10A NCAC 09 .0302 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/5/2025 Number Present: 14 Completed Date: 9/5/2025 Age: From 0 To 3 Total Minutes: 231 Time In: 10:09 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Valerie Lail, Co-Owner. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Kids at Play Childcare Center, LLC was current/active as of September 3, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Four star rated license effective January 18, 2019. The permit restrictions include 1st shift and meets enhanced ratios. The program’s compliance history was 83 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children and staff were participating in group story time, free play in activity centers, lunch, and rest time. The last monthly fire drill was practiced on August 27, 2025. The last shelter-in-place drill was practiced on July 25, 2025. The last monthly playground inspection was completed on August 25, 2025. A sample of three children’s records were reviewed. No new staff have been hired since the last monitoring visit. One existing staff file was reviewed. The most recent sanitation inspection for your facility was conducted on June 9, 2025. A superior sanitation classification was issued with 8 demerits noted on the grade card. The most recent lead water test results were completed on June 27, 2023. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “sections completed” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on March 3, 2025. The following violations were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On 8/6/25, 8/25/25, and 8/27/25, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One child, one year of age, had an incident report dated 1/21/25 on file that did not include the time the parent was notified and by whom. .0802 (e) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. One staff member employed 3/13/24 had verification of the last review of the Emergency Medical Care Plan dated 3/13/24 on file. 10A NCAC 09 .0802(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One infant enrolled in care on 7/11/25 did not have a medical exam on file. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child enrolled 6/2/25 and one child enrolled 7/11/25 did not have the child’s date of enrollment on the parent’s statement regarding discipline policy review. .1804(b) 1329 Application for enrollment did not include all required information. One infant enrolled 7/11/25 did not have fears, behavioral characteristics, or health care concerns listed on the application. .0801(a)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Five current employees are not listed on the facility roster in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One staff member employed 3/13/24 had verification of the last review of the EPR plan dated 3/13/24 on file. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. One staff member employed 3/13/24 had verification of completed health and safety trainings dated August 26, 2025 on file. .1102(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by September 19, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. Incident report must be completed each time a child was injured and must include all the required information. We reviewed requirements for incident reports found in 10A NCAC 09 .0802(e ). I suggested that you use the sample incident report form found on the DCDEE website under provider document/forms to ensure all required information is included. All children must have a medical exam on file within the first thirty days of enrollment. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. The facility must obtain a statement that attests that a copy of the center's written discipline policies was given to and discussed with the parent. That statement must include the following: (1) the child's name (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. The signed, dated statement must be in the child's record and must remain on file in the center as long as the child is enrolled. I suggested you add the date of enrollment to your facility form that includes acknowledgement of the review of the discipline policy. Each child in care must have an individual application for enrollment completed and signed by the child's parent on file. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: emergency medical information; the child's full name and the name the child is to be called; the child's date of birth; any allergies and the symptoms and type of response required for allergic reactions; any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; fears or behavior characteristics that the child has; and the names of individuals to whom the center may release the child, as authorized by the person who signs the application I suggested you review all applications during the enrollment process to ensure all required spaces are completed by the parent. You reported that you have completed the ABCMS Moodle training but have been unable to access the facility roster in the ABCMS provider portal. We reviewed the facility roster and there was one current employee and two former employees listed. I provided you with a copy of the ABCMS provider portal access guide for reference. This information must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need further assistance please contact the Criminal Background Check Unit at (919) 814-8401. All staff members must review the center's Emergency Preparedness and Response Plan and Emergency Medical Care Plan during orientation and on an annual basis thereafter. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members at the same time you review the facility’s Emergency Medical Care Plan. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. Consultation: The outdoor play area had mulch that was packed down due to recent rain. I suggested that you rake and fluff the current mulch to make sure that all areas are covered with 6 inches of surfacing. We discussed that QRIS requirements are available in 10A NCAC 09.3200. Additional information is available on the DCDEE website under the “What’s New” tab regarding the Pathway options. The North Carolina Rated License Project website (NCRLAP) has trainings available regarding the ITERS-3 and ECERS-3 assessments. Please let me know by October 31, 2025 of your Pathway choice. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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 .0802 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/5/2025 Number Present: 14 Completed Date: 9/5/2025 Age: From 0 To 3 Total Minutes: 231 Time In: 10:09 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Valerie Lail, Co-Owner. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Kids at Play Childcare Center, LLC was current/active as of September 3, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Four star rated license effective January 18, 2019. The permit restrictions include 1st shift and meets enhanced ratios. The program’s compliance history was 83 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children and staff were participating in group story time, free play in activity centers, lunch, and rest time. The last monthly fire drill was practiced on August 27, 2025. The last shelter-in-place drill was practiced on July 25, 2025. The last monthly playground inspection was completed on August 25, 2025. A sample of three children’s records were reviewed. No new staff have been hired since the last monitoring visit. One existing staff file was reviewed. The most recent sanitation inspection for your facility was conducted on June 9, 2025. A superior sanitation classification was issued with 8 demerits noted on the grade card. The most recent lead water test results were completed on June 27, 2023. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “sections completed” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on March 3, 2025. The following violations were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On 8/6/25, 8/25/25, and 8/27/25, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One child, one year of age, had an incident report dated 1/21/25 on file that did not include the time the parent was notified and by whom. .0802 (e) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. One staff member employed 3/13/24 had verification of the last review of the Emergency Medical Care Plan dated 3/13/24 on file. 10A NCAC 09 .0802(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One infant enrolled in care on 7/11/25 did not have a medical exam on file. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child enrolled 6/2/25 and one child enrolled 7/11/25 did not have the child’s date of enrollment on the parent’s statement regarding discipline policy review. .1804(b) 1329 Application for enrollment did not include all required information. One infant enrolled 7/11/25 did not have fears, behavioral characteristics, or health care concerns listed on the application. .0801(a)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Five current employees are not listed on the facility roster in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One staff member employed 3/13/24 had verification of the last review of the EPR plan dated 3/13/24 on file. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. One staff member employed 3/13/24 had verification of completed health and safety trainings dated August 26, 2025 on file. .1102(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by September 19, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. Incident report must be completed each time a child was injured and must include all the required information. We reviewed requirements for incident reports found in 10A NCAC 09 .0802(e ). I suggested that you use the sample incident report form found on the DCDEE website under provider document/forms to ensure all required information is included. All children must have a medical exam on file within the first thirty days of enrollment. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. The facility must obtain a statement that attests that a copy of the center's written discipline policies was given to and discussed with the parent. That statement must include the following: (1) the child's name (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. The signed, dated statement must be in the child's record and must remain on file in the center as long as the child is enrolled. I suggested you add the date of enrollment to your facility form that includes acknowledgement of the review of the discipline policy. Each child in care must have an individual application for enrollment completed and signed by the child's parent on file. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: emergency medical information; the child's full name and the name the child is to be called; the child's date of birth; any allergies and the symptoms and type of response required for allergic reactions; any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; fears or behavior characteristics that the child has; and the names of individuals to whom the center may release the child, as authorized by the person who signs the application I suggested you review all applications during the enrollment process to ensure all required spaces are completed by the parent. You reported that you have completed the ABCMS Moodle training but have been unable to access the facility roster in the ABCMS provider portal. We reviewed the facility roster and there was one current employee and two former employees listed. I provided you with a copy of the ABCMS provider portal access guide for reference. This information must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need further assistance please contact the Criminal Background Check Unit at (919) 814-8401. All staff members must review the center's Emergency Preparedness and Response Plan and Emergency Medical Care Plan during orientation and on an annual basis thereafter. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members at the same time you review the facility’s Emergency Medical Care Plan. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. Consultation: The outdoor play area had mulch that was packed down due to recent rain. I suggested that you rake and fluff the current mulch to make sure that all areas are covered with 6 inches of surfacing. We discussed that QRIS requirements are available in 10A NCAC 09.3200. Additional information is available on the DCDEE website under the “What’s New” tab regarding the Pathway options. The North Carolina Rated License Project website (NCRLAP) has trainings available regarding the ITERS-3 and ECERS-3 assessments. Please let me know by October 31, 2025 of your Pathway choice. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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 09.3200 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/5/2025 Number Present: 14 Completed Date: 9/5/2025 Age: From 0 To 3 Total Minutes: 231 Time In: 10:09 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Valerie Lail, Co-Owner. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Kids at Play Childcare Center, LLC was current/active as of September 3, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Four star rated license effective January 18, 2019. The permit restrictions include 1st shift and meets enhanced ratios. The program’s compliance history was 83 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children and staff were participating in group story time, free play in activity centers, lunch, and rest time. The last monthly fire drill was practiced on August 27, 2025. The last shelter-in-place drill was practiced on July 25, 2025. The last monthly playground inspection was completed on August 25, 2025. A sample of three children’s records were reviewed. No new staff have been hired since the last monitoring visit. One existing staff file was reviewed. The most recent sanitation inspection for your facility was conducted on June 9, 2025. A superior sanitation classification was issued with 8 demerits noted on the grade card. The most recent lead water test results were completed on June 27, 2023. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “sections completed” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on March 3, 2025. The following violations were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On 8/6/25, 8/25/25, and 8/27/25, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One child, one year of age, had an incident report dated 1/21/25 on file that did not include the time the parent was notified and by whom. .0802 (e) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. One staff member employed 3/13/24 had verification of the last review of the Emergency Medical Care Plan dated 3/13/24 on file. 10A NCAC 09 .0802(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One infant enrolled in care on 7/11/25 did not have a medical exam on file. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child enrolled 6/2/25 and one child enrolled 7/11/25 did not have the child’s date of enrollment on the parent’s statement regarding discipline policy review. .1804(b) 1329 Application for enrollment did not include all required information. One infant enrolled 7/11/25 did not have fears, behavioral characteristics, or health care concerns listed on the application. .0801(a)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Five current employees are not listed on the facility roster in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One staff member employed 3/13/24 had verification of the last review of the EPR plan dated 3/13/24 on file. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. One staff member employed 3/13/24 had verification of completed health and safety trainings dated August 26, 2025 on file. .1102(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by September 19, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. Incident report must be completed each time a child was injured and must include all the required information. We reviewed requirements for incident reports found in 10A NCAC 09 .0802(e ). I suggested that you use the sample incident report form found on the DCDEE website under provider document/forms to ensure all required information is included. All children must have a medical exam on file within the first thirty days of enrollment. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. The facility must obtain a statement that attests that a copy of the center's written discipline policies was given to and discussed with the parent. That statement must include the following: (1) the child's name (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. The signed, dated statement must be in the child's record and must remain on file in the center as long as the child is enrolled. I suggested you add the date of enrollment to your facility form that includes acknowledgement of the review of the discipline policy. Each child in care must have an individual application for enrollment completed and signed by the child's parent on file. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: emergency medical information; the child's full name and the name the child is to be called; the child's date of birth; any allergies and the symptoms and type of response required for allergic reactions; any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; fears or behavior characteristics that the child has; and the names of individuals to whom the center may release the child, as authorized by the person who signs the application I suggested you review all applications during the enrollment process to ensure all required spaces are completed by the parent. You reported that you have completed the ABCMS Moodle training but have been unable to access the facility roster in the ABCMS provider portal. We reviewed the facility roster and there was one current employee and two former employees listed. I provided you with a copy of the ABCMS provider portal access guide for reference. This information must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need further assistance please contact the Criminal Background Check Unit at (919) 814-8401. All staff members must review the center's Emergency Preparedness and Response Plan and Emergency Medical Care Plan during orientation and on an annual basis thereafter. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members at the same time you review the facility’s Emergency Medical Care Plan. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. Consultation: The outdoor play area had mulch that was packed down due to recent rain. I suggested that you rake and fluff the current mulch to make sure that all areas are covered with 6 inches of surfacing. We discussed that QRIS requirements are available in 10A NCAC 09.3200. Additional information is available on the DCDEE website under the “What’s New” tab regarding the Pathway options. The North Carolina Rated License Project website (NCRLAP) has trainings available regarding the ITERS-3 and ECERS-3 assessments. Please let me know by October 31, 2025 of your Pathway choice. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/5/2025 Number Present: 14 Completed Date: 9/5/2025 Age: From 0 To 3 Total Minutes: 231 Time In: 10:09 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Valerie Lail, Co-Owner. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Kids at Play Childcare Center, LLC was current/active as of September 3, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Four star rated license effective January 18, 2019. The permit restrictions include 1st shift and meets enhanced ratios. The program’s compliance history was 83 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children and staff were participating in group story time, free play in activity centers, lunch, and rest time. The last monthly fire drill was practiced on August 27, 2025. The last shelter-in-place drill was practiced on July 25, 2025. The last monthly playground inspection was completed on August 25, 2025. A sample of three children’s records were reviewed. No new staff have been hired since the last monitoring visit. One existing staff file was reviewed. The most recent sanitation inspection for your facility was conducted on June 9, 2025. A superior sanitation classification was issued with 8 demerits noted on the grade card. The most recent lead water test results were completed on June 27, 2023. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “sections completed” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on March 3, 2025. The following violations were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On 8/6/25, 8/25/25, and 8/27/25, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One child, one year of age, had an incident report dated 1/21/25 on file that did not include the time the parent was notified and by whom. .0802 (e) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. One staff member employed 3/13/24 had verification of the last review of the Emergency Medical Care Plan dated 3/13/24 on file. 10A NCAC 09 .0802(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One infant enrolled in care on 7/11/25 did not have a medical exam on file. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child enrolled 6/2/25 and one child enrolled 7/11/25 did not have the child’s date of enrollment on the parent’s statement regarding discipline policy review. .1804(b) 1329 Application for enrollment did not include all required information. One infant enrolled 7/11/25 did not have fears, behavioral characteristics, or health care concerns listed on the application. .0801(a)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Five current employees are not listed on the facility roster in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One staff member employed 3/13/24 had verification of the last review of the EPR plan dated 3/13/24 on file. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. One staff member employed 3/13/24 had verification of completed health and safety trainings dated August 26, 2025 on file. .1102(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by September 19, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. Incident report must be completed each time a child was injured and must include all the required information. We reviewed requirements for incident reports found in 10A NCAC 09 .0802(e ). I suggested that you use the sample incident report form found on the DCDEE website under provider document/forms to ensure all required information is included. All children must have a medical exam on file within the first thirty days of enrollment. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. The facility must obtain a statement that attests that a copy of the center's written discipline policies was given to and discussed with the parent. That statement must include the following: (1) the child's name (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. The signed, dated statement must be in the child's record and must remain on file in the center as long as the child is enrolled. I suggested you add the date of enrollment to your facility form that includes acknowledgement of the review of the discipline policy. Each child in care must have an individual application for enrollment completed and signed by the child's parent on file. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: emergency medical information; the child's full name and the name the child is to be called; the child's date of birth; any allergies and the symptoms and type of response required for allergic reactions; any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; fears or behavior characteristics that the child has; and the names of individuals to whom the center may release the child, as authorized by the person who signs the application I suggested you review all applications during the enrollment process to ensure all required spaces are completed by the parent. You reported that you have completed the ABCMS Moodle training but have been unable to access the facility roster in the ABCMS provider portal. We reviewed the facility roster and there was one current employee and two former employees listed. I provided you with a copy of the ABCMS provider portal access guide for reference. This information must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need further assistance please contact the Criminal Background Check Unit at (919) 814-8401. All staff members must review the center's Emergency Preparedness and Response Plan and Emergency Medical Care Plan during orientation and on an annual basis thereafter. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members at the same time you review the facility’s Emergency Medical Care Plan. