sizes, transitions, staff breaks, and any unforeseen absences to ensure ratio and capacity requirements are maintained. Proactive planning and ongoing supervision will prevent noncompliance and promote a safe, well-supervised environment for children. STAFF RECORDS: One new employee was observed working today. The staff file was reviewed and compliance was maintained. UNANNOUNCED FOLLOW-UP VISIT: I informed you an unannounced follow-up visit will be conducted in the future to verify compliance with applicable child care requirements and that children are cared for in their approved space. At the completion of the visit, a one-page visit summary report was completed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, Child Care Consultant, 252-214-2709, or email keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0713 · Violation

Name of Operation: OUT OF THE BOX CHILDCARE CENTER Facility ID: 21000063 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: 1025-422L Visit Date: 11/7/2025 Number Present: 14 Completed Date: 11/7/2025 Age: From 0 To 4 Total Minutes: 190 Time In: 10:10 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns regarding inappropriate discipline practices. There are also concerns relating to staff qualifications. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and discipline were monitored. The license and emergency care plan were posted. Records for staff were reviewed and contained all required information except for a current criminal background check qualification and CPR/First aid certification for two different employees. Additionally, I observed the indoor spaces used by children. I observed the children engaged in free-choice play, completing toileting, diapering and hand washing routines, eating lunch, and interacting with caregivers. Infants/toddlers were observed in floor play and interaction with the caregiver. Today’s menu consisted of cheese pizza, chicken nuggets, peas, corn and milk. Enrollment was as follows: Space 1A – 1 child (1yr), 2 children(2yrs) 1 child (3yrs), 3 children (4yrs) Space 2A – 3 children (all 3yrs) Space 2 – 4 children (0-12months), 1 child (1yr) Space 3 – no children present. Not used. Today’s menu consisted of cheese pizza, chicken nuggets, peas, corn and milk. The following violations were observed Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children one (1) year of age were grouped four (4) year old children in Space 1A. 10A NCAC 09 .0713(a)(6) 405 A child's hands were not washed after each diaper change. Four children hands were not washed after diaper changing. 15A NCAC 18A .2803(c)(2) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The criminal background check qualification was not renewed for one employee (J. White)on or before the expiration date of October 12, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was not renewed for one employee on or before the expiration date of November 4, 2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training was not renewed for one employee on or before the expiration date of November 4, 2025. .1102(d) 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff/child ratios were not met when one (1) caregiver was observed providing care for seven children ranging from ages one (1) to four (4) years old. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for one employee (J. White). G.S. 110-90.2(b) & (d) & .2703(e) Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13, Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The centers compliance history score was shared with the operator. The center's compliance history was 95% as of November 6, 2025. ALLEGATION: INAPPROPRIATE DISICPLINE During the visit, I interviewed you and two employees regarding the allegations. You and the employees were given the opportunity to discuss the allegations and ask questions. You and the caregiver in Space 1B reported having knowledge of concerns related to an allegation that a caregiver hit a child. According to your statement, the parent of the child was contacted to discuss the alleged incident. The parent reportedly stated that the child was heard crying and the caregiver’s hand observed moving; however, the parent did not witness any direct physical contact between the caregiver and the child. You reported that the center has an established discipline policy. You stated that the policy aligns with the sample provided on the Division’s website and is included in the parent handbook, which is reviewed with parents during orientation. A copy of the center’s discipline policy was provided for review during today’s visit. You and each employee interviewed described your understanding of the program’s discipline policy and provided the definition inappropriate discipline in your own words. You stated the program does not implement corporal punishment. It was reported that time out is used as the final alternative for discipline. You and the employees reported observation of staff/child interaction is conducted daily. You added you are always in the classroom throughout the day and providing feedback to staff both strengths and weaknesses. You stated the cameras observed in the building do not currently work; therefore, video footage was not available to review. You and the caregiver in Space #1B stated that you both occasionally pat children on their backsides when interacting with them; however, you both clarified that this is not done as a form of discipline. The caregiver in Space 1B also stated that at times for safety, he has and will tap a child’s hands to remove an item if the child is attempting to place it in their mouth. He explained this was to prevent children from choking. It was reported that the administrator serves as the designated individual responsible for determining whether an employee’s actions are considered inappropriate forms of discipline. You and both employees stated training is offered on appropriate discipline practices. You added the training is voluntarily. Books and training certificates were observed relating to appropriate discipline. During my observation, staff were actively engaged with children in a positive manner. I observed you and the caregiver in Space 1b pat children on the backside to guide them to another area. Upon arrival, children in Space 1A were watching television and dancing to music along with their caregiver. The caregiver in space 1B was completing diaper changing while the other children were engaged in free choice. Some infants were in rockers while others were on the floor playing. Based on the above information the allegation was not confirmed. ALLEGATION: STAFF QUALIFICATIONS: You and employees interviewed stated that you had no knowledge of the allegation regarding staff qualifications. Additionally, no one has expressed any concerns to you or employees related to staff qualifications. You reported that all staff employed at the child care facility meet the required qualifications. According to information provided, you use transcripts, employment applications, training logs/certificates, and DCDEE checklist and evaluations to verify and ensure staff are qualified. You reported staff are assigned to care for groups of children based on their experience and level of qualification. You added substitutes and floaters are required to meet the minimum requirements prior to working in the facility. You stated there have been no barriers to maintaining staff qualifications, but there is a need for more staff. You shared there is a board posted in your office with staff requirements and renewal dates that is used to help monitor and track renewal dates of qualifications such as criminal background checks, First Aid/CPR, etc. You and staff reported the training courses and certifications are renewed as required and completion goes through the director. Each of you stated the was no knowledge of anyone in the center not meeting the required qualifications. Review of staff files revealed that one employee’s criminal background check had expired on October 12, 2025, and another employee’s CPR/First Aid training expired on November 4, 2025. You stated you were not aware the criminal background check or First Aid/CPR had already expired. I review of regulatory verified that the criminal background check was expired. You said you would begin working towards having both staff renew them immediately. Based on the above information the allegation is confirmed. STAFF/CHILD RATIO & GROUPING OF CHILDREN: A violation was documented for failure to maintain compliance with staff/child ratio requirements. Violations of this nature directly impact the safety of the children while in your care. In addition, these types of violations have the greatest negative impact on your compliance history. During the visit, we discussed basis for the staff/child ratio violation and guidance was provided to assist with avoiding future violations. I explained to you when children are grouped together the ages of children should be checked. According to the child care requirements children between 12 and 24 months shall not be grouped with children three (3) years old or older. The children were transitioned to their assigned space approximately two to three minutes after my arrival. Best practice is to allow children to remain in their assigned areas. If transitions are needed a plan should be in place to determine which children can be grouped together and in what spaces. Research indicates that group size and staff/child ratios are strong indicators of the quality of child care. Sufficient staff should be available to provide children with supervision, frequent personal contact, meaningful learning activities, and immediate care as needed. Smaller groups and lower staff to child ratios are related to positive outcomes for children, including increased adult-child interaction, less aggression and more cooperation among children. Ensuring staff child ratio is maintained also helps ensure children are safe in their environment. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. CRIMINAL BACKGROUND CHECK QUALIFICATION: The criminal background check was not renewed for one employee (Joan White) on or before October 12, 2025. You stated you were not aware the renewal was due, and the process had not been completed. I explained that criminal background check can be renewed up to six months prior to the renewal date. I recommend color coding the renewal dates on your tracking board to assist with awareness of the years for each renewal. You could also add the renewal dates to an electronic or desktop calendar. I informed you that the criminal background check for Ms. White must be renewed and a qualification letter obtained within fifteen (15) calendar days from the date of the visit (November 22, 2025). If the renewal process is not completed and a qualification letter is not on file by that date, Ms. White may not return to work until both requirements are met. A copy of the criminal background check qualification letter must be submitted to me with the compliance verification letter. BEST PRACTICE FOR POSITIVE ENGAGMENT WITH CHILDREN: Based on the information shared during the interviews regarding patting children on their backsides and tapping their hands to remove items, I informed you that although you and staff reported these actions not implemented as discipline, they could be perceived as inappropriate touching. I advised you to discontinue these practices moving forward. I explained that your interpretation of patting and tapping may differ from how others perceive these actions, which could lead to concerns in the future. I also recommend that as a best practice, staff approach the child/children and gently remove the item from their hand while addressing the behavior in a positive manner. Additional technical assistance/ best practices would be to use verbal guidance giving clear, calm, age-appropriate directions, if touch is necessary using gentle guidance, teaching and reinforcing self-regulation and safety. SPACE CHANGES: Space 1 identified on the floor plan has been separated into two spaces serving different age groups of children. I informed you the spaces will be measured to determine capacity for each area. I shared the spaces must be shown as two separate spaces on the floor plan. I will measure the spaces during the unannounced follow-up visit and provide the capacity. The floor plan will be updated to reflect the two spaces. I explained for the purpose of identifying each group, the two spaces would be documented as Space 1A and Space 1B. If changes are made to spaces in the future, please notify me to ensure measurements can be completed accurate space capacity can be given. LICENSING FEES: Invoices for the annual license fees were emailed to facilities subject to license fees on November 3, 2025. Payments are due by December 3, 2025. All payments must be submitted through our website using a Mastercard or Visa debit/credit card or via e-check. Payments may not be dropped off or mailed to the Division or the Department of Health & Human Services. The Division cannot guarantee timely receipt or deposit of paper checks. Please be aware that failure to pay the license may result in the revocation of your child care license. Unpaid license fees will also incur a 10% late fee and interest as established by NCGS § 147-86.23. For questions regarding license fees, visit the License Fee Frequently Asked Questions (FAQs en español) or email DCDEE_LF@dhhs.nc.gov for further assistance. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, Child Care Consultant, 252-214-2709, email, keshia.hayward@dhhs.nc.gov or Jennifer Lindhart, Licensing Supervisor, 252-373-4199, jennifer.linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2818 · Violation

Name of Operation: OUT OF THE BOX CHILDCARE CENTER Facility ID: 21000063 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: 1025-422L Visit Date: 11/7/2025 Number Present: 14 Completed Date: 11/7/2025 Age: From 0 To 4 Total Minutes: 190 Time In: 10:10 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns regarding inappropriate discipline practices. There are also concerns relating to staff qualifications. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and discipline were monitored. The license and emergency care plan were posted. Records for staff were reviewed and contained all required information except for a current criminal background check qualification and CPR/First aid certification for two different employees. Additionally, I observed the indoor spaces used by children. I observed the children engaged in free-choice play, completing toileting, diapering and hand washing routines, eating lunch, and interacting with caregivers. Infants/toddlers were observed in floor play and interaction with the caregiver. Today’s menu consisted of cheese pizza, chicken nuggets, peas, corn and milk. Enrollment was as follows: Space 1A – 1 child (1yr), 2 children(2yrs) 1 child (3yrs), 3 children (4yrs) Space 2A – 3 children (all 3yrs) Space 2 – 4 children (0-12months), 1 child (1yr) Space 3 – no children present. Not used. Today’s menu consisted of cheese pizza, chicken nuggets, peas, corn and milk. The following violations were observed Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children one (1) year of age were grouped four (4) year old children in Space 1A. 10A NCAC 09 .0713(a)(6) 405 A child's hands were not washed after each diaper change. Four children hands were not washed after diaper changing. 15A NCAC 18A .2803(c)(2) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The criminal background check qualification was not renewed for one employee (J. White)on or before the expiration date of October 12, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was not renewed for one employee on or before the expiration date of November 4, 2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training was not renewed for one employee on or before the expiration date of November 4, 2025. .1102(d) 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff/child ratios were not met when one (1) caregiver was observed providing care for seven children ranging from ages one (1) to four (4) years old. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for one employee (J. White). G.S. 110-90.2(b) & (d) & .2703(e) Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13, Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The centers compliance history score was shared with the operator. The center's compliance history was 95% as of November 6, 2025. ALLEGATION: INAPPROPRIATE DISICPLINE During the visit, I interviewed you and two employees regarding the allegations. You and the employees were given the opportunity to discuss the allegations and ask questions. You and the caregiver in Space 1B reported having knowledge of concerns related to an allegation that a caregiver hit a child. According to your statement, the parent of the child was contacted to discuss the alleged incident. The parent reportedly stated that the child was heard crying and the caregiver’s hand observed moving; however, the parent did not witness any direct physical contact between the caregiver and the child. You reported that the center has an established discipline policy. You stated that the policy aligns with the sample provided on the Division’s website and is included in the parent handbook, which is reviewed with parents during orientation. A copy of the center’s discipline policy was provided for review during today’s visit. You and each employee interviewed described your understanding of the program’s discipline policy and provided the definition inappropriate discipline in your own words. You stated the program does not implement corporal punishment. It was reported that time out is used as the final alternative for discipline. You and the employees reported observation of staff/child interaction is conducted daily. You added you are always in the classroom throughout the day and providing feedback to staff both strengths and weaknesses. You stated the cameras observed in the building do not currently work; therefore, video footage was not available to review. You and the caregiver in Space #1B stated that you both occasionally pat children on their backsides when interacting with them; however, you both clarified that this is not done as a form of discipline. The caregiver in Space 1B also stated that at times for safety, he has and will tap a child’s hands to remove an item if the child is attempting to place it in their mouth. He explained this was to prevent children from choking. It was reported that the administrator serves as the designated individual responsible for determining whether an employee’s actions are considered inappropriate forms of discipline. You and both employees stated training is offered on appropriate discipline practices. You added the training is voluntarily. Books and training certificates were observed relating to appropriate discipline. During my observation, staff were actively engaged with children in a positive manner. I observed you and the caregiver in Space 1b pat children on the backside to guide them to another area. Upon arrival, children in Space 1A were watching television and dancing to music along with their caregiver. The caregiver in space 1B was completing diaper changing while the other children were engaged in free choice. Some infants were in rockers while others were on the floor playing. Based on the above information the allegation was not confirmed. ALLEGATION: STAFF QUALIFICATIONS: You and employees interviewed stated that you had no knowledge of the allegation regarding staff qualifications. Additionally, no one has expressed any concerns to you or employees related to staff qualifications. You reported that all staff employed at the child care facility meet the required qualifications. According to information provided, you use transcripts, employment applications, training logs/certificates, and DCDEE checklist and evaluations to verify and ensure staff are qualified. You reported staff are assigned to care for groups of children based on their experience and level of qualification. You