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. Consultation: The outdoor play area had mulch that was packed down due to recent rain. I suggested that you rake and fluff the current mulch to make sure that all areas are covered with 6 inches of surfacing. We discussed that QRIS requirements are available in 10A NCAC 09.3200. Additional information is available on the DCDEE website under the “What’s New” tab regarding the Pathway options. The North Carolina Rated License Project website (NCRLAP) has trainings available regarding the ITERS-3 and ECERS-3 assessments. Please let me know by October 31, 2025 of your Pathway choice. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/5/2025 Number Present: 14 Completed Date: 9/5/2025 Age: From 0 To 3 Total Minutes: 231 Time In: 10:09 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Valerie Lail, Co-Owner. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Kids at Play Childcare Center, LLC was current/active as of September 3, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Four star rated license effective January 18, 2019. The permit restrictions include 1st shift and meets enhanced ratios. The program’s compliance history was 83 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children and staff were participating in group story time, free play in activity centers, lunch, and rest time. The last monthly fire drill was practiced on August 27, 2025. The last shelter-in-place drill was practiced on July 25, 2025. The last monthly playground inspection was completed on August 25, 2025. A sample of three children’s records were reviewed. No new staff have been hired since the last monitoring visit. One existing staff file was reviewed. The most recent sanitation inspection for your facility was conducted on June 9, 2025. A superior sanitation classification was issued with 8 demerits noted on the grade card. The most recent lead water test results were completed on June 27, 2023. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “sections completed” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on March 3, 2025. The following violations were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On 8/6/25, 8/25/25, and 8/27/25, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One child, one year of age, had an incident report dated 1/21/25 on file that did not include the time the parent was notified and by whom. .0802 (e) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. One staff member employed 3/13/24 had verification of the last review of the Emergency Medical Care Plan dated 3/13/24 on file. 10A NCAC 09 .0802(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One infant enrolled in care on 7/11/25 did not have a medical exam on file. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child enrolled 6/2/25 and one child enrolled 7/11/25 did not have the child’s date of enrollment on the parent’s statement regarding discipline policy review. .1804(b) 1329 Application for enrollment did not include all required information. One infant enrolled 7/11/25 did not have fears, behavioral characteristics, or health care concerns listed on the application. .0801(a)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Five current employees are not listed on the facility roster in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One staff member employed 3/13/24 had verification of the last review of the EPR plan dated 3/13/24 on file. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. One staff member employed 3/13/24 had verification of completed health and safety trainings dated August 26, 2025 on file. .1102(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by September 19, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. Incident report must be completed each time a child was injured and must include all the required information. We reviewed requirements for incident reports found in 10A NCAC 09 .0802(e ). I suggested that you use the sample incident report form found on the DCDEE website under provider document/forms to ensure all required information is included. All children must have a medical exam on file within the first thirty days of enrollment. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. The facility must obtain a statement that attests that a copy of the center's written discipline policies was given to and discussed with the parent. That statement must include the following: (1) the child's name (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. The signed, dated statement must be in the child's record and must remain on file in the center as long as the child is enrolled. I suggested you add the date of enrollment to your facility form that includes acknowledgement of the review of the discipline policy. Each child in care must have an individual application for enrollment completed and signed by the child's parent on file. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: emergency medical information; the child's full name and the name the child is to be called; the child's date of birth; any allergies and the symptoms and type of response required for allergic reactions; any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; fears or behavior characteristics that the child has; and the names of individuals to whom the center may release the child, as authorized by the person who signs the application I suggested you review all applications during the enrollment process to ensure all required spaces are completed by the parent. You reported that you have completed the ABCMS Moodle training but have been unable to access the facility roster in the ABCMS provider portal. We reviewed the facility roster and there was one current employee and two former employees listed. I provided you with a copy of the ABCMS provider portal access guide for reference. This information must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need further assistance please contact the Criminal Background Check Unit at (919) 814-8401. All staff members must review the center's Emergency Preparedness and Response Plan and Emergency Medical Care Plan during orientation and on an annual basis thereafter. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members at the same time you review the facility’s Emergency Medical Care Plan. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. Consultation: The outdoor play area had mulch that was packed down due to recent rain. I suggested that you rake and fluff the current mulch to make sure that all areas are covered with 6 inches of surfacing. We discussed that QRIS requirements are available in 10A NCAC 09.3200. Additional information is available on the DCDEE website under the “What’s New” tab regarding the Pathway options. The North Carolina Rated License Project website (NCRLAP) has trainings available regarding the ITERS-3 and ECERS-3 assessments. Please let me know by October 31, 2025 of your Pathway choice. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/5/2025 Number Present: 14 Completed Date: 9/5/2025 Age: From 0 To 3 Total Minutes: 231 Time In: 10:09 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Valerie Lail, Co-Owner. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Kids at Play Childcare Center, LLC was current/active as of September 3, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Four star rated license effective January 18, 2019. The permit restrictions include 1st shift and meets enhanced ratios. The program’s compliance history was 83 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children and staff were participating in group story time, free play in activity centers, lunch, and rest time. The last monthly fire drill was practiced on August 27, 2025. The last shelter-in-place drill was practiced on July 25, 2025. The last monthly playground inspection was completed on August 25, 2025. A sample of three children’s records were reviewed. No new staff have been hired since the last monitoring visit. One existing staff file was reviewed. The most recent sanitation inspection for your facility was conducted on June 9, 2025. A superior sanitation classification was issued with 8 demerits noted on the grade card. The most recent lead water test results were completed on June 27, 2023. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “sections completed” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on March 3, 2025. The following violations were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On 8/6/25, 8/25/25, and 8/27/25, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One child, one year of age, had an incident report dated 1/21/25 on file that did not include the time the parent was notified and by whom. .0802 (e) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. One staff member employed 3/13/24 had verification of the last review of the Emergency Medical Care Plan dated 3/13/24 on file. 10A NCAC 09 .0802(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One infant enrolled in care on 7/11/25 did not have a medical exam on file. GS110-91(1) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child enrolled 6/2/25 and one child enrolled 7/11/25 did not have the child’s date of enrollment on the parent’s statement regarding discipline policy review. .1804(b) 1329 Application for enrollment did not include all required information. One infant enrolled 7/11/25 did not have fears, behavioral characteristics, or health care concerns listed on the application. .0801(a)(1-7) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Five current employees are not listed on the facility roster in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One staff member employed 3/13/24 had verification of the last review of the EPR plan dated 3/13/24 on file. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. One staff member employed 3/13/24 had verification of completed health and safety trainings dated August 26, 2025 on file. .1102(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by September 19, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. Incident report must be completed each time a child was injured and must include all the required information. We reviewed requirements for incident reports found in 10A NCAC 09 .0802(e ). I suggested that you use the sample incident report form found on the DCDEE website under provider document/forms to ensure all required information is included. All children must have a medical exam on file within the first thirty days of enrollment. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. The facility must obtain a statement that attests that a copy of the center's written discipline policies was given to and discussed with the parent. That statement must include the following: (1) the child's name (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. The signed, dated statement must be in the child's record and must remain on file in the center as long as the child is enrolled. I suggested you add the date of enrollment to your facility form that includes acknowledgement of the review of the discipline policy. Each child in care must have an individual application for enrollment completed and signed by the child's parent on file. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: emergency medical information; the child's full name and the name the child is to be called; the child's date of birth; any allergies and the symptoms and type of response required for allergic reactions; any health care needs or concerns, symptoms of and the type of response required for these health care needs or concerns; fears or behavior characteristics that the child has; and the names of individuals to whom the center may release the child, as authorized by the person who signs the application I suggested you review all applications during the enrollment process to ensure all required spaces are completed by the parent. You reported that you have completed the ABCMS Moodle training but have been unable to access the facility roster in the ABCMS provider portal. We reviewed the facility roster and there was one current employee and two former employees listed. I provided you with a copy of the ABCMS provider portal access guide for reference. This information must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need further assistance please contact the Criminal Background Check Unit at (919) 814-8401. All staff members must review the center's Emergency Preparedness and Response Plan and Emergency Medical Care Plan during orientation and on an annual basis thereafter. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members at the same time you review the facility’s Emergency Medical Care Plan. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. Consultation: The outdoor play area had mulch that was packed down due to recent rain. I suggested that you rake and fluff the current mulch to make sure that all areas are covered with 6 inches of surfacing. We discussed that QRIS requirements are available in 10A NCAC 09.3200. Additional information is available on the DCDEE website under the “What’s New” tab regarding the Pathway options. The North Carolina Rated License Project website (NCRLAP) has trainings available regarding the ITERS-3 and ECERS-3 assessments. Please let me know by October 31, 2025 of your Pathway choice. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 20 Completed Date: 4/2/2025 Age: From 0 To 5 Total Minutes: 129 Time In: 09:06 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Valerie Lail, Co-Owner. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and Kids at Play Childcare Center, LLC. was current/active as of March 26, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Four star rated license effective April 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The program’s compliance history was 86 percent prior to today’s visit. 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. 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 supervision and staff/child ratios in compliance. Children and staff were participating in free play in activity centers and outdoor gross motor time. The last monthly fire drill was practiced on March 28, 2025. The last shelter-in-place drill was practiced on January 27, 2025. The last monthly playground inspection was completed on February 29, 2025. No new staff have been hired since the annual compliance visit on September 19, 2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The most recent sanitation inspection for your facility was conducted on November 26, 2024. A superior sanitation classification was issued with 10 demerits noted on the grade card. The most recent lead water test results were completed on June 27, 2023. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated required asbestos and lead paint testing was completed May 10, 2024. The most recent approved fire inspection for your facility was conducted on March 3, 2025. The following violation(s) were observed today: Violation Number Comment Rule 474 Science and nature activities were not available weekly to each group. In space #1, there was no science activity offered for the week of 3/31/25-4/4/25. .0510(c)(2) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #2, there were 3 bottles without dates on the label. 15A NCAC 18A .2804(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #1 one leftover tube of A & D Ointment, labeled for a two-year-old child, did not have a current authorization for administration on file. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection on file was dated 2/28/25. .0605(q) The violation(s) documented must be corrected immediately. On or before April 16, 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 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. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Science Activity: Science and nature activities must be available weekly to each group. I encouraged you to review the upcoming week’s/month’s activity plan to make sure that science and nature activities are offered at least once a week. You plan to discuss science requirements with the staff to ensure understanding of the requirement. Labeled Bottles: All bottles sent from home must be dated and labeled for the appropriate child. We discussed having a roll of tape to label the bottles, at the time of arrival, if the parent has forgotten to include the date on the label. You stated you plan to check labels each morning to make sure the name and date are included. Medication Authorization: Leftover topical ointments must be returned to the parent or discarded within 72 hours of completion of treatment or when the authorization has expired. You reported that the tube of A and D ointment is no longer being used and discarded the tube of cream during the visit. I suggested that all medications and medication authorization forms be reviewed regularly to ensure compliance with requirements. Playground Inspections: A playground inspection must be completed by a staff member trained in playground safety at least once per month. I encouraged you set a calendar reminder to ensure no playground inspections are missed. You reported that you will get the inspection for the month of April completed within the next 2 weeks. Consultation or other topics discussed today: -Per Senate Bill 425, facilities are currently held harmless from star rated license assessments. -Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective January 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on September 12, 2024, and your business Kids at Play Childcare Center, LLC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, free play in activity areas, lunch, and rest time. Infants were engaged in tummy time, feeding, and napping. The center's compliance history was at 89% prior to today’s visit. 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. A sample of four children’s files were reviewed. No new staff members have been hired since the last monitoring visit conducted June 6, 2024. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 8/26/24. The last shelter-in-place drill was practiced on 7/29/24. The last monthly playground inspection was completed on 8/26/24. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the Summary of the Law had been given to the parent. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/9/24, one child was not signed out of care. On 9/10/24, one child was not signed out of care. On 9/16/24, two children were not signed into care. On 9/18/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One child enrolled 9/19/24, did not have a feeding plan on file. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the anchored play structure steps, there was peeling plastic coating that allowed exposed metal with sharp edges to be accessible to children. .0601(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, two children, two years of age, were wearing teething/sensory necklaces with small beads that could be torn apart and swallowed by children under three years of age. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the safe sleep policy was discussed on or before enrollment. 10A NCAC 09 .0606(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Operational policies had not been discussed with the parent of a child that enrolled 9/19/24. 10A NCAC 09 .0514(b) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for a child enrolled 9/19/24 did not show the name of those to whom the center is authorized to release the child. .0801(a)(7) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child enrolled 9/19/24, did not have a signed discipline acknowledgement on file. .1804(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the anchored play structure measured 4 inches tall. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 9/19/24, did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Comments Section: The violation(s) documented must be corrected immediately. On or before October, 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: The NC Summary of the Law must be given to parent’s before the child is enrolled at the childcare facility. G.S.110-102. You may consider having the summary of the law in the pre-enrollment packet to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Specific time of arrival and departure are required for each child in care. 10A NCAC 09.0302(d)(4) We discussed that staff members should check the sign in and out sheet at least three times each day. One time after morning cut off time, one time when school age children arrival for afterschool care, and one time after the facility has closed. You reported that you plan to discuss this information again with all staff to ensure compliance. There must be a feeding plan for all children under 15 months of age. 10A NCAC 09 .0902(a) You may consider completing the feeding plan at the pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given the feeding plan this morning to complete and return later today. At the annual compliance visit on 10/11/23, we discussed the need to address the peeling plastic coating on the play structure steps. You reported that you have tried to use homemade materials to cover the exposed metal area but have not found anything to stay securely in place. You may consider using layered electrical tape to cover the exposed metal and replace the tape as needed when conducting your monthly playground inspections. Check to make sure the layered tape is thick enough that the sharp edges do not come through the tape. Materials that can be torn apart and/or toy parts small enough to be swallowed must not be accessible to children under three years of age. 10A NCAC 09 .0604(q) We discussed that though the children who are wearing the necklaces may not pull them apart, other children in the classroom may pull at the beads. If the necklace pulls apart then the small beads would be a choking hazard for children under three years of age. Since you have three classrooms, all of which have some children under the age of three, beaded necklaces would not be appropriate to be in any of your classrooms. You plan to send the necklaces home today and notify parents that the necklaces will no longer be allowed in the center. The center’s safe sleep policy must be reviewed with the parent and an acknowledgement signed on or before the enrollment of the child. The acknowledgement must be in the child’s file. 10A NCAC 09.1804(b)(c). You may consider having the safe sleep policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Operational policies must be discussed and given to parents at the time of enrollment. 10A NCAC 09.0514(b) You may consider having the center’s operational policies in the pre-enrollment packet to ensure that all required information is discussed before or at the time of enrollment. For the child enrolled today, you said that the parent was given the operational policies this morning to review and discuss later today. The child’s application must show the name of those to whom the center is authorized to release the child. 10A NCAC 09. 0801(a)(7) For the child enrolled 9/19/24, there are some handwritten names on the back of the application, but the names do not indicate what the information is to be used for. In the other children’s files that were reviewed today, you have used the sample application form from the DCDEE website. This application example has a designated section for this needed information. I reviewed this sample with you and encouraged you to either use the sample form or create your own center’s application form that will include all the required information. You reported that you will get this needed application information from the parent at the time of pick up for the child today. Each child must have a signed statement on file that the discipline policy was reviewed with the parent at the time of enrollment. The signed statement must include the child’s name and the date that the child was enrolled in care. 10A NCAC 09 .10804(b). You may consider having the discipline form signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Your children’s files have two different forms that discuss the discipline policy. One form does not include the date of enrollment and the other form, which is a sample form from the DCDEE website, does list this information. You may consider using only one form to address acknowledgement of receipt of the discipline policy that includes all required information. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Equipment with a critical height of 5 feet or less must have 6 inches of loose surface materials. 10A NCAC 09 .0605(k)(1-4) You have mulch around the anchored play structure that measured 4 inches. We discussed that you may consider using a tiller or other landscaping tools to see if the existing mulch is enough when spread around the fall zone. If it is determined that there is not enough mulch, you stated you will call and have mulch delivered in the next 2 weeks. The center’s Shaken Baby and Abusive Head Trauma policy must be reviewed with and an acknowledgement signed by the parent at enrollment. The signed acknowledgement must be kept in the child’s file. 10A NCAC 09.0606(b). You may consider having this policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Consultation or other topics discussed today: Four additional ongoing training hours will be needed for the staff member employed 5/25/11 no later than October 11, 2024. Please send verification that required training hours were completed to me. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective January 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on September 12, 2024, and your business Kids at Play Childcare Center, LLC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, free play in activity areas, lunch, and rest time. Infants were engaged in tummy time, feeding, and napping. The center's compliance history was at 89% prior to today’s visit. 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. A sample of four children’s files were reviewed. No new staff members have been hired since the last monitoring visit conducted June 6, 2024. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 8/26/24. The last shelter-in-place drill was practiced on 7/29/24. The last monthly playground inspection was completed on 8/26/24. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the Summary of the Law had been given to the parent. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/9/24, one child was not signed out of care. On 9/10/24, one child was not signed out of care. On 9/16/24, two children were not signed into care. On 9/18/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One child enrolled 9/19/24, did not have a feeding plan on file. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the anchored play structure steps, there was peeling plastic coating that allowed exposed metal with sharp edges to be accessible to children. .0601(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, two children, two years of age, were wearing teething/sensory necklaces with small beads that could be torn apart and swallowed by children under three years of age. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the safe sleep policy was discussed on or before enrollment. 10A NCAC 09 .0606(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Operational policies had not been discussed with the parent of a child that enrolled 9/19/24. 10A NCAC 09 .0514(b) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for a child enrolled 9/19/24 did not show the name of those to whom the center is authorized to release the child. .0801(a)(7) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child enrolled 9/19/24, did not have a signed discipline acknowledgement on file. .1804(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the anchored play structure measured 4 inches tall. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 9/19/24, did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Comments Section: The violation(s) documented must be corrected immediately. On or before October, 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: The NC Summary of the Law must be given to parent’s before the child is enrolled at the childcare facility. G.S.110-102. You may consider having the summary of the law in the pre-enrollment packet to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Specific time of arrival and departure are required for each child in care. 10A NCAC 09.0302(d)(4) We discussed that staff members should check the sign in and out sheet at least three times each day. One time after morning cut off time, one time when school age children arrival for afterschool care, and one time after the facility has closed. You reported that you plan to discuss this information again with all staff to ensure compliance. There must be a feeding plan for all children under 15 months of age. 10A NCAC 09 .0902(a) You may consider completing the feeding plan at the pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given the feeding plan this morning to complete and return later today. At the annual compliance visit on 10/11/23, we discussed the need to address the peeling plastic coating on the play structure steps. You reported that you have tried to use homemade materials to cover the exposed metal area but have not found anything to stay securely in place. You may consider using layered electrical tape to cover the exposed metal and replace the tape as needed when conducting your monthly playground inspections. Check to make sure the layered tape is thick enough that the sharp edges do not come through the tape. Materials that can be torn apart and/or toy parts small enough to be swallowed must not be accessible to children under three years of age. 10A NCAC 09 .0604(q) We discussed that though the children who are wearing the necklaces may not pull them apart, other children in the classroom may pull at the beads. If the necklace pulls apart then the small beads would be a choking hazard for children under three years of age. Since you have three classrooms, all of which have some children under the age of three, beaded necklaces would not be appropriate to be in any of your classrooms. You plan to send the necklaces home today and notify parents that the necklaces will no longer be allowed in the center. The center’s safe sleep policy must be reviewed with the parent and an acknowledgement signed on or before the enrollment of the child. The acknowledgement must be in the child’s file. 10A NCAC 09.1804(b)(c). You may consider having the safe sleep policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Operational policies must be discussed and given to parents at the time of enrollment. 10A NCAC 09.0514(b) You may consider having the center’s operational policies in the pre-enrollment packet to ensure that all required information is discussed before or at the time of enrollment. For the child enrolled today, you said that the parent was given the operational policies this morning to review and discuss later today. The child’s application must show the name of those to whom the center is authorized to release the child. 10A NCAC 09. 0801(a)(7) For the child enrolled 9/19/24, there are some handwritten names on the back of the application, but the names do not indicate what the information is to be used for. In the other children’s files that were reviewed today, you have used the sample application form from the DCDEE website. This application example has a designated section for this needed information. I reviewed this sample with you and encouraged you to either use the sample form or create your own center’s application form that will include all the required information. You reported that you will get this needed application information from the parent at the time of pick up for the child today. Each child must have a signed statement on file that the discipline policy was reviewed with the parent at the time of enrollment. The signed statement must include the child’s name and the date that the child was enrolled in care. 10A NCAC 09 .10804(b). You may consider having the discipline form signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Your children’s files have two different forms that discuss the discipline policy. One form does not include the date of enrollment and the other form, which is a sample form from the DCDEE website, does list this information. You may consider using only one form to address acknowledgement of receipt of the discipline policy that includes all required information. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Equipment with a critical height of 5 feet or less must have 6 inches of loose surface materials. 10A NCAC 09 .0605(k)(1-4) You have mulch around the anchored play structure that measured 4 inches. We discussed that you may consider using a tiller or other landscaping tools to see if the existing mulch is enough when spread around the fall zone. If it is determined that there is not enough mulch, you stated you will call and have mulch delivered in the next 2 weeks. The center’s Shaken Baby and Abusive Head Trauma policy must be reviewed with and an acknowledgement signed by the parent at enrollment. The signed acknowledgement must be kept in the child’s file. 10A NCAC 09.0606(b). You may consider having this policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Consultation or other topics discussed today: Four additional ongoing training hours will be needed for the staff member employed 5/25/11 no later than October 11, 2024. Please send verification that required training hours were completed to me. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective January 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on September 12, 2024, and your business Kids at Play Childcare Center, LLC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, free play in activity areas, lunch, and rest time. Infants were engaged in tummy time, feeding, and napping. The center's compliance history was at 89% prior to today’s visit. 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. A sample of four children’s files were reviewed. No new staff members have been hired since the last monitoring visit conducted June 6, 2024. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 8/26/24. The last shelter-in-place drill was practiced on 7/29/24. The last monthly playground inspection was completed on 8/26/24. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the Summary of the Law had been given to the parent. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/9/24, one child was not signed out of care. On 9/10/24, one child was not signed out of care. On 9/16/24, two children were not signed into care. On 9/18/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One child enrolled 9/19/24, did not have a feeding plan on file. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the anchored play structure steps, there was peeling plastic coating that allowed exposed metal with sharp edges to be accessible to children. .0601(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, two children, two years of age, were wearing teething/sensory necklaces with small beads that could be torn apart and swallowed by children under three years of age. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the safe sleep policy was discussed on or before enrollment. 10A NCAC 09 .0606(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Operational policies had not been discussed with the parent of a child that enrolled 9/19/24. 10A NCAC 09 .0514(b) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for a child enrolled 9/19/24 did not show the name of those to whom the center is authorized to release the child. .0801(a)(7) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child enrolled 9/19/24, did not have a signed discipline acknowledgement on file. .1804(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the anchored play structure measured 4 inches tall. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 9/19/24, did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Comments Section: The violation(s) documented must be corrected immediately. On or before October, 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: The NC Summary of the Law must be given to parent’s before the child is enrolled at the childcare facility. G.S.110-102. You may consider having the summary of the law in the pre-enrollment packet to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Specific time of arrival and departure are required for each child in care. 10A NCAC 09.0302(d)(4) We discussed that staff members should check the sign in and out sheet at least three times each day. One time after morning cut off time, one time when school age children arrival for afterschool care, and one time after the facility has closed. You reported that you plan to discuss this information again with all staff to ensure compliance. There must be a feeding plan for all children under 15 months of age. 10A NCAC 09 .0902(a) You may consider completing the feeding plan at the pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given the feeding plan this morning to complete and return later today. At the annual compliance visit on 10/11/23, we discussed the need to address the peeling plastic coating on the play structure steps. You reported that you have tried to use homemade materials to cover the exposed metal area but have not found anything to stay securely in place. You may consider using layered electrical tape to cover the exposed metal and replace the tape as needed when conducting your monthly playground inspections. Check to make sure the layered tape is thick enough that the sharp edges do not come through the tape. Materials that can be torn apart and/or toy parts small enough to be swallowed must not be accessible to children under three years of age. 10A NCAC 09 .0604(q) We discussed that though the children who are wearing the necklaces may not pull them apart, other children in the classroom may pull at the beads. If the necklace pulls apart then the small beads would be a choking hazard for children under three years of age. Since you have three classrooms, all of which have some children under the age of three, beaded necklaces would not be appropriate to be in any of your classrooms. You plan to send the necklaces home today and notify parents that the necklaces will no longer be allowed in the center. The center’s safe sleep policy must be reviewed with the parent and an acknowledgement signed on or before the enrollment of the child. The acknowledgement must be in the child’s file. 10A NCAC 09.1804(b)(c). You may consider having the safe sleep policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Operational policies must be discussed and given to parents at the time of enrollment. 10A NCAC 09.0514(b) You may consider having the center’s operational policies in the pre-enrollment packet to ensure that all required information is discussed before or at the time of enrollment. For the child enrolled today, you said that the parent was given the operational policies this morning to review and discuss later today. The child’s application must show the name of those to whom the center is authorized to release the child. 10A NCAC 09. 0801(a)(7) For the child enrolled 9/19/24, there are some handwritten names on the back of the application, but the names do not indicate what the information is to be used for. In the other children’s files that were reviewed today, you have used the sample application form from the DCDEE website. This application example has a designated section for this needed information. I reviewed this sample with you and encouraged you to either use the sample form or create your own center’s application form that will include all the required information. You reported that you will get this needed application information from the parent at the time of pick up for the child today. Each child must have a signed statement on file that the discipline policy was reviewed with the parent at the time of enrollment. The signed statement must include the child’s name and the date that the child was enrolled in care. 10A NCAC 09 .10804(b). You may consider having the discipline form signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Your children’s files have two different forms that discuss the discipline policy. One form does not include the date of enrollment and the other form, which is a sample form from the DCDEE website, does list this information. You may consider using only one form to address acknowledgement of receipt of the discipline policy that includes all required information. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Equipment with a critical height of 5 feet or less must have 6 inches of loose surface materials. 10A NCAC 09 .0605(k)(1-4) You have mulch around the anchored play structure that measured 4 inches. We discussed that you may consider using a tiller or other landscaping tools to see if the existing mulch is enough when spread around the fall zone. If it is determined that there is not enough mulch, you stated you will call and have mulch delivered in the next 2 weeks. The center’s Shaken Baby and Abusive Head Trauma policy must be reviewed with and an acknowledgement signed by the parent at enrollment. The signed acknowledgement must be kept in the child’s file. 10A NCAC 09.0606(b). You may consider having this policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Consultation or other topics discussed today: Four additional ongoing training hours will be needed for the staff member employed 5/25/11 no later than October 11, 2024. Please send verification that required training hours were completed to me. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective January 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on September 12, 2024, and your business Kids at Play Childcare Center, LLC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, free play in activity areas, lunch, and rest time. Infants were engaged in tummy time, feeding, and napping. The center's compliance history was at 89% prior to today’s visit. 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. A sample of four children’s files were reviewed. No new staff members have been hired since the last monitoring visit conducted June 6, 2024. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 8/26/24. The last shelter-in-place drill was practiced on 7/29/24. The last monthly playground inspection was completed on 8/26/24. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the Summary of the Law had been given to the parent. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/9/24, one child was not signed out of care. On 9/10/24, one child was not signed out of care. On 9/16/24, two children were not signed into care. On 9/18/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One child enrolled 9/19/24, did not have a feeding plan on file. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the anchored play structure steps, there was peeling plastic coating that allowed exposed metal with sharp edges to be accessible to children. .0601(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, two children, two years of age, were wearing teething/sensory necklaces with small beads that could be torn apart and swallowed by children under three years of age. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the safe sleep policy was discussed on or before enrollment. 10A NCAC 09 .0606(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Operational policies had not been discussed with the parent of a child that enrolled 9/19/24. 10A NCAC 09 .0514(b) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for a child enrolled 9/19/24 did not show the name of those to whom the center is authorized to release the child. .0801(a)(7) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child enrolled 9/19/24, did not have a signed discipline acknowledgement on file. .1804(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the anchored play structure measured 4 inches tall. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 9/19/24, did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Comments Section: The violation(s) documented must be corrected immediately. On or before October, 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: The NC Summary of the Law must be given to parent’s before the child is enrolled at the childcare facility. G.S.110-102. You may consider having the summary of the law in the pre-enrollment packet to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Specific time of arrival and departure are required for each child in care. 10A NCAC 09.0302(d)(4) We discussed that staff members should check the sign in and out sheet at least three times each day. One time after morning cut off time, one time when school age children arrival for afterschool care, and one time after the facility has closed. You reported that you plan to discuss this information again with all staff to ensure compliance. There must be a feeding plan for all children under 15 months of age. 10A NCAC 09 .0902(a) You may consider completing the feeding plan at the pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given the feeding plan this morning to complete and return later today. At the annual compliance visit on 10/11/23, we discussed the need to address the peeling plastic coating on the play structure steps. You reported that you have tried to use homemade materials to cover the exposed metal area but have not found anything to stay securely in place. You may consider using layered electrical tape to cover the exposed metal and replace the tape as needed when conducting your monthly playground inspections. Check to make sure the layered tape is thick enough that the sharp edges do not come through the tape. Materials that can be torn apart and/or toy parts small enough to be swallowed must not be accessible to children under three years of age. 10A NCAC 09 .0604(q) We discussed that though the children who are wearing the necklaces may not pull them apart, other children in the classroom may pull at the beads. If the necklace pulls apart then the small beads would be a choking hazard for children under three years of age. Since you have three classrooms, all of which have some children under the age of three, beaded necklaces would not be appropriate to be in any of your classrooms. You plan to send the necklaces home today and notify parents that the necklaces will no longer be allowed in the center. The center’s safe sleep policy must be reviewed with the parent and an acknowledgement signed on or before the enrollment of the child. The acknowledgement must be in the child’s file. 10A NCAC 09.1804(b)(c). You may consider having the safe sleep policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Operational policies must be discussed and given to parents at the time of enrollment. 10A NCAC 09.0514(b) You may consider having the center’s operational policies in the pre-enrollment packet to ensure that all required information is discussed before or at the time of enrollment. For the child enrolled today, you said that the parent was given the operational policies this morning to review and discuss later today. The child’s application must show the name of those to whom the center is authorized to release the child. 10A NCAC 09. 0801(a)(7) For the child enrolled 9/19/24, there are some handwritten names on the back of the application, but the names do not indicate what the information is to be used for. In the other children’s files that were reviewed today, you have used the sample application form from the DCDEE website. This application example has a designated section for this needed information. I reviewed this sample with you and encouraged you to either use the sample form or create your own center’s application form that will include all the required information. You reported that you will get this needed application information from the parent at the time of pick up for the child today. Each child must have a signed statement on file that the discipline policy was reviewed with the parent at the time of enrollment. The signed statement must include the child’s name and the date that the child was enrolled in care. 10A NCAC 09 .10804(b). You may consider having the discipline form signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Your children’s files have two different forms that discuss the discipline policy. One form does not include the date of enrollment and the other form, which is a sample form from the DCDEE website, does list this information. You may consider using only one form to address acknowledgement of receipt of the discipline policy that includes all required information. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Equipment with a critical height of 5 feet or less must have 6 inches of loose surface materials. 10A NCAC 09 .0605(k)(1-4) You have mulch around the anchored play structure that measured 4 inches. We discussed that you may consider using a tiller or other landscaping tools to see if the existing mulch is enough when spread around the fall zone. If it is determined that there is not enough mulch, you stated you will call and have mulch delivered in the next 2 weeks. The center’s Shaken Baby and Abusive Head Trauma policy must be reviewed with and an acknowledgement signed by the parent at enrollment. The signed acknowledgement must be kept in the child’s file. 10A NCAC 09.0606(b). You may consider having this policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Consultation or other topics discussed today: Four additional ongoing training hours will be needed for the staff member employed 5/25/11 no later than October 11, 2024. Please send verification that required training hours were completed to me. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective January 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on September 12, 2024, and your business Kids at Play Childcare Center, LLC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, free play in activity areas, lunch, and rest time. Infants were engaged in tummy time, feeding, and napping. The center's compliance history was at 89% prior to today’s visit. 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. A sample of four children’s files were reviewed. No new staff members have been hired since the last monitoring visit conducted June 6, 2024. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 8/26/24. The last shelter-in-place drill was practiced on 7/29/24. The last monthly playground inspection was completed on 8/26/24. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the Summary of the Law had been given to the parent. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/9/24, one child was not signed out of care. On 9/10/24, one child was not signed out of care. On 9/16/24, two children were not signed into care. On 9/18/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One child enrolled 9/19/24, did not have a feeding plan on file. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the anchored play structure steps, there was peeling plastic coating that allowed exposed metal with sharp edges to be accessible to children. .0601(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, two children, two years of age, were wearing teething/sensory necklaces with small beads that could be torn apart and swallowed by children under three years of age. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the safe sleep policy was discussed on or before enrollment. 10A NCAC 09 .0606(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Operational policies had not been discussed with the parent of a child that enrolled 9/19/24. 10A NCAC 09 .0514(b) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for a child enrolled 9/19/24 did not show the name of those to whom the center is authorized to release the child. .0801(a)(7) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child enrolled 9/19/24, did not have a signed discipline acknowledgement on file. .1804(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the anchored play structure measured 4 inches tall. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 9/19/24, did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Comments Section: The violation(s) documented must be corrected immediately. On or before October, 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: The NC Summary of the Law must be given to parent’s before the child is enrolled at the childcare facility. G.S.110-102. You may consider having the summary of the law in the pre-enrollment packet to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Specific time of arrival and departure are required for each child in care. 10A NCAC 09.0302(d)(4) We discussed that staff members should check the sign in and out sheet at least three times each day. One time after morning cut off time, one time when school age children arrival for afterschool care, and one time after the facility has closed. You reported that you plan to discuss this information again with all staff to ensure compliance. There must be a feeding plan for all children under 15 months of age. 10A NCAC 09 .0902(a) You may consider completing the feeding plan at the pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given the feeding plan this morning to complete and return later today. At the annual compliance visit on 10/11/23, we discussed the need to address the peeling plastic coating on the play structure steps. You reported that you have tried to use homemade materials to cover the exposed metal area but have not found anything to stay securely in place. You may consider using layered electrical tape to cover the exposed metal and replace the tape as needed when conducting your monthly playground inspections. Check to make sure the layered tape is thick enough that the sharp edges do not come through the tape. Materials that can be torn apart and/or toy parts small enough to be swallowed must not be accessible to children under three years of age. 10A NCAC 09 .0604(q) We discussed that though the children who are wearing the necklaces may not pull them apart, other children in the classroom may pull at the beads. If the necklace pulls apart then the small beads would be a choking hazard for children under three years of age. Since you have three classrooms, all of which have some children under the age of three, beaded necklaces would not be appropriate to be in any of your classrooms. You plan to send the necklaces home today and notify parents that the necklaces will no longer be allowed in the center. The center’s safe sleep policy must be reviewed with the parent and an acknowledgement signed on or before the enrollment of the child. The acknowledgement must be in the child’s file. 10A NCAC 09.1804(b)(c). You may consider having the safe sleep policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Operational policies must be discussed and given to parents at the time of enrollment. 10A NCAC 09.0514(b) You may consider having the center’s operational policies in the pre-enrollment packet to ensure that all required information is discussed before or at the time of enrollment. For the child enrolled today, you said that the parent was given the operational policies this morning to review and discuss later today. The child’s application must show the name of those to whom the center is authorized to release the child. 10A NCAC 09. 0801(a)(7) For the child enrolled 9/19/24, there are some handwritten names on the back of the application, but the names do not indicate what the information is to be used for. In the other children’s files that were reviewed today, you have used the sample application form from the DCDEE website. This application example has a designated section for this needed information. I reviewed this sample with you and encouraged you to either use the sample form or create your own center’s application form that will include all the required information. You reported that you will get this needed application information from the parent at the time of pick up for the child today. Each child must have a signed statement on file that the discipline policy was reviewed with the parent at the time of enrollment. The signed statement must include the child’s name and the date that the child was enrolled in care. 10A NCAC 09 .10804(b). You may consider having the discipline form signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Your children’s files have two different forms that discuss the discipline policy. One form does not include the date of enrollment and the other form, which is a sample form from the DCDEE website, does list this information. You may consider using only one form to address acknowledgement of receipt of the discipline policy that includes all required information. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Equipment with a critical height of 5 feet or less must have 6 inches of loose surface materials. 10A NCAC 09 .0605(k)(1-4) You have mulch around the anchored play structure that measured 4 inches. We discussed that you may consider using a tiller or other landscaping tools to see if the existing mulch is enough when spread around the fall zone. If it is determined that there is not enough mulch, you stated you will call and have mulch delivered in the next 2 weeks. The center’s Shaken Baby and Abusive Head Trauma policy must be reviewed with and an acknowledgement signed by the parent at enrollment. The signed acknowledgement must be kept in the child’s file. 10A NCAC 09.0606(b). You may consider having this policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Consultation or other topics discussed today: Four additional ongoing training hours will be needed for the staff member employed 5/25/11 no later than October 11, 2024. Please send verification that required training hours were completed to me. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective January 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on September 12, 2024, and your business Kids at Play Childcare Center, LLC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, free play in activity areas, lunch, and rest time. Infants were engaged in tummy time, feeding, and napping. The center's compliance history was at 89% prior to today’s visit. 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. A sample of four children’s files were reviewed. No new staff members have been hired since the last monitoring visit conducted June 6, 2024. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 8/26/24. The last shelter-in-place drill was practiced on 7/29/24. The last monthly playground inspection was completed on 8/26/24. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the Summary of the Law had been given to the parent. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/9/24, one child was not signed out of care. On 9/10/24, one child was not signed out of care. On 9/16/24, two children were not signed into care. On 9/18/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One child enrolled 9/19/24, did not have a feeding plan on file. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the anchored play structure steps, there was peeling plastic coating that allowed exposed metal with sharp edges to be accessible to children. .0601(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, two children, two years of age, were wearing teething/sensory necklaces with small beads that could be torn apart and swallowed by children under three years of age. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the safe sleep policy was discussed on or before enrollment. 10A NCAC 09 .0606(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Operational policies had not been discussed with the parent of a child that enrolled 9/19/24. 10A NCAC 09 .0514(b) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for a child enrolled 9/19/24 did not show the name of those to whom the center is authorized to release the child. .0801(a)(7) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child enrolled 9/19/24, did not have a signed discipline acknowledgement on file. .1804(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the anchored play structure measured 4 inches tall. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 9/19/24, did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Comments Section: The violation(s) documented must be corrected immediately. On or before October, 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: The NC Summary of the Law must be given to parent’s before the child is enrolled at the childcare facility. G.S.110-102. You may consider having the summary of the law in the pre-enrollment packet to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Specific time of arrival and departure are required for each child in care. 10A NCAC 09.0302(d)(4) We discussed that staff members should check the sign in and out sheet at least three times each day. One time after morning cut off time, one time when school age children arrival for afterschool care, and one time after the facility has closed. You reported that you plan to discuss this information again with all staff to ensure compliance. There must be a feeding plan for all children under 15 months of age. 10A NCAC 09 .0902(a) You may consider completing the feeding plan at the pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given the feeding plan this morning to complete and return later today. At the annual compliance visit on 10/11/23, we discussed the need to address the peeling plastic coating on the play structure steps. You reported that you have tried to use homemade materials to cover the exposed metal area but have not found anything to stay securely in place. You may consider using layered electrical tape to cover the exposed metal and replace the tape as needed when conducting your monthly playground inspections. Check to make sure the layered tape is thick enough that the sharp edges do not come through the tape. Materials that can be torn apart and/or toy parts small enough to be swallowed must not be accessible to children under three years of age. 10A NCAC 09 .0604(q) We discussed that though the children who are wearing the necklaces may not pull them apart, other children in the classroom may pull at the beads. If the necklace pulls apart then the small beads would be a choking hazard for children under three years of age. Since you have three classrooms, all of which have some children under the age of three, beaded necklaces would not be appropriate to be in any of your classrooms. You plan to send the necklaces home today and notify parents that the necklaces will no longer be allowed in the center. The center’s safe sleep policy must be reviewed with the parent and an acknowledgement signed on or before the enrollment of the child. The acknowledgement must be in the child’s file. 10A NCAC 09.1804(b)(c). You may consider having the safe sleep policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Operational policies must be discussed and given to parents at the time of enrollment. 10A NCAC 09.0514(b) You may consider having the center’s operational policies in the pre-enrollment packet to ensure that all required information is discussed before or at the time of enrollment. For the child enrolled today, you said that the parent was given the operational policies this morning to review and discuss later today. The child’s application must show the name of those to whom the center is authorized to release the child. 10A NCAC 09. 0801(a)(7) For the child enrolled 9/19/24, there are some handwritten names on the back of the application, but the names do not indicate what the information is to be used for. In the other children’s files that were reviewed today, you have used the sample application form from the DCDEE website. This application example has a designated section for this needed information. I reviewed this sample with you and encouraged you to either use the sample form or create your own center’s application form that will include all the required information. You reported that you will get this needed application information from the parent at the time of pick up for the child today. Each child must have a signed statement on file that the discipline policy was reviewed with the parent at the time of enrollment. The signed statement must include the child’s name and the date that the child was enrolled in care. 10A NCAC 09 .10804(b). You may consider having the discipline form signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Your children’s files have two different forms that discuss the discipline policy. One form does not include the date of enrollment and the other form, which is a sample form from the DCDEE website, does list this information. You may consider using only one form to address acknowledgement of receipt of the discipline policy that includes all required information. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Equipment with a critical height of 5 feet or less must have 6 inches of loose surface materials. 10A NCAC 09 .0605(k)(1-4) You have mulch around the anchored play structure that measured 4 inches. We discussed that you may consider using a tiller or other landscaping tools to see if the existing mulch is enough when spread around the fall zone. If it is determined that there is not enough mulch, you stated you will call and have mulch delivered in the next 2 weeks. The center’s Shaken Baby and Abusive Head Trauma policy must be reviewed with and an acknowledgement signed by the parent at enrollment. The signed acknowledgement must be kept in the child’s file. 10A NCAC 09.0606(b). You may consider having this policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Consultation or other topics discussed today: Four additional ongoing training hours will be needed for the staff member employed 5/25/11 no later than October 11, 2024. Please send verification that required training hours were completed to me. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .10804 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective January 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on September 12, 2024, and your business Kids at Play Childcare Center, LLC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, free play in activity areas, lunch, and rest time. Infants were engaged in tummy time, feeding, and napping. The center's compliance history was at 89% prior to today’s visit. 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. A sample of four children’s files were reviewed. No new staff members have been hired since the last monitoring visit conducted June 6, 2024. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 8/26/24. The last shelter-in-place drill was practiced on 7/29/24. The last monthly playground inspection was completed on 8/26/24. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the Summary of the Law had been given to the parent. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/9/24, one child was not signed out of care. On 9/10/24, one child was not signed out of care. On 9/16/24, two children were not signed into care. On 9/18/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One child enrolled 9/19/24, did not have a feeding plan on file. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the anchored play structure steps, there was peeling plastic coating that allowed exposed metal with sharp edges to be accessible to children. .0601(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, two children, two years of age, were wearing teething/sensory necklaces with small beads that could be torn apart and swallowed by children under three years of age. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the safe sleep policy was discussed on or before enrollment. 10A NCAC 09 .0606(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Operational policies had not been discussed with the parent of a child that enrolled 9/19/24. 10A NCAC 09 .0514(b) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for a child enrolled 9/19/24 did not show the name of those to whom the center is authorized to release the child. .0801(a)(7) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child enrolled 9/19/24, did not have a signed discipline acknowledgement on file. .1804(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the anchored play structure measured 4 inches tall. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 9/19/24, did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Comments Section: The violation(s) documented must be corrected immediately. On or before October, 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: The NC Summary of the Law must be given to parent’s before the child is enrolled at the childcare facility. G.S.110-102. You may consider having the summary of the law in the pre-enrollment packet to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Specific time of arrival and departure are required for each child in care. 10A NCAC 09.0302(d)(4) We discussed that staff members should check the sign in and out sheet at least three times each day. One time after morning cut off time, one time when school age children arrival for afterschool care, and one time after the facility has closed. You reported that you plan to discuss this information again with all staff to ensure compliance. There must be a feeding plan for all children under 15 months of age. 10A NCAC 09 .0902(a) You may consider completing the feeding plan at the pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given the feeding plan this morning to complete and return later today. At the annual compliance visit on 10/11/23, we discussed the need to address the peeling plastic coating on the play structure steps. You reported that you have tried to use homemade materials to cover the exposed metal area but have not found anything to stay securely in place. You may consider using layered electrical tape to cover the exposed metal and replace the tape as needed when conducting your monthly playground inspections. Check to make sure the layered tape is thick enough that the sharp edges do not come through the tape. Materials that can be torn apart and/or toy parts small enough to be swallowed must not be accessible to children under three years of age. 10A NCAC 09 .0604(q) We discussed that though the children who are wearing the necklaces may not pull them apart, other children in the classroom may pull at the beads. If the necklace pulls apart then the small beads would be a choking hazard for children under three years of age. Since you have three classrooms, all of which have some children under the age of three, beaded necklaces would not be appropriate to be in any of your classrooms. You plan to send the necklaces home today and notify parents that the necklaces will no longer be allowed in the center. The center’s safe sleep policy must be reviewed with the parent and an acknowledgement signed on or before the enrollment of the child. The acknowledgement must be in the child’s file. 10A NCAC 09.1804(b)(c). You may consider having the safe sleep policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Operational policies must be discussed and given to parents at the time of enrollment. 10A NCAC 09.0514(b) You may consider having the center’s operational policies in the pre-enrollment packet to ensure that all required information is discussed before or at the time of enrollment. For the child enrolled today, you said that the parent was given the operational policies this morning to review and discuss later today. The child’s application must show the name of those to whom the center is authorized to release the child. 10A NCAC 09. 0801(a)(7) For the child enrolled 9/19/24, there are some handwritten names on the back of the application, but the names do not indicate what the information is to be used for. In the other children’s files that were reviewed today, you have used the sample application form from the DCDEE website. This application example has a designated section for this needed information. I reviewed this sample with you and encouraged you to either use the sample form or create your own center’s application form that will include all the required information. You reported that you will get this needed application information from the parent at the time of pick up for the child today. Each child must have a signed statement on file that the discipline policy was reviewed with the parent at the time of enrollment. The signed statement must include the child’s name and the date that the child was enrolled in care. 10A NCAC 09 .10804(b). You may consider having the discipline form signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Your children’s files have two different forms that discuss the discipline policy. One form does not include the date of enrollment and the other form, which is a sample form from the DCDEE website, does list this information. You may consider using only one form to address acknowledgement of receipt of the discipline policy that includes all required information. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Equipment with a critical height of 5 feet or less must have 6 inches of loose surface materials. 10A NCAC 09 .0605(k)(1-4) You have mulch around the anchored play structure that measured 4 inches. We discussed that you may consider using a tiller or other landscaping tools to see if the existing mulch is enough when spread around the fall zone. If it is determined that there is not enough mulch, you stated you will call and have mulch delivered in the next 2 weeks. The center’s Shaken Baby and Abusive Head Trauma policy must be reviewed with and an acknowledgement signed by the parent at enrollment. The signed acknowledgement must be kept in the child’s file. 10A NCAC 09.0606(b). You may consider having this policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Consultation or other topics discussed today: Four additional ongoing training hours will be needed for the staff member employed 5/25/11 no later than October 11, 2024. Please send verification that required training hours were completed to me. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09. 