added substitutes and floaters are required to meet the minimum requirements prior to working in the facility. You stated there have been no barriers to maintaining staff qualifications, but there is a need for more staff. You shared there is a board posted in your office with staff requirements and renewal dates that is used to help monitor and track renewal dates of qualifications such as criminal background checks, First Aid/CPR, etc. You and staff reported the training courses and certifications are renewed as required and completion goes through the director. Each of you stated the was no knowledge of anyone in the center not meeting the required qualifications. Review of staff files revealed that one employee’s criminal background check had expired on October 12, 2025, and another employee’s CPR/First Aid training expired on November 4, 2025. You stated you were not aware the criminal background check or First Aid/CPR had already expired. I review of regulatory verified that the criminal background check was expired. You said you would begin working towards having both staff renew them immediately. Based on the above information the allegation is confirmed. STAFF/CHILD RATIO & GROUPING OF CHILDREN: A violation was documented for failure to maintain compliance with staff/child ratio requirements. Violations of this nature directly impact the safety of the children while in your care. In addition, these types of violations have the greatest negative impact on your compliance history. During the visit, we discussed basis for the staff/child ratio violation and guidance was provided to assist with avoiding future violations. I explained to you when children are grouped together the ages of children should be checked. According to the child care requirements children between 12 and 24 months shall not be grouped with children three (3) years old or older. The children were transitioned to their assigned space approximately two to three minutes after my arrival. Best practice is to allow children to remain in their assigned areas. If transitions are needed a plan should be in place to determine which children can be grouped together and in what spaces. Research indicates that group size and staff/child ratios are strong indicators of the quality of child care. Sufficient staff should be available to provide children with supervision, frequent personal contact, meaningful learning activities, and immediate care as needed. Smaller groups and lower staff to child ratios are related to positive outcomes for children, including increased adult-child interaction, less aggression and more cooperation among children. Ensuring staff child ratio is maintained also helps ensure children are safe in their environment. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. CRIMINAL BACKGROUND CHECK QUALIFICATION: The criminal background check was not renewed for one employee (Joan White) on or before October 12, 2025. You stated you were not aware the renewal was due, and the process had not been completed. I explained that criminal background check can be renewed up to six months prior to the renewal date. I recommend color coding the renewal dates on your tracking board to assist with awareness of the years for each renewal. You could also add the renewal dates to an electronic or desktop calendar. I informed you that the criminal background check for Ms. White must be renewed and a qualification letter obtained within fifteen (15) calendar days from the date of the visit (November 22, 2025). If the renewal process is not completed and a qualification letter is not on file by that date, Ms. White may not return to work until both requirements are met. A copy of the criminal background check qualification letter must be submitted to me with the compliance verification letter. BEST PRACTICE FOR POSITIVE ENGAGMENT WITH CHILDREN: Based on the information shared during the interviews regarding patting children on their backsides and tapping their hands to remove items, I informed you that although you and staff reported these actions not implemented as discipline, they could be perceived as inappropriate touching. I advised you to discontinue these practices moving forward. I explained that your interpretation of patting and tapping may differ from how others perceive these actions, which could lead to concerns in the future. I also recommend that as a best practice, staff approach the child/children and gently remove the item from their hand while addressing the behavior in a positive manner. Additional technical assistance/ best practices would be to use verbal guidance giving clear, calm, age-appropriate directions, if touch is necessary using gentle guidance, teaching and reinforcing self-regulation and safety. SPACE CHANGES: Space 1 identified on the floor plan has been separated into two spaces serving different age groups of children. I informed you the spaces will be measured to determine capacity for each area. I shared the spaces must be shown as two separate spaces on the floor plan. I will measure the spaces during the unannounced follow-up visit and provide the capacity. The floor plan will be updated to reflect the two spaces. I explained for the purpose of identifying each group, the two spaces would be documented as Space 1A and Space 1B. If changes are made to spaces in the future, please notify me to ensure measurements can be completed accurate space capacity can be given. LICENSING FEES: Invoices for the annual license fees were emailed to facilities subject to license fees on November 3, 2025. Payments are due by December 3, 2025. All payments must be submitted through our website using a Mastercard or Visa debit/credit card or via e-check. Payments may not be dropped off or mailed to the Division or the Department of Health & Human Services. The Division cannot guarantee timely receipt or deposit of paper checks. Please be aware that failure to pay the license may result in the revocation of your child care license. Unpaid license fees will also incur a 10% late fee and interest as established by NCGS § 147-86.23. For questions regarding license fees, visit the License Fee Frequently Asked Questions (FAQs en español) or email DCDEE_LF@dhhs.nc.gov for further assistance. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, Child Care Consultant, 252-214-2709, email, keshia.hayward@dhhs.nc.gov or Jennifer Lindhart, Licensing Supervisor, 252-373-4199, jennifer.linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: OUT OF THE BOX CHILDCARE CENTER Facility ID: 21000063 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: 1025-422L Visit Date: 11/7/2025 Number Present: 14 Completed Date: 11/7/2025 Age: From 0 To 4 Total Minutes: 190 Time In: 10:10 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns regarding inappropriate discipline practices. There are also concerns relating to staff qualifications. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and discipline were monitored. The license and emergency care plan were posted. Records for staff were reviewed and contained all required information except for a current criminal background check qualification and CPR/First aid certification for two different employees. Additionally, I observed the indoor spaces used by children. I observed the children engaged in free-choice play, completing toileting, diapering and hand washing routines, eating lunch, and interacting with caregivers. Infants/toddlers were observed in floor play and interaction with the caregiver. Today’s menu consisted of cheese pizza, chicken nuggets, peas, corn and milk. Enrollment was as follows: Space 1A – 1 child (1yr), 2 children(2yrs) 1 child (3yrs), 3 children (4yrs) Space 2A – 3 children (all 3yrs) Space 2 – 4 children (0-12months), 1 child (1yr) Space 3 – no children present. Not used. Today’s menu consisted of cheese pizza, chicken nuggets, peas, corn and milk. The following violations were observed Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children one (1) year of age were grouped four (4) year old children in Space 1A. 10A NCAC 09 .0713(a)(6) 405 A child's hands were not washed after each diaper change. Four children hands were not washed after diaper changing. 15A NCAC 18A .2803(c)(2) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The criminal background check qualification was not renewed for one employee (J. White)on or before the expiration date of October 12, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was not renewed for one employee on or before the expiration date of November 4, 2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training was not renewed for one employee on or before the expiration date of November 4, 2025. .1102(d) 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff/child ratios were not met when one (1) caregiver was observed providing care for seven children ranging from ages one (1) to four (4) years old. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for one employee (J. White). G.S. 110-90.2(b) & (d) & .2703(e) Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13, Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The centers compliance history score was shared with the operator. The center's compliance history was 95% as of November 6, 2025. ALLEGATION: INAPPROPRIATE DISICPLINE During the visit, I interviewed you and two employees regarding the allegations. You and the employees were given the opportunity to discuss the allegations and ask questions. You and the caregiver in Space 1B reported having knowledge of concerns related to an allegation that a caregiver hit a child. According to your statement, the parent of the child was contacted to discuss the alleged incident. The parent reportedly stated that the child was heard crying and the caregiver’s hand observed moving; however, the parent did not witness any direct physical contact between the caregiver and the child. You reported that the center has an established discipline policy. You stated that the policy aligns with the sample provided on the Division’s website and is included in the parent handbook, which is reviewed with parents during orientation. A copy of the center’s discipline policy was provided for review during today’s visit. You and each employee interviewed described your understanding of the program’s discipline policy and provided the definition inappropriate discipline in your own words. You stated the program does not implement corporal punishment. It was reported that time out is used as the final alternative for discipline. You and the employees reported observation of staff/child interaction is conducted daily. You added you are always in the classroom throughout the day and providing feedback to staff both strengths and weaknesses. You stated the cameras observed in the building do not currently work; therefore, video footage was not available to review. You and the caregiver in Space #1B stated that you both occasionally pat children on their backsides when interacting with them; however, you both clarified that this is not done as a form of discipline. The caregiver in Space 1B also stated that at times for safety, he has and will tap a child’s hands to remove an item if the child is attempting to place it in their mouth. He explained this was to prevent children from choking. It was reported that the administrator serves as the designated individual responsible for determining whether an employee’s actions are considered inappropriate forms of discipline. You and both employees stated training is offered on appropriate discipline practices. You added the training is voluntarily. Books and training certificates were observed relating to appropriate discipline. During my observation, staff were actively engaged with children in a positive manner. I observed you and the caregiver in Space 1b pat children on the backside to guide them to another area. Upon arrival, children in Space 1A were watching television and dancing to music along with their caregiver. The caregiver in space 1B was completing diaper changing while the other children were engaged in free choice. Some infants were in rockers while others were on the floor playing. Based on the above information the allegation was not confirmed. ALLEGATION: STAFF QUALIFICATIONS: You and employees interviewed stated that you had no knowledge of the allegation regarding staff qualifications. Additionally, no one has expressed any concerns to you or employees related to staff qualifications. You reported that all staff employed at the child care facility meet the required qualifications. According to information provided, you use transcripts, employment applications, training logs/certificates, and DCDEE checklist and evaluations to verify and ensure staff are qualified. You reported staff are assigned to care for groups of children based on their experience and level of qualification. You added substitutes and floaters are required to meet the minimum requirements prior to working in the facility. You stated there have been no barriers to maintaining staff qualifications, but there is a need for more staff. You shared there is a board posted in your office with staff requirements and renewal dates that is used to help monitor and track renewal dates of qualifications such as criminal background checks, First Aid/CPR, etc. You and staff reported the training courses and certifications are renewed as required and completion goes through the director. Each of you stated the was no knowledge of anyone in the center not meeting the required qualifications. Review of staff files revealed that one employee’s criminal background check had expired on October 12, 2025, and another employee’s CPR/First Aid training expired on November 4, 2025. You stated you were not aware the criminal background check or First Aid/CPR had already expired. I review of regulatory verified that the criminal background check was expired. You said you would begin working towards having both staff renew them immediately. Based on the above information the allegation is confirmed. STAFF/CHILD RATIO & GROUPING OF CHILDREN: A violation was documented for failure to maintain compliance with staff/child ratio requirements. Violations of this nature directly impact the safety of the children while in your care. In addition, these types of violations have the greatest negative impact on your compliance history. During the visit, we discussed basis for the staff/child ratio violation and guidance was provided to assist with avoiding future violations. I explained to you when children are grouped together the ages of children should be checked. According to the child care requirements children between 12 and 24 months shall not be grouped with children three (3) years old or older. The children were transitioned to their assigned space approximately two to three minutes after my arrival. Best practice is to allow children to remain in their assigned areas. If transitions are needed a plan should be in place to determine which children can be grouped together and in what spaces. Research indicates that group size and staff/child ratios are strong indicators of the quality of child care. Sufficient staff should be available to provide children with supervision, frequent personal contact, meaningful learning activities, and immediate care as needed. Smaller groups and lower staff to child ratios are related to positive outcomes for children, including increased adult-child interaction, less aggression and more cooperation among children. Ensuring staff child ratio is maintained also helps ensure children are safe in their environment. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. CRIMINAL BACKGROUND CHECK QUALIFICATION: The criminal background check was not renewed for one employee (Joan White) on or before October 12, 2025. You stated you were not aware the renewal was due, and the process had not been completed. I explained that criminal background check can be renewed up to six months prior to the renewal date. I recommend color coding the renewal dates on your tracking board to assist with awareness of the years for each renewal. You could also add the renewal dates to an electronic or desktop calendar. I informed you that the criminal background check for Ms. White must be renewed and a qualification letter obtained within fifteen (15) calendar days from the date of the visit (November 22, 2025). If the renewal process is not completed and a qualification letter is not on file by that date, Ms. White may not return to work until both requirements are met. A copy of the criminal background check qualification letter must be submitted to me with the compliance verification letter. BEST PRACTICE FOR POSITIVE ENGAGMENT WITH CHILDREN: Based on the information shared during the interviews regarding patting children on their backsides and tapping their hands to remove items, I informed you that although you and staff reported these actions not implemented as discipline, they could be perceived as inappropriate touching. I advised you to discontinue these practices moving forward. I explained that your interpretation of patting and tapping may differ from how others perceive these actions, which could lead to concerns in the future. I also recommend that as a best practice, staff approach the child/children and gently remove the item from their hand while addressing the behavior in a positive manner. Additional technical assistance/ best practices would be to use verbal guidance giving clear, calm, age-appropriate directions, if touch is necessary using gentle guidance, teaching and reinforcing self-regulation and safety. SPACE CHANGES: Space 1 identified on the floor plan has been separated into two spaces serving different age groups of children. I informed you the spaces will be measured to determine capacity for each area. I shared the spaces must be shown as two separate spaces on the floor plan. I will measure the spaces during the unannounced follow-up visit and provide the capacity. The floor plan will be updated to reflect the two spaces. I explained for the purpose of identifying each group, the two spaces would be documented as Space 1A and Space 1B. If changes are made to spaces in the future, please notify me to ensure measurements can be completed accurate space capacity can be given. LICENSING FEES: Invoices for the annual license fees were emailed to facilities subject to license fees on November 3, 2025. Payments are due by December 3, 2025. All payments must be submitted through our website using a Mastercard or Visa debit/credit card or via e-check. Payments may not be dropped off or mailed to the Division or the Department of Health & Human Services. The Division cannot guarantee timely receipt or deposit of paper checks. Please be aware that failure to pay the license may result in the revocation of your child care license. Unpaid license fees will also incur a 10% late fee and interest as established by NCGS § 147-86.23. For questions regarding license fees, visit the License Fee Frequently Asked Questions (FAQs en español) or email DCDEE_LF@dhhs.nc.gov for further assistance. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, Child Care Consultant, 252-214-2709, email, keshia.hayward@dhhs.nc.gov or Jennifer Lindhart, Licensing Supervisor, 252-373-4199, jennifer.linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: OUT OF THE BOX CHILDCARE CENTER Facility ID: 21000063 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: 1025-422L Visit Date: 11/7/2025 Number Present: 14 Completed Date: 11/7/2025 Age: From 0 To 4 Total Minutes: 190 Time In: 10:10 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns regarding inappropriate discipline practices. There are also concerns relating to staff qualifications. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and discipline were monitored. The license and emergency care plan were posted. Records for staff were reviewed and contained all required information except for a current criminal background check qualification and CPR/First aid certification for two different employees. Additionally, I observed the indoor spaces used by children. I observed the children engaged in free-choice play, completing toileting, diapering and hand washing routines, eating lunch, and interacting with caregivers. Infants/toddlers were observed in floor play and interaction with the caregiver. Today’s menu consisted of cheese pizza, chicken nuggets, peas, corn and milk. Enrollment was as follows: Space 1A – 1 child (1yr), 2 children(2yrs) 1 child (3yrs), 3 children (4yrs) Space 2A – 3 children (all 3yrs) Space 2 – 4 children (0-12months), 1 child (1yr) Space 3 – no children present. Not used. Today’s menu consisted of cheese pizza, chicken nuggets, peas, corn and milk. The following violations were observed Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children one (1) year of age were grouped four (4) year old children in Space 1A. 10A NCAC 09 .0713(a)(6) 405 A child's hands were not washed after each diaper change. Four children hands were not washed after diaper changing. 15A NCAC 18A .2803(c)(2) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The criminal background check qualification was not renewed for one employee (J. White)on or before the expiration date of October 12, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was not renewed for one employee on or before the expiration date of November 4, 2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR training was not renewed for one employee on or before the expiration date of November 4, 2025. .1102(d) 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff/child ratios were not met when one (1) caregiver was observed providing care for seven children ranging from ages one (1) to four (4) years old. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file for one employee (J. White). G.S. 110-90.2(b) & (d) & .2703(e) Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13, Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The centers compliance history score was shared with the operator. The center's compliance history was 95% as of November 6, 2025. ALLEGATION: INAPPROPRIATE DISICPLINE During the visit, I interviewed you and two employees regarding the allegations. You and the employees were given the opportunity to discuss the allegations and ask questions. You and the caregiver in Space 1B reported having knowledge of concerns related to an allegation that a caregiver hit a child. According to your statement, the parent of the child was contacted to discuss the alleged incident. The parent reportedly stated that the child was heard crying and the caregiver’s hand observed moving; however, the parent did not witness any direct physical contact between the caregiver and the child. You reported that the center has an established discipline policy. You stated that the policy aligns with the sample provided on the Division’s website and is included in the parent handbook, which is reviewed with parents during orientation. A copy of the center’s discipline policy was provided for review during today’s visit. You and each employee interviewed described your understanding of the program’s discipline policy and provided the definition inappropriate discipline in your own words. You stated the program does not implement corporal punishment. It was reported that time out is used as the final alternative for discipline. You and the employees reported observation of staff/child interaction is conducted daily. You added you are always in the classroom throughout the day and providing feedback to staff both strengths and weaknesses. You stated the cameras observed in the building do not currently work; therefore, video footage was not available to review. You and the caregiver in Space #1B stated that you both occasionally pat children on their backsides when interacting with them; however, you both clarified that this is not done as a form of discipline. The caregiver in Space 1B also stated that at times for safety, he has and will tap a child’s hands to remove an item if the child is attempting to place it in their mouth. He explained this was to prevent children from choking. It was reported that the administrator serves as the designated individual responsible for determining whether an employee’s actions are considered inappropriate forms of discipline. You and both employees stated training is offered on appropriate discipline practices. You added the training is voluntarily. Books and training certificates were observed relating to appropriate discipline. During my observation, staff were actively engaged with children in a positive manner. I observed you and the caregiver in Space 1b pat children on the backside to guide them to another area. Upon arrival, children in Space 1A were watching television and dancing to music along with their caregiver. The caregiver in space 1B was completing diaper changing while the other children were engaged in free choice. Some infants were in rockers while others were on the floor playing. Based on the above information the allegation was not confirmed. ALLEGATION: STAFF QUALIFICATIONS: You and employees interviewed stated that you had no knowledge of the allegation regarding staff qualifications. Additionally, no one has expressed any concerns to you or employees related to staff qualifications. You reported that all staff employed at the child care facility meet the required qualifications. According to information provided, you use transcripts, employment applications, training logs/certificates, and DCDEE checklist and evaluations to verify and ensure staff are qualified. You reported staff are assigned to care for groups of children based on their experience and level of qualification. You added substitutes and floaters are required to meet the minimum requirements prior to working in the facility. You stated there have been no barriers to maintaining staff qualifications, but there is a need for more staff. You shared there is a board posted in your office with staff requirements and renewal dates that is used to help monitor and track renewal dates of qualifications such as criminal background checks, First Aid/CPR, etc. You and staff reported the training courses and certifications are renewed as required and completion goes through the director. Each of you stated the was no knowledge of anyone in the center not meeting the required qualifications. Review of staff files revealed that one employee’s criminal background check had expired on October 12, 2025, and another employee’s CPR/First Aid training expired on November 4, 2025. You stated you were not aware the criminal background check or First Aid/CPR had already expired. I review of regulatory verified that the criminal background check was expired. You said you would begin working towards having both staff renew them immediately. Based on the above information the allegation is confirmed. STAFF/CHILD RATIO & GROUPING OF CHILDREN: A violation was documented for failure to maintain compliance with staff/child ratio requirements. Violations of this nature directly impact the safety of the children while in your care. In addition, these types of violations have the greatest negative impact on your compliance history. During the visit, we discussed basis for the staff/child ratio violation and guidance was provided to assist with avoiding future violations. I explained to you when children are grouped together the ages of children should be checked. According to the child care requirements children between 12 and 24 months shall not be grouped with children three (3) years old or older. The children were transitioned to their assigned space approximately two to three minutes after my arrival. Best practice is to allow children to remain in their assigned areas. If transitions are needed a plan should be in place to determine which children can be grouped together and in what spaces. Research indicates that group size and staff/child ratios are strong indicators of the quality of child care. Sufficient staff should be available to provide children with supervision, frequent personal contact, meaningful learning activities, and immediate care as needed. Smaller groups and lower staff to child ratios are related to positive outcomes for children, including increased adult-child interaction, less aggression and more cooperation among children. Ensuring staff child ratio is maintained also helps ensure children are safe in their environment. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. CRIMINAL BACKGROUND CHECK QUALIFICATION: The criminal background check was not renewed for one employee (Joan White) on or before October 12, 2025. You stated you were not aware the renewal was due, and the process had not been completed. I explained that criminal background check can be renewed up to six months prior to the renewal date. I recommend color coding the renewal dates on your tracking board to assist with awareness of the years for each renewal. You could also add the renewal dates to an electronic or desktop calendar. I informed you that the criminal background check for Ms. White must be renewed and a qualification letter obtained within fifteen (15) calendar days from the date of the visit (November 22, 2025). If the renewal process is not completed and a qualification letter is not on file by that date, Ms. White may not return to work until both requirements are met. A copy of the criminal background check qualification letter must be submitted to me with the compliance verification letter. BEST PRACTICE FOR POSITIVE ENGAGMENT WITH CHILDREN: Based on the information shared during the interviews regarding patting children on their backsides and tapping their hands to remove items, I informed you that although you and staff reported these actions not implemented as discipline, they could be perceived as inappropriate touching. I advised you to discontinue these practices moving forward. I explained that your interpretation of patting and tapping may differ from how others perceive these actions, which could lead to concerns in the future. I also recommend that as a best practice, staff approach the child/children and gently remove the item from