0801 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective January 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on September 12, 2024, and your business Kids at Play Childcare Center, LLC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, free play in activity areas, lunch, and rest time. Infants were engaged in tummy time, feeding, and napping. The center's compliance history was at 89% prior to today’s visit. 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. A sample of four children’s files were reviewed. No new staff members have been hired since the last monitoring visit conducted June 6, 2024. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 8/26/24. The last shelter-in-place drill was practiced on 7/29/24. The last monthly playground inspection was completed on 8/26/24. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the Summary of the Law had been given to the parent. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/9/24, one child was not signed out of care. On 9/10/24, one child was not signed out of care. On 9/16/24, two children were not signed into care. On 9/18/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One child enrolled 9/19/24, did not have a feeding plan on file. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the anchored play structure steps, there was peeling plastic coating that allowed exposed metal with sharp edges to be accessible to children. .0601(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, two children, two years of age, were wearing teething/sensory necklaces with small beads that could be torn apart and swallowed by children under three years of age. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the safe sleep policy was discussed on or before enrollment. 10A NCAC 09 .0606(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Operational policies had not been discussed with the parent of a child that enrolled 9/19/24. 10A NCAC 09 .0514(b) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for a child enrolled 9/19/24 did not show the name of those to whom the center is authorized to release the child. .0801(a)(7) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child enrolled 9/19/24, did not have a signed discipline acknowledgement on file. .1804(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the anchored play structure measured 4 inches tall. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 9/19/24, did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Comments Section: The violation(s) documented must be corrected immediately. On or before October, 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: The NC Summary of the Law must be given to parent’s before the child is enrolled at the childcare facility. G.S.110-102. You may consider having the summary of the law in the pre-enrollment packet to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Specific time of arrival and departure are required for each child in care. 10A NCAC 09.0302(d)(4) We discussed that staff members should check the sign in and out sheet at least three times each day. One time after morning cut off time, one time when school age children arrival for afterschool care, and one time after the facility has closed. You reported that you plan to discuss this information again with all staff to ensure compliance. There must be a feeding plan for all children under 15 months of age. 10A NCAC 09 .0902(a) You may consider completing the feeding plan at the pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given the feeding plan this morning to complete and return later today. At the annual compliance visit on 10/11/23, we discussed the need to address the peeling plastic coating on the play structure steps. You reported that you have tried to use homemade materials to cover the exposed metal area but have not found anything to stay securely in place. You may consider using layered electrical tape to cover the exposed metal and replace the tape as needed when conducting your monthly playground inspections. Check to make sure the layered tape is thick enough that the sharp edges do not come through the tape. Materials that can be torn apart and/or toy parts small enough to be swallowed must not be accessible to children under three years of age. 10A NCAC 09 .0604(q) We discussed that though the children who are wearing the necklaces may not pull them apart, other children in the classroom may pull at the beads. If the necklace pulls apart then the small beads would be a choking hazard for children under three years of age. Since you have three classrooms, all of which have some children under the age of three, beaded necklaces would not be appropriate to be in any of your classrooms. You plan to send the necklaces home today and notify parents that the necklaces will no longer be allowed in the center. The center’s safe sleep policy must be reviewed with the parent and an acknowledgement signed on or before the enrollment of the child. The acknowledgement must be in the child’s file. 10A NCAC 09.1804(b)(c). You may consider having the safe sleep policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Operational policies must be discussed and given to parents at the time of enrollment. 10A NCAC 09.0514(b) You may consider having the center’s operational policies in the pre-enrollment packet to ensure that all required information is discussed before or at the time of enrollment. For the child enrolled today, you said that the parent was given the operational policies this morning to review and discuss later today. The child’s application must show the name of those to whom the center is authorized to release the child. 10A NCAC 09. 0801(a)(7) For the child enrolled 9/19/24, there are some handwritten names on the back of the application, but the names do not indicate what the information is to be used for. In the other children’s files that were reviewed today, you have used the sample application form from the DCDEE website. This application example has a designated section for this needed information. I reviewed this sample with you and encouraged you to either use the sample form or create your own center’s application form that will include all the required information. You reported that you will get this needed application information from the parent at the time of pick up for the child today. Each child must have a signed statement on file that the discipline policy was reviewed with the parent at the time of enrollment. The signed statement must include the child’s name and the date that the child was enrolled in care. 10A NCAC 09 .10804(b). You may consider having the discipline form signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Your children’s files have two different forms that discuss the discipline policy. One form does not include the date of enrollment and the other form, which is a sample form from the DCDEE website, does list this information. You may consider using only one form to address acknowledgement of receipt of the discipline policy that includes all required information. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Equipment with a critical height of 5 feet or less must have 6 inches of loose surface materials. 10A NCAC 09 .0605(k)(1-4) You have mulch around the anchored play structure that measured 4 inches. We discussed that you may consider using a tiller or other landscaping tools to see if the existing mulch is enough when spread around the fall zone. If it is determined that there is not enough mulch, you stated you will call and have mulch delivered in the next 2 weeks. The center’s Shaken Baby and Abusive Head Trauma policy must be reviewed with and an acknowledgement signed by the parent at enrollment. The signed acknowledgement must be kept in the child’s file. 10A NCAC 09.0606(b). You may consider having this policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Consultation or other topics discussed today: Four additional ongoing training hours will be needed for the staff member employed 5/25/11 no later than October 11, 2024. Please send verification that required training hours were completed to me. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0302 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective January 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on September 12, 2024, and your business Kids at Play Childcare Center, LLC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, free play in activity areas, lunch, and rest time. Infants were engaged in tummy time, feeding, and napping. The center's compliance history was at 89% prior to today’s visit. 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. A sample of four children’s files were reviewed. No new staff members have been hired since the last monitoring visit conducted June 6, 2024. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 8/26/24. The last shelter-in-place drill was practiced on 7/29/24. The last monthly playground inspection was completed on 8/26/24. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the Summary of the Law had been given to the parent. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/9/24, one child was not signed out of care. On 9/10/24, one child was not signed out of care. On 9/16/24, two children were not signed into care. On 9/18/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One child enrolled 9/19/24, did not have a feeding plan on file. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the anchored play structure steps, there was peeling plastic coating that allowed exposed metal with sharp edges to be accessible to children. .0601(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, two children, two years of age, were wearing teething/sensory necklaces with small beads that could be torn apart and swallowed by children under three years of age. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the safe sleep policy was discussed on or before enrollment. 10A NCAC 09 .0606(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Operational policies had not been discussed with the parent of a child that enrolled 9/19/24. 10A NCAC 09 .0514(b) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for a child enrolled 9/19/24 did not show the name of those to whom the center is authorized to release the child. .0801(a)(7) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child enrolled 9/19/24, did not have a signed discipline acknowledgement on file. .1804(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the anchored play structure measured 4 inches tall. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 9/19/24, did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Comments Section: The violation(s) documented must be corrected immediately. On or before October, 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: The NC Summary of the Law must be given to parent’s before the child is enrolled at the childcare facility. G.S.110-102. You may consider having the summary of the law in the pre-enrollment packet to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Specific time of arrival and departure are required for each child in care. 10A NCAC 09.0302(d)(4) We discussed that staff members should check the sign in and out sheet at least three times each day. One time after morning cut off time, one time when school age children arrival for afterschool care, and one time after the facility has closed. You reported that you plan to discuss this information again with all staff to ensure compliance. There must be a feeding plan for all children under 15 months of age. 10A NCAC 09 .0902(a) You may consider completing the feeding plan at the pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given the feeding plan this morning to complete and return later today. At the annual compliance visit on 10/11/23, we discussed the need to address the peeling plastic coating on the play structure steps. You reported that you have tried to use homemade materials to cover the exposed metal area but have not found anything to stay securely in place. You may consider using layered electrical tape to cover the exposed metal and replace the tape as needed when conducting your monthly playground inspections. Check to make sure the layered tape is thick enough that the sharp edges do not come through the tape. Materials that can be torn apart and/or toy parts small enough to be swallowed must not be accessible to children under three years of age. 10A NCAC 09 .0604(q) We discussed that though the children who are wearing the necklaces may not pull them apart, other children in the classroom may pull at the beads. If the necklace pulls apart then the small beads would be a choking hazard for children under three years of age. Since you have three classrooms, all of which have some children under the age of three, beaded necklaces would not be appropriate to be in any of your classrooms. You plan to send the necklaces home today and notify parents that the necklaces will no longer be allowed in the center. The center’s safe sleep policy must be reviewed with the parent and an acknowledgement signed on or before the enrollment of the child. The acknowledgement must be in the child’s file. 10A NCAC 09.1804(b)(c). You may consider having the safe sleep policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Operational policies must be discussed and given to parents at the time of enrollment. 10A NCAC 09.0514(b) You may consider having the center’s operational policies in the pre-enrollment packet to ensure that all required information is discussed before or at the time of enrollment. For the child enrolled today, you said that the parent was given the operational policies this morning to review and discuss later today. The child’s application must show the name of those to whom the center is authorized to release the child. 10A NCAC 09. 0801(a)(7) For the child enrolled 9/19/24, there are some handwritten names on the back of the application, but the names do not indicate what the information is to be used for. In the other children’s files that were reviewed today, you have used the sample application form from the DCDEE website. This application example has a designated section for this needed information. I reviewed this sample with you and encouraged you to either use the sample form or create your own center’s application form that will include all the required information. You reported that you will get this needed application information from the parent at the time of pick up for the child today. Each child must have a signed statement on file that the discipline policy was reviewed with the parent at the time of enrollment. The signed statement must include the child’s name and the date that the child was enrolled in care. 10A NCAC 09 .10804(b). You may consider having the discipline form signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Your children’s files have two different forms that discuss the discipline policy. One form does not include the date of enrollment and the other form, which is a sample form from the DCDEE website, does list this information. You may consider using only one form to address acknowledgement of receipt of the discipline policy that includes all required information. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Equipment with a critical height of 5 feet or less must have 6 inches of loose surface materials. 10A NCAC 09 .0605(k)(1-4) You have mulch around the anchored play structure that measured 4 inches. We discussed that you may consider using a tiller or other landscaping tools to see if the existing mulch is enough when spread around the fall zone. If it is determined that there is not enough mulch, you stated you will call and have mulch delivered in the next 2 weeks. The center’s Shaken Baby and Abusive Head Trauma policy must be reviewed with and an acknowledgement signed by the parent at enrollment. The signed acknowledgement must be kept in the child’s file. 10A NCAC 09.0606(b). You may consider having this policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Consultation or other topics discussed today: Four additional ongoing training hours will be needed for the staff member employed 5/25/11 no later than October 11, 2024. Please send verification that required training hours were completed to me. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0514 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective January 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on September 12, 2024, and your business Kids at Play Childcare Center, LLC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, free play in activity areas, lunch, and rest time. Infants were engaged in tummy time, feeding, and napping. The center's compliance history was at 89% prior to today’s visit. 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. A sample of four children’s files were reviewed. No new staff members have been hired since the last monitoring visit conducted June 6, 2024. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 8/26/24. The last shelter-in-place drill was practiced on 7/29/24. The last monthly playground inspection was completed on 8/26/24. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the Summary of the Law had been given to the parent. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/9/24, one child was not signed out of care. On 9/10/24, one child was not signed out of care. On 9/16/24, two children were not signed into care. On 9/18/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One child enrolled 9/19/24, did not have a feeding plan on file. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the anchored play structure steps, there was peeling plastic coating that allowed exposed metal with sharp edges to be accessible to children. .0601(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, two children, two years of age, were wearing teething/sensory necklaces with small beads that could be torn apart and swallowed by children under three years of age. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the safe sleep policy was discussed on or before enrollment. 10A NCAC 09 .0606(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Operational policies had not been discussed with the parent of a child that enrolled 9/19/24. 10A NCAC 09 .0514(b) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for a child enrolled 9/19/24 did not show the name of those to whom the center is authorized to release the child. .0801(a)(7) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child enrolled 9/19/24, did not have a signed discipline acknowledgement on file. .1804(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the anchored play structure measured 4 inches tall. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 9/19/24, did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Comments Section: The violation(s) documented must be corrected immediately. On or before October, 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: The NC Summary of the Law must be given to parent’s before the child is enrolled at the childcare facility. G.S.110-102. You may consider having the summary of the law in the pre-enrollment packet to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Specific time of arrival and departure are required for each child in care. 10A NCAC 09.0302(d)(4) We discussed that staff members should check the sign in and out sheet at least three times each day. One time after morning cut off time, one time when school age children arrival for afterschool care, and one time after the facility has closed. You reported that you plan to discuss this information again with all staff to ensure compliance. There must be a feeding plan for all children under 15 months of age. 10A NCAC 09 .0902(a) You may consider completing the feeding plan at the pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given the feeding plan this morning to complete and return later today. At the annual compliance visit on 10/11/23, we discussed the need to address the peeling plastic coating on the play structure steps. You reported that you have tried to use homemade materials to cover the exposed metal area but have not found anything to stay securely in place. You may consider using layered electrical tape to cover the exposed metal and replace the tape as needed when conducting your monthly playground inspections. Check to make sure the layered tape is thick enough that the sharp edges do not come through the tape. Materials that can be torn apart and/or toy parts small enough to be swallowed must not be accessible to children under three years of age. 10A NCAC 09 .0604(q) We discussed that though the children who are wearing the necklaces may not pull them apart, other children in the classroom may pull at the beads. If the necklace pulls apart then the small beads would be a choking hazard for children under three years of age. Since you have three classrooms, all of which have some children under the age of three, beaded necklaces would not be appropriate to be in any of your classrooms. You plan to send the necklaces home today and notify parents that the necklaces will no longer be allowed in the center. The center’s safe sleep policy must be reviewed with the parent and an acknowledgement signed on or before the enrollment of the child. The acknowledgement must be in the child’s file. 10A NCAC 09.1804(b)(c). You may consider having the safe sleep policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Operational policies must be discussed and given to parents at the time of enrollment. 10A NCAC 09.0514(b) You may consider having the center’s operational policies in the pre-enrollment packet to ensure that all required information is discussed before or at the time of enrollment. For the child enrolled today, you said that the parent was given the operational policies this morning to review and discuss later today. The child’s application must show the name of those to whom the center is authorized to release the child. 10A NCAC 09. 0801(a)(7) For the child enrolled 9/19/24, there are some handwritten names on the back of the application, but the names do not indicate what the information is to be used for. In the other children’s files that were reviewed today, you have used the sample application form from the DCDEE website. This application example has a designated section for this needed information. I reviewed this sample with you and encouraged you to either use the sample form or create your own center’s application form that will include all the required information. You reported that you will get this needed application information from the parent at the time of pick up for the child today. Each child must have a signed statement on file that the discipline policy was reviewed with the parent at the time of enrollment. The signed statement must include the child’s name and the date that the child was enrolled in care. 10A NCAC 09 .10804(b). You may consider having the discipline form signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Your children’s files have two different forms that discuss the discipline policy. One form does not include the date of enrollment and the other form, which is a sample form from the DCDEE website, does list this information. You may consider using only one form to address acknowledgement of receipt of the discipline policy that includes all required information. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Equipment with a critical height of 5 feet or less must have 6 inches of loose surface materials. 10A NCAC 09 .0605(k)(1-4) You have mulch around the anchored play structure that measured 4 inches. We discussed that you may consider using a tiller or other landscaping tools to see if the existing mulch is enough when spread around the fall zone. If it is determined that there is not enough mulch, you stated you will call and have mulch delivered in the next 2 weeks. The center’s Shaken Baby and Abusive Head Trauma policy must be reviewed with and an acknowledgement signed by the parent at enrollment. The signed acknowledgement must be kept in the child’s file. 10A NCAC 09.0606(b). You may consider having this policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Consultation or other topics discussed today: Four additional ongoing training hours will be needed for the staff member employed 5/25/11 no later than October 11, 2024. Please send verification that required training hours were completed to me. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0606 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective January 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on September 12, 2024, and your business Kids at Play Childcare Center, LLC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, free play in activity areas, lunch, and rest time. Infants were engaged in tummy time, feeding, and napping. The center's compliance history was at 89% prior to today’s visit. 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. A sample of four children’s files were reviewed. No new staff members have been hired since the last monitoring visit conducted June 6, 2024. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 8/26/24. The last shelter-in-place drill was practiced on 7/29/24. The last monthly playground inspection was completed on 8/26/24. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the Summary of the Law had been given to the parent. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/9/24, one child was not signed out of care. On 9/10/24, one child was not signed out of care. On 9/16/24, two children were not signed into care. On 9/18/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One child enrolled 9/19/24, did not have a feeding plan on file. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the anchored play structure steps, there was peeling plastic coating that allowed exposed metal with sharp edges to be accessible to children. .0601(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, two children, two years of age, were wearing teething/sensory necklaces with small beads that could be torn apart and swallowed by children under three years of age. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the safe sleep policy was discussed on or before enrollment. 10A NCAC 09 .0606(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Operational policies had not been discussed with the parent of a child that enrolled 9/19/24. 10A NCAC 09 .0514(b) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for a child enrolled 9/19/24 did not show the name of those to whom the center is authorized to release the child. .0801(a)(7) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child enrolled 9/19/24, did not have a signed discipline acknowledgement on file. .1804(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the anchored play structure measured 4 inches tall. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 9/19/24, did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Comments Section: The violation(s) documented must be corrected immediately. On or before October, 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: The NC Summary of the Law must be given to parent’s before the child is enrolled at the childcare facility. G.S.110-102. You may consider having the summary of the law in the pre-enrollment packet to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Specific time of arrival and departure are required for each child in care. 10A NCAC 09.0302(d)(4) We discussed that staff members should check the sign in and out sheet at least three times each day. One time after morning cut off time, one time when school age children arrival for afterschool care, and one time after the facility has closed. You reported that you plan to discuss this information again with all staff to ensure compliance. There must be a feeding plan for all children under 15 months of age. 10A NCAC 09 .0902(a) You may consider completing the feeding plan at the pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given the feeding plan this morning to complete and return later today. At the annual compliance visit on 10/11/23, we discussed the need to address the peeling plastic coating on the play structure steps. You reported that you have tried to use homemade materials to cover the exposed metal area but have not found anything to stay securely in place. You may consider using layered electrical tape to cover the exposed metal and replace the tape as needed when conducting your monthly playground inspections. Check to make sure the layered tape is thick enough that the sharp edges do not come through the tape. Materials that can be torn apart and/or toy parts small enough to be swallowed must not be accessible to children under three years of age. 10A NCAC 09 .0604(q) We discussed that though the children who are wearing the necklaces may not pull them apart, other children in the classroom may pull at the beads. If the necklace pulls apart then the small beads would be a choking hazard for children under three years of age. Since you have three classrooms, all of which have some children under the age of three, beaded necklaces would not be appropriate to be in any of your classrooms. You plan to send the necklaces home today and notify parents that the necklaces will no longer be allowed in the center. The center’s safe sleep policy must be reviewed with the parent and an acknowledgement signed on or before the enrollment of the child. The acknowledgement must be in the child’s file. 10A NCAC 09.1804(b)(c). You may consider having the safe sleep policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Operational policies must be discussed and given to parents at the time of enrollment. 10A NCAC 09.0514(b) You may consider having the center’s operational policies in the pre-enrollment packet to ensure that all required information is discussed before or at the time of enrollment. For the child enrolled today, you said that the parent was given the operational policies this morning to review and discuss later today. The child’s application must show the name of those to whom the center is authorized to release the child. 10A NCAC 09. 0801(a)(7) For the child enrolled 9/19/24, there are some handwritten names on the back of the application, but the names do not indicate what the information is to be used for. In the other children’s files that were reviewed today, you have used the sample application form from the DCDEE website. This application example has a designated section for this needed information. I reviewed this sample with you and encouraged you to either use the sample form or create your own center’s application form that will include all the required information. You reported that you will get this needed application information from the parent at the time of pick up for the child today. Each child must have a signed statement on file that the discipline policy was reviewed with the parent at the time of enrollment. The signed statement must include the child’s name and the date that the child was enrolled in care. 10A NCAC 09 .10804(b). You may consider having the discipline form signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Your children’s files have two different forms that discuss the discipline policy. One form does not include the date of enrollment and the other form, which is a sample form from the DCDEE website, does list this information. You may consider using only one form to address acknowledgement of receipt of the discipline policy that includes all required information. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Equipment with a critical height of 5 feet or less must have 6 inches of loose surface materials. 10A NCAC 09 .0605(k)(1-4) You have mulch around the anchored play structure that measured 4 inches. We discussed that you may consider using a tiller or other landscaping tools to see if the existing mulch is enough when spread around the fall zone. If it is determined that there is not enough mulch, you stated you will call and have mulch delivered in the next 2 weeks. The center’s Shaken Baby and Abusive Head Trauma policy must be reviewed with and an acknowledgement signed by the parent at enrollment. The signed acknowledgement must be kept in the child’s file. 10A NCAC 09.0606(b). You may consider having this policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Consultation or other topics discussed today: Four additional ongoing training hours will be needed for the staff member employed 5/25/11 no later than October 11, 2024. Please send verification that required training hours were completed to me. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1804 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective January 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on September 12, 2024, and your business Kids at Play Childcare Center, LLC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, free play in activity areas, lunch, and rest time. Infants were engaged in tummy time, feeding, and napping. The center's compliance history was at 89% prior to today’s visit. 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. A sample of four children’s files were reviewed. No new staff members have been hired since the last monitoring visit conducted June 6, 2024. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 8/26/24. The last shelter-in-place drill was practiced on 7/29/24. The last monthly playground inspection was completed on 8/26/24. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the Summary of the Law had been given to the parent. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/9/24, one child was not signed out of care. On 9/10/24, one child was not signed out of care. On 9/16/24, two children were not signed into care. On 9/18/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One child enrolled 9/19/24, did not have a feeding plan on file. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the anchored play structure steps, there was peeling plastic coating that allowed exposed metal with sharp edges to be accessible to children. .0601(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, two children, two years of age, were wearing teething/sensory necklaces with small beads that could be torn apart and swallowed by children under three years of age. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the safe sleep policy was discussed on or before enrollment. 10A NCAC 09 .0606(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Operational policies had not been discussed with the parent of a child that enrolled 9/19/24. 10A NCAC 09 .0514(b) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for a child enrolled 9/19/24 did not show the name of those to whom the center is authorized to release the child. .0801(a)(7) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child enrolled 9/19/24, did not have a signed discipline acknowledgement on file. .1804(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the anchored play structure measured 4 inches tall. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 9/19/24, did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Comments Section: The violation(s) documented must be corrected immediately. On or before October, 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: The NC Summary of the Law must be given to parent’s before the child is enrolled at the childcare facility. G.S.110-102. You may consider having the summary of the law in the pre-enrollment packet to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Specific time of arrival and departure are required for each child in care. 10A NCAC 09.0302(d)(4) We discussed that staff members should check the sign in and out sheet at least three times each day. One time after morning cut off time, one time when school age children arrival for afterschool care, and one time after the facility has closed. You reported that you plan to discuss this information again with all staff to ensure compliance. There must be a feeding plan for all children under 15 months of age. 10A NCAC 09 .0902(a) You may consider completing the feeding plan at the pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given the feeding plan this morning to complete and return later today. At the annual compliance visit on 10/11/23, we discussed the need to address the peeling plastic coating on the play structure steps. You reported that you have tried to use homemade materials to cover the exposed metal area but have not found anything to stay securely in place. You may consider using layered electrical tape to cover the exposed metal and replace the tape as needed when conducting your monthly playground inspections. Check to make sure the layered tape is thick enough that the sharp edges do not come through the tape. Materials that can be torn apart and/or toy parts small enough to be swallowed must not be accessible to children under three years of age. 10A NCAC 09 .0604(q) We discussed that though the children who are wearing the necklaces may not pull them apart, other children in the classroom may pull at the beads. If the necklace pulls apart then the small beads would be a choking hazard for children under three years of age. Since you have three classrooms, all of which have some children under the age of three, beaded necklaces would not be appropriate to be in any of your classrooms. You plan to send the necklaces home today and notify parents that the necklaces will no longer be allowed in the center. The center’s safe sleep policy must be reviewed with the parent and an acknowledgement signed on or before the enrollment of the child. The acknowledgement must be in the child’s file. 10A NCAC 09.1804(b)(c). You may consider having the safe sleep policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Operational policies must be discussed and given to parents at the time of enrollment. 10A NCAC 09.0514(b) You may consider having the center’s operational policies in the pre-enrollment packet to ensure that all required information is discussed before or at the time of enrollment. For the child enrolled today, you said that the parent was given the operational policies this morning to review and discuss later today. The child’s application must show the name of those to whom the center is authorized to release the child. 10A NCAC 09. 0801(a)(7) For the child enrolled 9/19/24, there are some handwritten names on the back of the application, but the names do not indicate what the information is to be used for. In the other children’s files that were reviewed today, you have used the sample application form from the DCDEE website. This application example has a designated section for this needed information. I reviewed this sample with you and encouraged you to either use the sample form or create your own center’s application form that will include all the required information. You reported that you will get this needed application information from the parent at the time of pick up for the child today. Each child must have a signed statement on file that the discipline policy was reviewed with the parent at the time of enrollment. The signed statement must include the child’s name and the date that the child was enrolled in care. 10A NCAC 09 .10804(b). You may consider having the discipline form signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Your children’s files have two different forms that discuss the discipline policy. One form does not include the date of enrollment and the other form, which is a sample form from the DCDEE website, does list this information. You may consider using only one form to address acknowledgement of receipt of the discipline policy that includes all required information. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Equipment with a critical height of 5 feet or less must have 6 inches of loose surface materials. 10A NCAC 09 .0605(k)(1-4) You have mulch around the anchored play structure that measured 4 inches. We discussed that you may consider using a tiller or other landscaping tools to see if the existing mulch is enough when spread around the fall zone. If it is determined that there is not enough mulch, you stated you will call and have mulch delivered in the next 2 weeks. The center’s Shaken Baby and Abusive Head Trauma policy must be reviewed with and an acknowledgement signed by the parent at enrollment. The signed acknowledgement must be kept in the child’s file. 10A NCAC 09.0606(b). You may consider having this policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Consultation or other topics discussed today: Four additional ongoing training hours will be needed for the staff member employed 5/25/11 no later than October 11, 2024. Please send verification that required training hours were completed to me. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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

G.S.110-102 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective January 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on September 12, 2024, and your business Kids at Play Childcare Center, LLC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, free play in activity areas, lunch, and rest time. Infants were engaged in tummy time, feeding, and napping. The center's compliance history was at 89% prior to today’s visit. 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. A sample of four children’s files were reviewed. No new staff members have been hired since the last monitoring visit conducted June 6, 2024. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 8/26/24. The last shelter-in-place drill was practiced on 7/29/24. The last monthly playground inspection was completed on 8/26/24. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the Summary of the Law had been given to the parent. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/9/24, one child was not signed out of care. On 9/10/24, one child was not signed out of care. On 9/16/24, two children were not signed into care. On 9/18/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One child enrolled 9/19/24, did not have a feeding plan on file. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the anchored play structure steps, there was peeling plastic coating that allowed exposed metal with sharp edges to be accessible to children. .0601(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, two children, two years of age, were wearing teething/sensory necklaces with small beads that could be torn apart and swallowed by children under three years of age. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the safe sleep policy was discussed on or before enrollment. 10A NCAC 09 .0606(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Operational policies had not been discussed with the parent of a child that enrolled 9/19/24. 10A NCAC 09 .0514(b) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for a child enrolled 9/19/24 did not show the name of those to whom the center is authorized to release the child. .0801(a)(7) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child enrolled 9/19/24, did not have a signed discipline acknowledgement on file. .1804(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the anchored play structure measured 4 inches tall. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 9/19/24, did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Comments Section: The violation(s) documented must be corrected immediately. On or before October, 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: The NC Summary of the Law must be given to parent’s before the child is enrolled at the childcare facility. G.S.110-102. You may consider having the summary of the law in the pre-enrollment packet to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Specific time of arrival and departure are required for each child in care. 10A NCAC 09.0302(d)(4) We discussed that staff members should check the sign in and out sheet at least three times each day. One time after morning cut off time, one time when school age children arrival for afterschool care, and one time after the facility has closed. You reported that you plan to discuss this information again with all staff to ensure compliance. There must be a feeding plan for all children under 15 months of age. 10A NCAC 09 .0902(a) You may consider completing the feeding plan at the pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given the feeding plan this morning to complete and return later today. At the annual compliance visit on 10/11/23, we discussed the need to address the peeling plastic coating on the play structure steps. You reported that you have tried to use homemade materials to cover the exposed metal area but have not found anything to stay securely in place. You may consider using layered electrical tape to cover the exposed metal and replace the tape as needed when conducting your monthly playground inspections. Check to make sure the layered tape is thick enough that the sharp edges do not come through the tape. Materials that can be torn apart and/or toy parts small enough to be swallowed must not be accessible to children under three years of age. 10A NCAC 09 .0604(q) We discussed that though the children who are wearing the necklaces may not pull them apart, other children in the classroom may pull at the beads. If the necklace pulls apart then the small beads would be a choking hazard for children under three years of age. Since you have three classrooms, all of which have some children under the age of three, beaded necklaces would not be appropriate to be in any of your classrooms. You plan to send the necklaces home today and notify parents that the necklaces will no longer be allowed in the center. The center’s safe sleep policy must be reviewed with the parent and an acknowledgement signed on or before the enrollment of the child. The acknowledgement must be in the child’s file. 10A NCAC 09.1804(b)(c). You may consider having the safe sleep policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Operational policies must be discussed and given to parents at the time of enrollment. 10A NCAC 09.0514(b) You may consider having the center’s operational policies in the pre-enrollment packet to ensure that all required information is discussed before or at the time of enrollment. For the child enrolled today, you said that the parent was given the operational policies this morning to review and discuss later today. The child’s application must show the name of those to whom the center is authorized to release the child. 10A NCAC 09. 0801(a)(7) For the child enrolled 9/19/24, there are some handwritten names on the back of the application, but the names do not indicate what the information is to be used for. In the other children’s files that were reviewed today, you have used the sample application form from the DCDEE website. This application example has a designated section for this needed information. I reviewed this sample with you and encouraged you to either use the sample form or create your own center’s application form that will include all the required information. You reported that you will get this needed application information from the parent at the time of pick up for the child today. Each child must have a signed statement on file that the discipline policy was reviewed with the parent at the time of enrollment. The signed statement must include the child’s name and the date that the child was enrolled in care. 10A NCAC 09 .10804(b). You may consider having the discipline form signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Your children’s files have two different forms that discuss the discipline policy. One form does not include the date of enrollment and the other form, which is a sample form from the DCDEE website, does list this information. You may consider using only one form to address acknowledgement of receipt of the discipline policy that includes all required information. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Equipment with a critical height of 5 feet or less must have 6 inches of loose surface materials. 10A NCAC 09 .0605(k)(1-4) You have mulch around the anchored play structure that measured 4 inches. We discussed that you may consider using a tiller or other landscaping tools to see if the existing mulch is enough when spread around the fall zone. If it is determined that there is not enough mulch, you stated you will call and have mulch delivered in the next 2 weeks. The center’s Shaken Baby and Abusive Head Trauma policy must be reviewed with and an acknowledgement signed by the parent at enrollment. The signed acknowledgement must be kept in the child’s file. 10A NCAC 09.0606(b). You may consider having this policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Consultation or other topics discussed today: Four additional ongoing training hours will be needed for the staff member employed 5/25/11 no later than October 11, 2024. Please send verification that required training hours were completed to me. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective January 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on September 12, 2024, and your business Kids at Play Childcare Center, LLC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, free play in activity areas, lunch, and rest time. Infants were engaged in tummy time, feeding, and napping. The center's compliance history was at 89% prior to today’s visit. 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. A sample of four children’s files were reviewed. No new staff members have been hired since the last monitoring visit conducted June 6, 2024. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 8/26/24. The last shelter-in-place drill was practiced on 7/29/24. The last monthly playground inspection was completed on 8/26/24. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the Summary of the Law had been given to the parent. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/9/24, one child was not signed out of care. On 9/10/24, one child was not signed out of care. On 9/16/24, two children were not signed into care. On 9/18/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One child enrolled 9/19/24, did not have a feeding plan on file. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the anchored play structure steps, there was peeling plastic coating that allowed exposed metal with sharp edges to be accessible to children. .0601(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, two children, two years of age, were wearing teething/sensory necklaces with small beads that could be torn apart and swallowed by children under three years of age. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the safe sleep policy was discussed on or before enrollment. 10A NCAC 09 .0606(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Operational policies had not been discussed with the parent of a child that enrolled 9/19/24. 10A NCAC 09 .0514(b) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for a child enrolled 9/19/24 did not show the name of those to whom the center is authorized to release the child. .0801(a)(7) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child enrolled 9/19/24, did not have a signed discipline acknowledgement on file. .1804(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the anchored play structure measured 4 inches tall. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 9/19/24, did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Comments Section: The violation(s) documented must be corrected immediately. On or before October, 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: The NC Summary of the Law must be given to parent’s before the child is enrolled at the childcare facility. G.S.110-102. You may consider having the summary of the law in the pre-enrollment packet to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Specific time of arrival and departure are required for each child in care. 10A NCAC 09.0302(d)(4) We discussed that staff members should check the sign in and out sheet at least three times each day. One time after morning cut off time, one time when school age children arrival for afterschool care, and one time after the facility has closed. You reported that you plan to discuss this information again with all staff to ensure compliance. There must be a feeding plan for all children under 15 months of age. 10A NCAC 09 .0902(a) You may consider completing the feeding plan at the pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given the feeding plan this morning to complete and return later today. At the annual compliance visit on 10/11/23, we discussed the need to address the peeling plastic coating on the play structure steps. You reported that you have tried to use homemade materials to cover the exposed metal area but have not found anything to stay securely in place. You may consider using layered electrical tape to cover the exposed metal and replace the tape as needed when conducting your monthly playground inspections. Check to make sure the layered tape is thick enough that the sharp edges do not come through the tape. Materials that can be torn apart and/or toy parts small enough to be swallowed must not be accessible to children under three years of age. 10A NCAC 09 .0604(q) We discussed that though the children who are wearing the necklaces may not pull them apart, other children in the classroom may pull at the beads. If the necklace pulls apart then the small beads would be a choking hazard for children under three years of age. Since you have three classrooms, all of which have some children under the age of three, beaded necklaces would not be appropriate to be in any of your classrooms. You plan to send the necklaces home today and notify parents that the necklaces will no longer be allowed in the center. The center’s safe sleep policy must be reviewed with the parent and an acknowledgement signed on or before the enrollment of the child. The acknowledgement must be in the child’s file. 10A NCAC 09.1804(b)(c). You may consider having the safe sleep policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Operational policies must be discussed and given to parents at the time of enrollment. 10A NCAC 09.0514(b) You may consider having the center’s operational policies in the pre-enrollment packet to ensure that all required information is discussed before or at the time of enrollment. For the child enrolled today, you said that the parent was given the operational policies this morning to review and discuss later today. The child’s application must show the name of those to whom the center is authorized to release the child. 10A NCAC 09. 0801(a)(7) For the child enrolled 9/19/24, there are some handwritten names on the back of the application, but the names do not indicate what the information is to be used for. In the other children’s files that were reviewed today, you have used the sample application form from the DCDEE website. This application example has a designated section for this needed information. I reviewed this sample with you and encouraged you to either use the sample form or create your own center’s application form that will include all the required information. You reported that you will get this needed application information from the parent at the time of pick up for the child today. Each child must have a signed statement on file that the discipline policy was reviewed with the parent at the time of enrollment. The signed statement must include the child’s name and the date that the child was enrolled in care. 10A NCAC 09 .10804(b). You may consider having the discipline form signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Your children’s files have two different forms that discuss the discipline policy. One form does not include the date of enrollment and the other form, which is a sample form from the DCDEE website, does list this information. You may consider using only one form to address acknowledgement of receipt of the discipline policy that includes all required information. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Equipment with a critical height of 5 feet or less must have 6 inches of loose surface materials. 10A NCAC 09 .0605(k)(1-4) You have mulch around the anchored play structure that measured 4 inches. We discussed that you may consider using a tiller or other landscaping tools to see if the existing mulch is enough when spread around the fall zone. If it is determined that there is not enough mulch, you stated you will call and have mulch delivered in the next 2 weeks. The center’s Shaken Baby and Abusive Head Trauma policy must be reviewed with and an acknowledgement signed by the parent at enrollment. The signed acknowledgement must be kept in the child’s file. 10A NCAC 09.0606(b). You may consider having this policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Consultation or other topics discussed today: Four additional ongoing training hours will be needed for the staff member employed 5/25/11 no later than October 11, 2024. Please send verification that required training hours were completed to me. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 19 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective January 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on September 12, 2024, and your business Kids at Play Childcare Center, LLC., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in large group time, free play in activity areas, lunch, and rest time. Infants were engaged in tummy time, feeding, and napping. The center's compliance history was at 89% prior to today’s visit. 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. A sample of four children’s files were reviewed. No new staff members have been hired since the last monitoring visit conducted June 6, 2024. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 8/26/24. The last shelter-in-place drill was practiced on 7/29/24. The last monthly playground inspection was completed on 8/26/24. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for daytime care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the Summary of the Law had been given to the parent. GS 110-102 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/9/24, one child was not signed out of care. On 9/10/24, one child was not signed out of care. On 9/16/24, two children were not signed into care. On 9/18/24, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One child enrolled 9/19/24, did not have a feeding plan on file. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the anchored play structure steps, there was peeling plastic coating that allowed exposed metal with sharp edges to be accessible to children. .0601(c) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, two children, two years of age, were wearing teething/sensory necklaces with small beads that could be torn apart and swallowed by children under three years of age. .0604(q) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One child enrolled 9/19/24, did not have a signed acknowledgement that the safe sleep policy was discussed on or before enrollment. 10A NCAC 09 .0606(c) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Operational policies had not been discussed with the parent of a child that enrolled 9/19/24. 10A NCAC 09 .0514(b) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for a child enrolled 9/19/24 did not show the name of those to whom the center is authorized to release the child. .0801(a)(7) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child enrolled 9/19/24, did not have a signed discipline acknowledgement on file. .1804(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the anchored play structure measured 4 inches tall. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child enrolled 9/19/24, did not have a signed acknowledgement of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(b)(1-6) Comments Section: The violation(s) documented must be corrected immediately. On or before October, 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send the information to beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: The NC Summary of the Law must be given to parent’s before the child is enrolled at the childcare facility. G.S.110-102. You may consider having the summary of the law in the pre-enrollment packet to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Specific time of arrival and departure are required for each child in care. 10A NCAC 09.0302(d)(4) We discussed that staff members should check the sign in and out sheet at least three times each day. One time after morning cut off time, one time when school age children arrival for afterschool care, and one time after the facility has closed. You reported that you plan to discuss this information again with all staff to ensure compliance. There must be a feeding plan for all children under 15 months of age. 10A NCAC 09 .0902(a) You may consider completing the feeding plan at the pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given the feeding plan this morning to complete and return later today. At the annual compliance visit on 10/11/23, we discussed the need to address the peeling plastic coating on the play structure steps. You reported that you have tried to use homemade materials to cover the exposed metal area but have not found anything to stay securely in place. You may consider using layered electrical tape to cover the exposed metal and replace the tape as needed when conducting your monthly playground inspections. Check to make sure the layered tape is thick enough that the sharp edges do not come through the tape. Materials that can be torn apart and/or toy parts small enough to be swallowed must not be accessible to children under three years of age. 10A NCAC 09 .0604(q) We discussed that though the children who are wearing the necklaces may not pull them apart, other children in the classroom may pull at the beads. If the necklace pulls apart then the small beads would be a choking hazard for children under three years of age. Since you have three classrooms, all of which have some children under the age of three, beaded necklaces would not be appropriate to be in any of your classrooms. You plan to send the necklaces home today and notify parents that the necklaces will no longer be allowed in the center. The center’s safe sleep policy must be reviewed with the parent and an acknowledgement signed on or before the enrollment of the child. The acknowledgement must be in the child’s file. 10A NCAC 09.1804(b)(c). You may consider having the safe sleep policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Operational policies must be discussed and given to parents at the time of enrollment. 10A NCAC 09.0514(b) You may consider having the center’s operational policies in the pre-enrollment packet to ensure that all required information is discussed before or at the time of enrollment. For the child enrolled today, you said that the parent was given the operational policies this morning to review and discuss later today. The child’s application must show the name of those to whom the center is authorized to release the child. 10A NCAC 09. 0801(a)(7) For the child enrolled 9/19/24, there are some handwritten names on the back of the application, but the names do not indicate what the information is to be used for. In the other children’s files that were reviewed today, you have used the sample application form from the DCDEE website. This application example has a designated section for this needed information. I reviewed this sample with you and encouraged you to either use the sample form or create your own center’s application form that will include all the required information. You reported that you will get this needed application information from the parent at the time of pick up for the child today. Each child must have a signed statement on file that the discipline policy was reviewed with the parent at the time of enrollment. The signed statement must include the child’s name and the date that the child was enrolled in care. 10A NCAC 09 .10804(b). You may consider having the discipline form signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Your children’s files have two different forms that discuss the discipline policy. One form does not include the date of enrollment and the other form, which is a sample form from the DCDEE website, does list this information. You may consider using only one form to address acknowledgement of receipt of the discipline policy that includes all required information. All stationary outdoor equipment more than 18 inches high must be installed over protective surfacing. Equipment with a critical height of 5 feet or less must have 6 inches of loose surface materials. 10A NCAC 09 .0605(k)(1-4) You have mulch around the anchored play structure that measured 4 inches. We discussed that you may consider using a tiller or other landscaping tools to see if the existing mulch is enough when spread around the fall zone. If it is determined that there is not enough mulch, you stated you will call and have mulch delivered in the next 2 weeks. The center’s Shaken Baby and Abusive Head Trauma policy must be reviewed with and an acknowledgement signed by the parent at enrollment. The signed acknowledgement must be kept in the child’s file. 10A NCAC 09.0606(b). You may consider having this policy signed at a pre-enrollment orientation to ensure that all required information will be on file at the time of enrollment. For the child enrolled today, you said that the parent was given all the enrollment forms this morning to complete and return later today. Consultation or other topics discussed today: Four additional ongoing training hours will be needed for the staff member employed 5/25/11 no later than October 11, 2024. Please send verification that required training hours were completed to me. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 6/6/2024 Number Present: 23 Completed Date: 6/6/2024 Age: From 0 To 11 Total Minutes: 188 Time In: 10:07 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Trudy Holtzclaw, Adminstrator. Your program currently operates with a four star license effective April 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on May 24, 2024 , and your business Kids at Play Childcare Center, LLC, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in outdoor play time, transitions indoors with handwashing protocols and lunchtime. Infants were engaged in tummy time and napping. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 93% as of May 29, 2024. 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. Three new staff have been hired since the annual compliance visit on August 4, 2022. New staff files were reviewed and a limited monitoring of existing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The kitchen refrigerator did not have a thermometer to verify the temperature was 45 degrees or below. 15A NCAC 18A .2806(j)(2) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One package of Iproatopium Bromide and Albuterol Sulfate .05mg and 3mg expired 8/2023. One Proventil inhaler expired 5/11/23. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection recorded was on 4/25/24. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member hired 11/8/23 had a medical exam on file dated 4/30/24. One staff member hired 1/2/24 had a medical exam on file dated 2/26/24. 10A NCAC 09 .0701(a) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. One staff member, hired 1/2/24 that was working in the classroom with school age children, had not completed BSAC training. .2510(c) The violation(s) documented must be corrected immediately. On or before June 20, 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 may be completed. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item #601Each refrigerator must maintain a temperature of 45 degrees F or below. You will need a thermometer for each refrigerator to ensure proper temperature readings. 15A NCAC 18A.2806(j)(2) We discussed that you will need to get a thermometer that is placed in the refrigerator within the next 2 weeks. Item #849 Leftover medicines must be returned to the parent when the medication has expired or discarded within 72 hours of expiration. 10A NCAC 09.0803(12) We discussed that the expired medications need to be returned to the parent or discarded. A discussion will need to be had with the parents about whether the medication is needed. If the medication is needed, a current medication will need to be provided. New medication permission forms will be completed based on new the medication information. Item #859 A playground inspection must be completed by a staff member trained in playground safety at least once per month. I suggested you set a calendar reminder to ensure no playground inspections are missed. 10A NCAC 09 .0605(q) We discussed that you will need to conduct a playground inspection within the next 2 weeks. Item #1032 Staff must have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) Both of the employees hired 11/8/23 and 1/2/24, now have medical exams on file. This violation was corrected at visit. Item #1445 All group leaders must complete the Basic School Age Care training within 3 months of hire. 10A NCAC.2510(c) The staff member hired 1/2/24 will need to complete BSAC training within the next 2 weeks. This training may be completed on-line through Southwestern Child Care Development Commission. Consultation or other topics discussed today: We discussed that when classrooms are combined and 2 year old children are with children 3 years of age and older, no screen time may be used. Children 3 years of age and older may have screen time as is allowed per requirement. We discussed that there were dozens of flying insects flying over the sand in the playground area. I encouraged you to discuss management of the insects with an exterminator to determine the best way to eliminate the large number of insects in the sand area. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 6/6/2024 Number Present: 23 Completed Date: 6/6/2024 Age: From 0 To 11 Total Minutes: 188 Time In: 10:07 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Trudy Holtzclaw, Adminstrator. Your program currently operates with a four star license effective April 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on May 24, 2024 , and your business Kids at Play Childcare Center, LLC, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in outdoor play time, transitions indoors with handwashing protocols and lunchtime. Infants were engaged in tummy time and napping. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 93% as of May 29, 2024. 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. Three new staff have been hired since the annual compliance visit on August 4, 2022. New staff files were reviewed and a limited monitoring of existing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The kitchen refrigerator did not have a thermometer to verify the temperature was 45 degrees or below. 15A NCAC 18A .2806(j)(2) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One package of Iproatopium Bromide and Albuterol Sulfate .05mg and 3mg expired 8/2023. One Proventil inhaler expired 5/11/23. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection recorded was on 4/25/24. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member hired 11/8/23 had a medical exam on file dated 4/30/24. One staff member hired 1/2/24 had a medical exam on file dated 2/26/24. 10A NCAC 09 .0701(a) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. One staff member, hired 1/2/24 that was working in the classroom with school age children, had not completed BSAC training. .2510(c) The violation(s) documented must be corrected immediately. On or before June 20, 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 may be completed. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item #601Each refrigerator must maintain a temperature of 45 degrees F or below. You will need a thermometer for each refrigerator to ensure proper temperature readings. 15A NCAC 18A.2806(j)(2) We discussed that you will need to get a thermometer that is placed in the refrigerator within the next 2 weeks. Item #849 Leftover medicines must be returned to the parent when the medication has expired or discarded within 72 hours of expiration. 10A NCAC 09.0803(12) We discussed that the expired medications need to be returned to the parent or discarded. A discussion will need to be had with the parents about whether the medication is needed. If the medication is needed, a current medication will need to be provided. New medication permission forms will be completed based on new the medication information. Item #859 A playground inspection must be completed by a staff member trained in playground safety at least once per month. I suggested you set a calendar reminder to ensure no playground inspections are missed. 10A NCAC 09 .0605(q) We discussed that you will need to conduct a playground inspection within the next 2 weeks. Item #1032 Staff must have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) Both of the employees hired 11/8/23 and 1/2/24, now have medical exams on file. This violation was corrected at visit. Item #1445 All group leaders must complete the Basic School Age Care training within 3 months of hire. 10A NCAC.2510(c) The staff member hired 1/2/24 will need to complete BSAC training within the next 2 weeks. This training may be completed on-line through Southwestern Child Care Development Commission. Consultation or other topics discussed today: We discussed that when classrooms are combined and 2 year old children are with children 3 years of age and older, no screen time may be used. Children 3 years of age and older may have screen time as is allowed per requirement. We discussed that there were dozens of flying insects flying over the sand in the playground area. I encouraged you to discuss management of the insects with an exterminator to determine the best way to eliminate the large number of insects in the sand area. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0304 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 6/6/2024 Number Present: 23 Completed Date: 6/6/2024 Age: From 0 To 11 Total Minutes: 188 Time In: 10:07 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Trudy Holtzclaw, Adminstrator. Your program currently operates with a four star license effective April 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on May 24, 2024 , and your business Kids at Play Childcare Center, LLC, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in outdoor play time, transitions indoors with handwashing protocols and lunchtime. Infants were engaged in tummy time and napping. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 93% as of May 29, 2024. 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. Three new staff have been hired since the annual compliance visit on August 4, 2022. New staff files were reviewed and a limited monitoring of existing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The kitchen refrigerator did not have a thermometer to verify the temperature was 45 degrees or below. 15A NCAC 18A .2806(j)(2) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One package of Iproatopium Bromide and Albuterol Sulfate .05mg and 3mg expired 8/2023. One Proventil inhaler expired 5/11/23. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection recorded was on 4/25/24. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member hired 11/8/23 had a medical exam on file dated 4/30/24. One staff member hired 1/2/24 had a medical exam on file dated 2/26/24. 10A NCAC 09 .0701(a) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. One staff member, hired 1/2/24 that was working in the classroom with school age children, had not completed BSAC training. .2510(c) The violation(s) documented must be corrected immediately. On or before June 20, 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 may be completed. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item #601Each refrigerator must maintain a temperature of 45 degrees F or below. You will need a thermometer for each refrigerator to ensure proper temperature readings. 15A NCAC 18A.2806(j)(2) We discussed that you will need to get a thermometer that is placed in the refrigerator within the next 2 weeks. Item #849 Leftover medicines must be returned to the parent when the medication has expired or discarded within 72 hours of expiration. 10A NCAC 09.0803(12) We discussed that the expired medications need to be returned to the parent or discarded. A discussion will need to be had with the parents about whether the medication is needed. If the medication is needed, a current medication will need to be provided. New medication permission forms will be completed based on new the medication information. Item #859 A playground inspection must be completed by a staff member trained in playground safety at least once per month. I suggested you set a calendar reminder to ensure no playground inspections are missed. 10A NCAC 09 .0605(q) We discussed that you will need to conduct a playground inspection within the next 2 weeks. Item #1032 Staff must have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) Both of the employees hired 11/8/23 and 1/2/24, now have medical exams on file. This violation was corrected at visit. Item #1445 All group leaders must complete the Basic School Age Care training within 3 months of hire. 10A NCAC.2510(c) The staff member hired 1/2/24 will need to complete BSAC training within the next 2 weeks. This training may be completed on-line through Southwestern Child Care Development Commission. Consultation or other topics discussed today: We discussed that when classrooms are combined and 2 year old children are with children 3 years of age and older, no screen time may be used. Children 3 years of age and older may have screen time as is allowed per requirement. We discussed that there were dozens of flying insects flying over the sand in the playground area. I encouraged you to discuss management of the insects with an exterminator to determine the best way to eliminate the large number of insects in the sand area. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0803 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 6/6/2024 Number Present: 23 Completed Date: 6/6/2024 Age: From 0 To 11 Total Minutes: 188 Time In: 10:07 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Trudy Holtzclaw, Adminstrator. Your program currently operates with a four star license effective April 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on May 24, 2024 , and your business Kids at Play Childcare Center, LLC, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in outdoor play time, transitions indoors with handwashing protocols and lunchtime. Infants were engaged in tummy time and napping. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 93% as of May 29, 2024. 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. Three new staff have been hired since the annual compliance visit on August 4, 2022. New staff files were reviewed and a limited monitoring of existing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The kitchen refrigerator did not have a thermometer to verify the temperature was 45 degrees or below. 15A NCAC 18A .2806(j)(2) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One package of Iproatopium Bromide and Albuterol Sulfate .05mg and 3mg expired 8/2023. One Proventil inhaler expired 5/11/23. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection recorded was on 4/25/24. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member hired 11/8/23 had a medical exam on file dated 4/30/24. One staff member hired 1/2/24 had a medical exam on file dated 2/26/24. 10A NCAC 09 .0701(a) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. One staff member, hired 1/2/24 that was working in the classroom with school age children, had not completed BSAC training. .2510(c) The violation(s) documented must be corrected immediately. On or before June 20, 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 may be completed. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item #601Each refrigerator must maintain a temperature of 45 degrees F or below. You will need a thermometer for each refrigerator to ensure proper temperature readings. 15A NCAC 18A.2806(j)(2) We discussed that you will need to get a thermometer that is placed in the refrigerator within the next 2 weeks. Item #849 Leftover medicines must be returned to the parent when the medication has expired or discarded within 72 hours of expiration. 10A NCAC 09.0803(12) We discussed that the expired medications need to be returned to the parent or discarded. A discussion will need to be had with the parents about whether the medication is needed. If the medication is needed, a current medication will need to be provided. New medication permission forms will be completed based on new the medication information. Item #859 A playground inspection must be completed by a staff member trained in playground safety at least once per month. I suggested you set a calendar reminder to ensure no playground inspections are missed. 10A NCAC 09 .0605(q) We discussed that you will need to conduct a playground inspection within the next 2 weeks. Item #1032 Staff must have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) Both of the employees hired 11/8/23 and 1/2/24, now have medical exams on file. This violation was corrected at visit. Item #1445 All group leaders must complete the Basic School Age Care training within 3 months of hire. 10A NCAC.2510(c) The staff member hired 1/2/24 will need to complete BSAC training within the next 2 weeks. This training may be completed on-line through Southwestern Child Care Development Commission. Consultation or other topics discussed today: We discussed that when classrooms are combined and 2 year old children are with children 3 years of age and older, no screen time may be used. Children 3 years of age and older may have screen time as is allowed per requirement. We discussed that there were dozens of flying insects flying over the sand in the playground area. I encouraged you to discuss management of the insects with an exterminator to determine the best way to eliminate the large number of insects in the sand area. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 6/6/2024 Number Present: 23 Completed Date: 6/6/2024 Age: From 0 To 11 Total Minutes: 188 Time In: 10:07 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Trudy Holtzclaw, Adminstrator. Your program currently operates with a four star license effective April 18, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on May 24, 2024 , and your business Kids at Play Childcare Center, LLC, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in outdoor play time, transitions indoors with handwashing protocols and lunchtime. Infants were engaged in tummy time and napping. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 93% as of May 29, 2024. 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. Three new staff have been hired since the annual compliance visit on August 4, 2022. New staff files were reviewed and a limited monitoring of existing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The most recent lead water testing results were completed on June 27, 2023. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina. The most recent sanitation inspection for your facility was conducted on April 4, 2024. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 11, 2024. The facility was approved for day time care. The following violation(s) were observed today: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The kitchen refrigerator did not have a thermometer to verify the temperature was 45 degrees or below. 15A NCAC 18A .2806(j)(2) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One package of Iproatopium Bromide and Albuterol Sulfate .05mg and 3mg expired 8/2023. One Proventil inhaler expired 5/11/23. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection recorded was on 4/25/24. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member hired 11/8/23 had a medical exam on file dated 4/30/24. One staff member hired 1/2/24 had a medical exam on file dated 2/26/24. 10A NCAC 09 .0701(a) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. One staff member, hired 1/2/24 that was working in the classroom with school age children, had not completed BSAC training. .2510(c) The violation(s) documented must be corrected immediately. On or before June 20, 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 may be completed. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item #601Each refrigerator must maintain a temperature of 45 degrees F or below. You will need a thermometer for each refrigerator to ensure proper temperature readings. 15A NCAC 18A.2806(j)(2) We discussed that you will need to get a thermometer that is placed in the refrigerator within the next 2 weeks. Item #849 Leftover medicines must be returned to the parent when the medication has expired or discarded within 72 hours of expiration. 10A NCAC 09.0803(12) We discussed that the expired medications need to be returned to the parent or discarded. A discussion will need to be had with the parents about whether the medication is needed. If the medication is needed, a current medication will need to be provided. New medication permission forms will be completed based on new the medication information. Item #859 A playground inspection must be completed by a staff member trained in playground safety at least once per month. I suggested you set a calendar reminder to ensure no playground inspections are missed. 10A NCAC 09 .0605(q) We discussed that you will need to conduct a playground inspection within the next 2 weeks. Item #1032 Staff must have a medical report on file prior to employment that was signed by a health care professional. 10A NCAC 09 .0701(a) Both of the employees hired 11/8/23 and 1/2/24, now have medical exams on file. This violation was corrected at visit. Item #1445 All group leaders must complete the Basic School Age Care training within 3 months of hire. 10A NCAC.2510(c) The staff member hired 1/2/24 will need to complete BSAC training within the next 2 weeks. This training may be completed on-line through Southwestern Child Care Development Commission. Consultation or other topics discussed today: We discussed that when classrooms are combined and 2 year old children are with children 3 years of age and older, no screen time may be used. Children 3 years of age and older may have screen time as is allowed per requirement. We discussed that there were dozens of flying insects flying over the sand in the playground area. I encouraged you to discuss management of the insects with an exterminator to determine the best way to eliminate the large number of insects in the sand area. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 17 Completed Date: 10/11/2023 Age: From 0 To 5 Total Minutes: 222 Time In: 09:38 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective May 31, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on October 6, 2023, and your business Kids at Play Childcare Center, LLC, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, and personal care routines. Infants were engaged in outdoor time and feeding time. The caregiver was interacting and meeting the developmental needs for each of the children. The center's compliance history was at 95% prior to today’s visit. 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. A sample of three children’s files were reviewed. No new staff have been hired since the routine unannounced visit April 20, 2023. One existing staff file was reviewed. The last monthly fire drill was practiced on 9/29/23. The last shelter in place drill was practiced on 7/26/23. The last monthly playground inspection was completed on 9/28/23. The most recent sanitation inspection for your facility was conducted on May 31, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 28, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/25/23, one child was not signed out of care. On 10/5/23, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/27/18, had First Aid training that expired 9/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 8/27/18, had CPR training that expired 9/2023. .1102(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled 7/5/22, did not have verification of immunizations until 9/22/22. 10A NCAC 09 .0302(d)(2) The violation(s) documented must be corrected immediately. On or before October 25, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. You must document accurate time by including am and pm. 10A NCAC 09 .0302(d)(4) CPR/First Aid Training: All staff must complete a certification in CPR and First Aid training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). This training must be completed during the next two weeks. Immunization Records: Each child must have an immunization record on file before or within 30 days after beginning care. Childcare Requirement .0302(d)(2) GS 110-91(1). The verification for the child enrolled 7/5/22 is now on file in the child’s record. This violation was corrected at visit. Consultation or other topics discussed today: We discussed screen time requirements. I reminded you that the screen time log form is available on the DCDEE website. We discussed that screen time is allowed for children ages 3 and up. No screen time is allowed for children under the age of 3. The outdoor play structure has some peeling plastic coating on the stairs of the structure. I encouraged you to cover those peeling areas to avoid any exposed metal underneath that may become hot to the touch. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 17 Completed Date: 10/11/2023 Age: From 0 To 5 Total Minutes: 222 Time In: 09:38 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective May 31, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on October 6, 2023, and your business Kids at Play Childcare Center, LLC, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, and personal care routines. Infants were engaged in outdoor time and feeding time. The caregiver was interacting and meeting the developmental needs for each of the children. The center's compliance history was at 95% prior to today’s visit. 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. A sample of three children’s files were reviewed. No new staff have been hired since the routine unannounced visit April 20, 2023. One existing staff file was reviewed. The last monthly fire drill was practiced on 9/29/23. The last shelter in place drill was practiced on 7/26/23. The last monthly playground inspection was completed on 9/28/23. The most recent sanitation inspection for your facility was conducted on May 31, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 28, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/25/23, one child was not signed out of care. On 10/5/23, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/27/18, had First Aid training that expired 9/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 8/27/18, had CPR training that expired 9/2023. .1102(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled 7/5/22, did not have verification of immunizations until 9/22/22. 10A NCAC 09 .0302(d)(2) The violation(s) documented must be corrected immediately. On or before October 25, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. You must document accurate time by including am and pm. 10A NCAC 09 .0302(d)(4) CPR/First Aid Training: All staff must complete a certification in CPR and First Aid training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). This training must be completed during the next two weeks. Immunization Records: Each child must have an immunization record on file before or within 30 days after beginning care. Childcare Requirement .0302(d)(2) GS 110-91(1). The verification for the child enrolled 7/5/22 is now on file in the child’s record. This violation was corrected at visit. Consultation or other topics discussed today: We discussed screen time requirements. I reminded you that the screen time log form is available on the DCDEE website. We discussed that screen time is allowed for children ages 3 and up. No screen time is allowed for children under the age of 3. The outdoor play structure has some peeling plastic coating on the stairs of the structure. I encouraged you to cover those peeling areas to avoid any exposed metal underneath that may become hot to the touch. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 17 Completed Date: 10/11/2023 Age: From 0 To 5 Total Minutes: 222 Time In: 09:38 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective May 31, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on October 6, 2023, and your business Kids at Play Childcare Center, LLC, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, and personal care routines. Infants were engaged in outdoor time and feeding time. The caregiver was interacting and meeting the developmental needs for each of the children. The center's compliance history was at 95% prior to today’s visit. 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. A sample of three children’s files were reviewed. No new staff have been hired since the routine unannounced visit April 20, 2023. One existing staff file was reviewed. The last monthly fire drill was practiced on 9/29/23. The last shelter in place drill was practiced on 7/26/23. The last monthly playground inspection was completed on 9/28/23. The most recent sanitation inspection for your facility was conducted on May 31, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 28, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/25/23, one child was not signed out of care. On 10/5/23, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/27/18, had First Aid training that expired 9/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 8/27/18, had CPR training that expired 9/2023. .1102(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled 7/5/22, did not have verification of immunizations until 9/22/22. 10A NCAC 09 .0302(d)(2) The violation(s) documented must be corrected immediately. On or before October 25, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. You must document accurate time by including am and pm. 10A NCAC 09 .0302(d)(4) CPR/First Aid Training: All staff must complete a certification in CPR and First Aid training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). This training must be completed during the next two weeks. Immunization Records: Each child must have an immunization record on file before or within 30 days after beginning care. Childcare Requirement .0302(d)(2) GS 110-91(1). The verification for the child enrolled 7/5/22 is now on file in the child’s record. This violation was corrected at visit. Consultation or other topics discussed today: We discussed screen time requirements. I reminded you that the screen time log form is available on the DCDEE website. We discussed that screen time is allowed for children ages 3 and up. No screen time is allowed for children under the age of 3. The outdoor play structure has some peeling plastic coating on the stairs of the structure. I encouraged you to cover those peeling areas to avoid any exposed metal underneath that may become hot to the touch. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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: KIDS AT PLAY CHILDCARE CENTER, LLC. Facility ID: 81000292 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 17 Completed Date: 10/11/2023 Age: From 0 To 5 Total Minutes: 222 Time In: 09:38 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Trudy Holtzclaw, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four star license effective May 31, 2019. The permit restrictions were in compliance including 1st shift and meets enhanced ratios. The Secretary of State website was checked on October 6, 2023, and your business Kids at Play Childcare Center, LLC, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor play time, free play in activity areas, and personal care routines. Infants were engaged in outdoor time and feeding time. The caregiver was interacting and meeting the developmental needs for each of the children. The center's compliance history was at 95% prior to today’s visit. 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. A sample of three children’s files were reviewed. No new staff have been hired since the routine unannounced visit April 20, 2023. One existing staff file was reviewed. The last monthly fire drill was practiced on 9/29/23. The last shelter in place drill was practiced on 7/26/23. The last monthly playground inspection was completed on 9/28/23. The most recent sanitation inspection for your facility was conducted on May 31, 2023. A superior sanitation classification was issued with nine demerits. The most recent fire inspection for your facility was conducted on March 28, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. On 9/25/23, one child was not signed out of care. On 10/5/23, one child was not signed out of care. 10A NCAC 09 .0302(d)(4) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 8/27/18, had First Aid training that expired 9/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 8/27/18, had CPR training that expired 9/2023. .1102(d) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled 7/5/22, did not have verification of immunizations until 9/22/22. 10A NCAC 09 .0302(d)(2) The violation(s) documented must be corrected immediately. On or before October 25, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Arrival/Departure Records: Specific arrival and departure times are needed to ensure safe tracking of the children. I suggested that a designated staff person check sign in and out records at least twice daily for accuracy. You must document accurate time by including am and pm. 10A NCAC 09 .0302(d)(4) CPR/First Aid Training: All staff must complete a certification in CPR and First Aid training appropriate to the age of the children in care. Verification of training from an approved training organization must be in the staff file. 10A NCAC 09 .1102(d). This training must be completed during the next two weeks. Immunization Records: Each child must have an immunization record on file before or within 30 days after beginning care. Childcare Requirement .0302(d)(2) GS 110-91(1). The verification for the child enrolled 7/5/22 is now on file in the child’s record. This violation was corrected at visit. Consultation or other topics discussed today: We discussed screen time requirements. I reminded you that the screen time log form is available on the DCDEE website. We discussed that screen time is allowed for children ages 3 and up. No screen time is allowed for children under the age of 3. The outdoor play structure has some peeling plastic coating on the stairs of the structure. I encouraged you to cover those peeling areas to avoid any exposed metal underneath that may become hot to the touch. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. 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/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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