their hand while addressing the behavior in a positive manner. Additional technical assistance/ best practices would be to use verbal guidance giving clear, calm, age-appropriate directions, if touch is necessary using gentle guidance, teaching and reinforcing self-regulation and safety. SPACE CHANGES: Space 1 identified on the floor plan has been separated into two spaces serving different age groups of children. I informed you the spaces will be measured to determine capacity for each area. I shared the spaces must be shown as two separate spaces on the floor plan. I will measure the spaces during the unannounced follow-up visit and provide the capacity. The floor plan will be updated to reflect the two spaces. I explained for the purpose of identifying each group, the two spaces would be documented as Space 1A and Space 1B. If changes are made to spaces in the future, please notify me to ensure measurements can be completed accurate space capacity can be given. LICENSING FEES: Invoices for the annual license fees were emailed to facilities subject to license fees on November 3, 2025. Payments are due by December 3, 2025. All payments must be submitted through our website using a Mastercard or Visa debit/credit card or via e-check. Payments may not be dropped off or mailed to the Division or the Department of Health & Human Services. The Division cannot guarantee timely receipt or deposit of paper checks. Please be aware that failure to pay the license may result in the revocation of your child care license. Unpaid license fees will also incur a 10% late fee and interest as established by NCGS § 147-86.23. For questions regarding license fees, visit the License Fee Frequently Asked Questions (FAQs en español) or email DCDEE_LF@dhhs.nc.gov for further assistance. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, Child Care Consultant, 252-214-2709, email, keshia.hayward@dhhs.nc.gov or Jennifer Lindhart, Licensing Supervisor, 252-373-4199, jennifer.linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: OUT OF THE BOX CHILDCARE CENTER Facility ID: 21000063 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 12 Completed Date: 10/1/2025 Age: From 0 To 3 Total Minutes: 145 Time In: 09:25 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. This center currently operates with a five-star license, earning seven points in education standards, five points in program standards and one quality point for the child care administrator having at least 10 years of documented child care administration work experience in a licensed program. The last annual compliance visit was completed on November 6, 2024. The last sanitation inspection was completed on April 7, 2025, earning a “Superior” classification. The last fire inspection was completed on January 6, 2025, and the center was approved for daytime care only. Twelve (12) children ranging from ages zero (0) to four (4) years old were observed in care today. Children were engaged in free-choice play, competing hand washing and toileting routines, and interacting with teachers. A representative from the local Library visited and read a story along with completing an activity with children. The following violations were documented today. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Two wooden benches on the playground used by children were cracked exposing sharp edges and splintering wood. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Annual review of the center’s emergency medical care plan could not be verified. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The staff development plan and staff evaluation on file for one employee hired on March 6, 2025, was dated September 6, 2024; therefore, it was not updated annually. 10A NCAC 09 .0514(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Documentation verifying annual review of the center’s EPR plan with staff was not on file. .0607(e) 1837 Court orders related to the custody of a child were not followed resulting in unauthorized parental access to the center. Documentation was not on file for one employee acknowledging review of the center’s shaken baby syndrome policy. .0205(b) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 13 Ahoskie NC 27910, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 16, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License, could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 97% as of September 29, 2025. OWNERSHIP STATUS: Jonthan Downing is listed as the owner of this child care program. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. OUTDOOR PLAY AREA: You stated children utilize the playground next door at the school-age building. You continued by sharing you were informed this allowed in the past. You reported that a company delivered you the large rocking observed on the playground in error, and you did not want to allow children to access the area in that state. According to you, children will utilize the playground next door until the issue can be resolved. I informed you the play areas used by children must meet compliance at all times. EMERGENCY MEDICAL CARE AND EMERGEBNCY PREPAREDNESS ANNUAL REVIEW: You stated the verification of review for the emergency preparedness plan and emergency medical care review online; however, you could not access the portals in your computer during the visit. I advised you to keep a hard copy of the documentation for review in instances like these. It is recommended that you contact tech support for the risk management system to assist with accessing your account. PATHWAYS TO THE STARS: During the visit, we discussed the pathway to the stars transition process for your program. You selected the pathway (Pathway 1) you would like to follow to obtain your star level at the end of the process. I reviewed the requirements for both pathways 1 and 2 at the five-star level and we discussed staff education options available to meet five-star education requirements. Based on our review of 50% of your current staff’s education at this time, additional components under the five-star level will need to be met. Therefore, I recommend you and staff develop a plan to ensure staff receive the necessary training and competencies to obtain the five-star education level. I provided guidance and resources on steps needed to satisfy the requirements for the pathway and star level you selected. We confirmed that by April 2, 2025, the application will be completed and the transition to the selected Stars pathway will begin. I advised you to visit the Division’s website at https://ncchildcare.ncdhhs.gov/ to review the QRIS modernization page for additional information on the pathway to the stars. You should also review NCRLAP’s website at https: I will follow up with you throughout the process to ensure progress is made and there can be a smooth transition from the star rated license to your pathway. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, contact me using the information listed above. You may also contact Licensing Supervisor, Jennifer Lindhart at 252-373-4199 or email jennifer.linhardt@dhhs.nc.gov. At the conclusion of this visit, a one-page visit summary report was completed, reviewed, and left with you. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: OUT OF THE BOX CHILDCARE CENTER Facility ID: 21000063 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 12 Completed Date: 10/1/2025 Age: From 0 To 3 Total Minutes: 145 Time In: 09:25 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. This center currently operates with a five-star license, earning seven points in education standards, five points in program standards and one quality point for the child care administrator having at least 10 years of documented child care administration work experience in a licensed program. The last annual compliance visit was completed on November 6, 2024. The last sanitation inspection was completed on April 7, 2025, earning a “Superior” classification. The last fire inspection was completed on January 6, 2025, and the center was approved for daytime care only. Twelve (12) children ranging from ages zero (0) to four (4) years old were observed in care today. Children were engaged in free-choice play, competing hand washing and toileting routines, and interacting with teachers. A representative from the local Library visited and read a story along with completing an activity with children. The following violations were documented today. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Two wooden benches on the playground used by children were cracked exposing sharp edges and splintering wood. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Annual review of the center’s emergency medical care plan could not be verified. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The staff development plan and staff evaluation on file for one employee hired on March 6, 2025, was dated September 6, 2024; therefore, it was not updated annually. 10A NCAC 09 .0514(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Documentation verifying annual review of the center’s EPR plan with staff was not on file. .0607(e) 1837 Court orders related to the custody of a child were not followed resulting in unauthorized parental access to the center. Documentation was not on file for one employee acknowledging review of the center’s shaken baby syndrome policy. .0205(b) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 13 Ahoskie NC 27910, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 16, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License, could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 97% as of September 29, 2025. OWNERSHIP STATUS: Jonthan Downing is listed as the owner of this child care program. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. OUTDOOR PLAY AREA: You stated children utilize the playground next door at the school-age building. You continued by sharing you were informed this allowed in the past. You reported that a company delivered you the large rocking observed on the playground in error, and you did not want to allow children to access the area in that state. According to you, children will utilize the playground next door until the issue can be resolved. I informed you the play areas used by children must meet compliance at all times. EMERGENCY MEDICAL CARE AND EMERGEBNCY PREPAREDNESS ANNUAL REVIEW: You stated the verification of review for the emergency preparedness plan and emergency medical care review online; however, you could not access the portals in your computer during the visit. I advised you to keep a hard copy of the documentation for review in instances like these. It is recommended that you contact tech support for the risk management system to assist with accessing your account. PATHWAYS TO THE STARS: During the visit, we discussed the pathway to the stars transition process for your program. You selected the pathway (Pathway 1) you would like to follow to obtain your star level at the end of the process. I reviewed the requirements for both pathways 1 and 2 at the five-star level and we discussed staff education options available to meet five-star education requirements. Based on our review of 50% of your current staff’s education at this time, additional components under the five-star level will need to be met. Therefore, I recommend you and staff develop a plan to ensure staff receive the necessary training and competencies to obtain the five-star education level. I provided guidance and resources on steps needed to satisfy the requirements for the pathway and star level you selected. We confirmed that by April 2, 2025, the application will be completed and the transition to the selected Stars pathway will begin. I advised you to visit the Division’s website at https://ncchildcare.ncdhhs.gov/ to review the QRIS modernization page for additional information on the pathway to the stars. You should also review NCRLAP’s website at https: I will follow up with you throughout the process to ensure progress is made and there can be a smooth transition from the star rated license to your pathway. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, contact me using the information listed above. You may also contact Licensing Supervisor, Jennifer Lindhart at 252-373-4199 or email jennifer.linhardt@dhhs.nc.gov. At the conclusion of this visit, a one-page visit summary report was completed, reviewed, and left with you. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: OUT OF THE BOX CHILDCARE CENTER Facility ID: 21000063 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 12 Completed Date: 10/1/2025 Age: From 0 To 3 Total Minutes: 145 Time In: 09:25 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. This center currently operates with a five-star license, earning seven points in education standards, five points in program standards and one quality point for the child care administrator having at least 10 years of documented child care administration work experience in a licensed program. The last annual compliance visit was completed on November 6, 2024. The last sanitation inspection was completed on April 7, 2025, earning a “Superior” classification. The last fire inspection was completed on January 6, 2025, and the center was approved for daytime care only. Twelve (12) children ranging from ages zero (0) to four (4) years old were observed in care today. Children were engaged in free-choice play, competing hand washing and toileting routines, and interacting with teachers. A representative from the local Library visited and read a story along with completing an activity with children. The following violations were documented today. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Two wooden benches on the playground used by children were cracked exposing sharp edges and splintering wood. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Annual review of the center’s emergency medical care plan could not be verified. 10A NCAC 09 .0802(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The staff development plan and staff evaluation on file for one employee hired on March 6, 2025, was dated September 6, 2024; therefore, it was not updated annually. 10A NCAC 09 .0514(f) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Documentation verifying annual review of the center’s EPR plan with staff was not on file. .0607(e) 1837 Court orders related to the custody of a child were not followed resulting in unauthorized parental access to the center. Documentation was not on file for one employee acknowledging review of the center’s shaken baby syndrome policy. .0205(b) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 13 Ahoskie NC 27910, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 16, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License, could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 97% as of September 29, 2025. OWNERSHIP STATUS: Jonthan Downing is listed as the owner of this child care program. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. OUTDOOR PLAY AREA: You stated children utilize the playground next door at the school-age building. You continued by sharing you were informed this allowed in the past. You reported that a company delivered you the large rocking observed on the playground in error, and you did not want to allow children to access the area in that state. According to you, children will utilize the playground next door until the issue can be resolved. I informed you the play areas used by children must meet compliance at all times. EMERGENCY MEDICAL CARE AND EMERGEBNCY PREPAREDNESS ANNUAL REVIEW: You stated the verification of review for the emergency preparedness plan and emergency medical care review online; however, you could not access the portals in your computer during the visit. I advised you to keep a hard copy of the documentation for review in instances like these. It is recommended that you contact tech support for the risk management system to assist with accessing your account. PATHWAYS TO THE STARS: During the visit, we discussed the pathway to the stars transition process for your program. You selected the pathway (Pathway 1) you would like to follow to obtain your star level at the end of the process. I reviewed the requirements for both pathways 1 and 2 at the five-star level and we discussed staff education options available to meet five-star education requirements. Based on our review of 50% of your current staff’s education at this time, additional components under the five-star level will need to be met. Therefore, I recommend you and staff develop a plan to ensure staff receive the necessary training and competencies to obtain the five-star education level. I provided guidance and resources on steps needed to satisfy the requirements for the pathway and star level you selected. We confirmed that by April 2, 2025, the application will be completed and the transition to the selected Stars pathway will begin. I advised you to visit the Division’s website at https://ncchildcare.ncdhhs.gov/ to review the QRIS modernization page for additional information on the pathway to the stars. You should also review NCRLAP’s website at https: I will follow up with you throughout the process to ensure progress is made and there can be a smooth transition from the star rated license to your pathway. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, contact me using the information listed above. You may also contact Licensing Supervisor, Jennifer Lindhart at 252-373-4199 or email jennifer.linhardt@dhhs.nc.gov. At the conclusion of this visit, a one-page visit summary report was completed, reviewed, and left with you. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. 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 .0713 · Violation

Name of Operation: OUT OF THE BOX CHILDCARE CENTER Facility ID: 21000063 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: 0724-176L Visit Date: 7/25/2024 Number Present: 16 Completed Date: 7/25/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 09:15 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There is a concern that inappropriate discipline was used. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. Additionally, I observed the indoor space used by the children. Children throughout the facility were participating in indoor free play, transitions, large group, and story time. Children enrolled in space #1 were engaged in a group activity of identifying letters and sounds. After group time the children transitioned to indoor freeplay. In space #2 children were engaged in freeplay and transitioned to personal care routines and returned to free play. In space #3 a child was asleep on her back in a linen-lined crib, and the other children were engaged in freeplay as the teacher moved throughout the space. I observed the teachers assisting children with routine care, comforting children that were upset, assisting children with conflict resolution, and leading songs and fingerplays. Today’s menu consisted of hotdog on a bun, beans, pears, and milk Regarding the allegation that inappropriate discipline was used, I completed classroom observations and interviewed staff. During my observations, two children had a disagreement over a pair of shoes. The teacher was observed walking over to the children and kneeling near the children as he asked "What’s going on over here, and how do we fix it?" He then asked the children who had the shoes first?" He then encouraged the children to share and provided three other options of toys to play with. During the interviews, it was reported that when children display unfavorable behavior like hitting, scratching, or the use of foul language, teachers redirect children by talking with the child about the behavior and telling them what the expectations and rules are. If the behavior persist, children are moved for time away/timeout for 1 minute per year of their age as explained in the discipline policy. It was also reported that the administrator is sometimes called to assist with negative behaviors. At that time she will come talk with the child(ren) or assist with supervising the class so the teacher can give attention to the child(ren) displaying the negative behavior. Based on the above information the allegation was unconfirmed. The following violation was documented. Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. In space #3 children ranged in ages of five(5) months to two(2) years of age. 10A NCAC 09 .0713(a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 8, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Tamaria.Williams@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Grouping-Regarding keeping children of different age groups separate, I reminded you today that unless it is the first and last operating hour of the day, infants may not be grouped with children two years of age and older and children one year of age may not be grouped with older children unless children are under three years of age. Today you the administrator stated that the child had just recently turned two years of age and that she would be transitioned out of that classroom. A follow-up visit will be made. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, contact me, Tamaria Williams, Child Care Consultant at Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: OUT OF THE BOX CHILDCARE CENTER Facility ID: 21000063 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: 0724-176L Visit Date: 7/25/2024 Number Present: 16 Completed Date: 7/25/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 09:15 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There is a concern that inappropriate discipline was used. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. Additionally, I observed the indoor space used by the children. Children throughout the facility were participating in indoor free play, transitions, large group, and story time. Children enrolled in space #1 were engaged in a group activity of identifying letters and sounds. After group time the children transitioned to indoor freeplay. In space #2 children were engaged in freeplay and transitioned to personal care routines and returned to free play. In space #3 a child was asleep on her back in a linen-lined crib, and the other children were engaged in freeplay as the teacher moved throughout the space. I observed the teachers assisting children with routine care, comforting children that were upset, assisting children with conflict resolution, and leading songs and fingerplays. Today’s menu consisted of hotdog on a bun, beans, pears, and milk Regarding the allegation that inappropriate discipline was used, I completed classroom observations and interviewed staff. During my observations, two children had a disagreement over a pair of shoes. The teacher was observed walking over to the children and kneeling near the children as he asked "What’s going on over here, and how do we fix it?" He then asked the children who had the shoes first?" He then encouraged the children to share and provided three other options of toys to play with. During the interviews, it was reported that when children display unfavorable behavior like hitting, scratching, or the use of foul language, teachers redirect children by talking with the child about the behavior and telling them what the expectations and rules are. If the behavior persist, children are moved for time away/timeout for 1 minute per year of their age as explained in the discipline policy. It was also reported that the administrator is sometimes called to assist with negative behaviors. At that time she will come talk with the child(ren) or assist with supervising the class so the teacher can give attention to the child(ren) displaying the negative behavior. Based on the above information the allegation was unconfirmed. The following violation was documented. Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. In space #3 children ranged in ages of five(5) months to two(2) years of age. 10A NCAC 09 .0713(a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 8, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Tamaria.Williams@dhhs.nc.gov When you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Grouping-Regarding keeping children of different age groups separate, I reminded you today that unless it is the first and last operating hour of the day, infants may not be grouped with children two years of age and older and children one year of age may not be grouped with older children unless children are under three years of age. Today you the administrator stated that the child had just recently turned two years of age and that she would be transitioned out of that classroom. A follow-up visit will be made. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I may be of further assistance, contact me, Tamaria Williams, Child Care Consultant at Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: OUT OF THE BOX CHILDCARE CENTER Facility ID: 21000063 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 11 Completed Date: 11/27/2023 Age: From 1 To 4 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 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 your program for compliance with applicable child care requirements for an annual compliance visit. J. White, administrator arrived on-site and assisted me when needed. Your program currently operates with a five-star license, issued 1/14/2022. The last annual compliance visit was conducted 12/12/2022. The sanitation inspection was completed 10/18/2023 with a “Superior” classification. The last fire inspection was conducted 11/20/2023 and your facility was approved for daytime care only. The program’s compliance history was ninety-one percent as of 11/22/2023. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found children throughout the facility were participating in free play, transitions and personal care routines. The fenced in outdoor play area consisted, a variety of push and pull toys, assortment of balls, basketball goals and areas for shade. Lunch was served and consisted of spaghetti with meat sauce, garden peas, mixed fruit, sliced bread, and milk. The following violations were documented. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. An aerosol can of Microban disinfectant spray was on the top shelf above the sink in space three. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Today three(3) out of the five(5) records reviewed did not have documetation updated annually. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Today three(3) out of the five(5) records did not have documetation updated annually .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. Any violation(s) documented may impact the compliance history score. On or before 12/11/2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tamaria Williams PO Box 1002 Williamston, NC 27892 Tamaria.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature)and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Storage of Hazardous Materials-All aerosol cans are highly flammable and present a hazard because of the compressed gas used as a propellant. If punctured, the contents may be released so forcefully that injuries can result. All aerosols must be kept in locked storage. Locked storage rooms and cabinets include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices must be kept out of the reach of a child and must not be stored in the lock. Today an aerosol can of Microban disinfectant spray was on the top shelf above the sink in space 3. Daily checks should be performed to make sure these items are behind locked storage. This was corrected during the visit. Staff Records- Emergency Information and Health Questionnaire - The Emergency Information and Health Questionnaire form must be completed for all staff by day one of hire and updated as changes occur or at least annually. Today in four(4) out of the four(4) records reviewed the Emergency Information and Health Questionnaire was not updated annually. J. White’s emergency information and health questionnaire was due on 9/25/23, C. Rankins’ emergency information and health questionnaire was due on 1/8/23, M. Downing’s emergency information and health questionnaire was due on 10/1/23, R. Holley’s emergency information and health questionnaire was due on 8/9/23. Reviewing Staff records and adding this due date to your wall calendar will assist with updating this information. Additional Information: The Chowan/Perquimans Smart Start Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales virtually. Their phone number is (252) 482-3035 or check out their website at www.cp-smartstart.org. New Criminal Background Check Changes – Legislative changes approved on 7/11/2022 made two important changes to Criminal Background Checks required for child care professionals: 1. The period for background check qualification renewals was changed from every 3 years to every 5 years 2. The provisional qualification period was reduced to 45 days The Division intends to implement these changes as soon as possible. An individual’s current Qualification Letter (QL) will be extended 2 years for a total of 5 years. Updated letters will not be generated. Individuals with a Provisional Qualification Letter due to an out-of-state check will received a qualifying letter on the 45th day. Letters are generated in the CBC Portal. Public Health Toolkit Updates - The ChildCareStrongNC Public Health Toolkit for Child Care (updated 7/2022) available on the DHHS website, and sent to your facility contact email, provides guidance on requirements and recommendations to reduce the spread of COVID-19 in child care facilities. If you have questions about COVID-19, an exposure, or exclusion policies, contact the Child Care Health Consultant assigned to your county and/or your local health department. Annual Licensing Fee – Licensed facilities that have a current license (whether active or inactive) on December 1st of each facility will receive an invoice for a licensing fee based on their licensed capacity. Invoices will be emailed out and must be paid on-line. For more information, watch for the Email Blasts from NC DHHS to your facility email address. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.