1ST Start Child Development Center, Inc.

10A NCAC 09 .0601 · Violation

Name of Operation: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 27 Completed Date: 4/28/2026 Age: From 0 To 11 Total Minutes: 390 Time In: 09:15 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:45 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance with Rated License Assessment visit. The previous Annual Compliance visit was completed on May 08, 2025, and prior to today’s visit, the eighteen-month compliance history score was 87%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 20, 2023. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet an educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program. The information on record was verified as correct by Cynthia McMillian, Legal Designee, and the owner’s corporation status is listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on January 09, 2026. Fire Classification of Approved for Day Time and Night Care was completed on November 21, 2025. Cynthia McMillian, Director/Legal Designee, was present while I observed the indoor and outdoor areas. Twenty-three (23) children were present upon my arrival. Children were observed participating in free-choice indoor and outdoor activities. Children had access to fine motor, literacy, science, dramatic-play, blocks, gross motor, creative art and music materials. The groups from Spaces #2 and #3 were observed in the outdoor learning environment. Children were observed engaging in sand play, playing on riding toys, playing on the see-saw, and exploring the nature in the environment. The outdoor learning environment was monitored for playground safety requirements. A loose plank was observed on the ramp that leads from Space #3 to the outdoor learning environment. In Space #4, children were observed participating in tummy time and free-choice activities. Infant feeding plans and documentation of visual sleep checks were available for review. A diaper change was observed, and all diapering procedures were followed. Routine care and handwashing practices were observed. Lunch consisted of cheese pizza with extra cheese, corn, diced pears, and milk. C. McMillian left the facility at 2:30pm for a van route and returned with four (4) school age children at 3:00pm. The children went into Space #1. The children put their belongings in their individual cubbies, washed their hands, and sat at a table for snack. When the children finished their snacks, they used the bathroom, washed their hands, and transitioned to the outdoor learning environment for outdoor play. Eleven staff files were reviewed. One staff member did not complete the required amount of annual on-going training hours, based on her education and experience. Six staff members did not have an annual evaluation on file. Three children’s records were reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on March 19, 2026. The most recent quarterly (shelter-in-place) drill was completed on February 24, 2026. The most recent playground inspection was completed on March 19, 2026. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A loose plank was observed on the ramp that leads from Space #3 to the outdoor learning environment. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member did not complete the required amount of annual ongoing training hours based on her education and experience (20 Hours Required; 12 Hours Received). .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six staff members did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 12, 2026, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 407 Hope Mills, NC 28348 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Rated License Assessment: An application for a Rated License Assessment was received on March 24, 2026. You chose the Classroom and Instructional Quality Pathway. The following documents were reviewed and monitored for compliance today: • Application for Assessment for a Rated License for Centers – The facility meets enhanced staff/child ratio. • Family and Community Engagement Standards (Child Care Centers) – Family and Community Engagement Foundational Practices and three additional options: C-1, EL-2, and EO-3. • Facility Continuous Quality Improvement (CQI) Plan – Goal/Plan was established; reason for goal, timeframe to achieve goal, and steps to achieve goal were documented and available for review. • Individual Continuous Quality Improvement (CQI) Professional Development (PD) Plan (Child Care Center) – Individual PD plans were on file and available for review. Goals were identified for each employee, time frame to achieve the goal, and steps to achieve the goal were documented on each plan. • Staff Information and Education – I was unable to determine the star level for education standards today. Paperwork was received by the Workforce Education Unit for evaluation from eleven staff members. Return letters were generated for two staff members on October 31, 2025, and December 18, 2025. The return letters were reviewed with the Legal Designee during today’s visit. • The Curriculum and formative assessment - The required curriculum and formative assessments, Funny Daffer were monitored for each child. Coaching and training opportunities for the administrator were provided by Sheila Jones, Region 5 Early Childhood Consultant. Documentation of coaching/training was maintained on-site and available for review. Once the requested education has been submitted and verified by the Workforce Education Unit, the star level will be determined and the rated license assessment packet for the Classroom & Instructional Quality Pathway will be completed. When the requested education has been verified, a rated license assessment packet will be completed and submitted to Raleigh for the issuance of a new star-rated license. Technical Assistance: Annual Ongoing Training Requirements A violation was cited today for a staff member not meeting the required amount of annual on-going training hours, based on experience and education. After the first year of employment, the administrator and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours The administrator stated that the staff member is currently taking EDU 119, and she will encourage the staff member to complete the required training hours as soon as possible. For more information about annual ongoing training requirements, refer to child care rule NCAC 09 .1103(a). Annual Staff Evaluations A system for evaluation of employees is a basic component of any personnel policy. Staff members who are well trained are better able to prevent, recognize, and correct health and safety problems. Children must be protected from incompetent caregiving. A system for evaluation and a plan to promote continued development are essential to assist staff with meeting performance requirements. More information about annual staff evaluation requirements can be found in child care rule 10A NCAC 09 .0514(f). Safe Environment A violation was cited today for a loose plank observed on a ramp that leads to the outdoor learning environment. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, bulging ceilings can collapse and cause injuries, and playground equipment and fences in poor repair can create entanglement and entrapment hazards. For more information about safety requirements, refer to child care rule 10A NCAC 09 .0601. Reminders: NCDHHS Responds to Increase in Measles Cases Measles is on the rise globally and in North Carolina. As a highly contagious, airborne disease, even one case is a major priority for public health. NCDHHS is taking action by launching new outreach resources for child care providers, families, and community stakeholder to help curb the spread. Child care providers can share information about vaccinations with the families served and be informed with the most current information. For more information and to access tools and resources, visit NCDHHS at dph.ncdhhs.gov/measles. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. Rhonda Blackmon, Licensing Supervisor, may also be contacted at 910-709-4168 or Rhonda.blackmon@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: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 27 Completed Date: 4/28/2026 Age: From 0 To 11 Total Minutes: 390 Time In: 09:15 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:45 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance with Rated License Assessment visit. The previous Annual Compliance visit was completed on May 08, 2025, and prior to today’s visit, the eighteen-month compliance history score was 87%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 20, 2023. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet an educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program. The information on record was verified as correct by Cynthia McMillian, Legal Designee, and the owner’s corporation status is listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on January 09, 2026. Fire Classification of Approved for Day Time and Night Care was completed on November 21, 2025. Cynthia McMillian, Director/Legal Designee, was present while I observed the indoor and outdoor areas. Twenty-three (23) children were present upon my arrival. Children were observed participating in free-choice indoor and outdoor activities. Children had access to fine motor, literacy, science, dramatic-play, blocks, gross motor, creative art and music materials. The groups from Spaces #2 and #3 were observed in the outdoor learning environment. Children were observed engaging in sand play, playing on riding toys, playing on the see-saw, and exploring the nature in the environment. The outdoor learning environment was monitored for playground safety requirements. A loose plank was observed on the ramp that leads from Space #3 to the outdoor learning environment. In Space #4, children were observed participating in tummy time and free-choice activities. Infant feeding plans and documentation of visual sleep checks were available for review. A diaper change was observed, and all diapering procedures were followed. Routine care and handwashing practices were observed. Lunch consisted of cheese pizza with extra cheese, corn, diced pears, and milk. C. McMillian left the facility at 2:30pm for a van route and returned with four (4) school age children at 3:00pm. The children went into Space #1. The children put their belongings in their individual cubbies, washed their hands, and sat at a table for snack. When the children finished their snacks, they used the bathroom, washed their hands, and transitioned to the outdoor learning environment for outdoor play. Eleven staff files were reviewed. One staff member did not complete the required amount of annual on-going training hours, based on her education and experience. Six staff members did not have an annual evaluation on file. Three children’s records were reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on March 19, 2026. The most recent quarterly (shelter-in-place) drill was completed on February 24, 2026. The most recent playground inspection was completed on March 19, 2026. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A loose plank was observed on the ramp that leads from Space #3 to the outdoor learning environment. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member did not complete the required amount of annual ongoing training hours based on her education and experience (20 Hours Required; 12 Hours Received). .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six staff members did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 12, 2026, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 407 Hope Mills, NC 28348 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Rated License Assessment: An application for a Rated License Assessment was received on March 24, 2026. You chose the Classroom and Instructional Quality Pathway. The following documents were reviewed and monitored for compliance today: • Application for Assessment for a Rated License for Centers – The facility meets enhanced staff/child ratio. • Family and Community Engagement Standards (Child Care Centers) – Family and Community Engagement Foundational Practices and three additional options: C-1, EL-2, and EO-3. • Facility Continuous Quality Improvement (CQI) Plan – Goal/Plan was established; reason for goal, timeframe to achieve goal, and steps to achieve goal were documented and available for review. • Individual Continuous Quality Improvement (CQI) Professional Development (PD) Plan (Child Care Center) – Individual PD plans were on file and available for review. Goals were identified for each employee, time frame to achieve the goal, and steps to achieve the goal were documented on each plan. • Staff Information and Education – I was unable to determine the star level for education standards today. Paperwork was received by the Workforce Education Unit for evaluation from eleven staff members. Return letters were generated for two staff members on October 31, 2025, and December 18, 2025. The return letters were reviewed with the Legal Designee during today’s visit. • The Curriculum and formative assessment - The required curriculum and formative assessments, Funny Daffer were monitored for each child. Coaching and training opportunities for the administrator were provided by Sheila Jones, Region 5 Early Childhood Consultant. Documentation of coaching/training was maintained on-site and available for review. Once the requested education has been submitted and verified by the Workforce Education Unit, the star level will be determined and the rated license assessment packet for the Classroom & Instructional Quality Pathway will be completed. When the requested education has been verified, a rated license assessment packet will be completed and submitted to Raleigh for the issuance of a new star-rated license. Technical Assistance: Annual Ongoing Training Requirements A violation was cited today for a staff member not meeting the required amount of annual on-going training hours, based on experience and education. After the first year of employment, the administrator and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours The administrator stated that the staff member is currently taking EDU 119, and she will encourage the staff member to complete the required training hours as soon as possible. For more information about annual ongoing training requirements, refer to child care rule NCAC 09 .1103(a). Annual Staff Evaluations A system for evaluation of employees is a basic component of any personnel policy. Staff members who are well trained are better able to prevent, recognize, and correct health and safety problems. Children must be protected from incompetent caregiving. A system for evaluation and a plan to promote continued development are essential to assist staff with meeting performance requirements. More information about annual staff evaluation requirements can be found in child care rule 10A NCAC 09 .0514(f). Safe Environment A violation was cited today for a loose plank observed on a ramp that leads to the outdoor learning environment. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, bulging ceilings can collapse and cause injuries, and playground equipment and fences in poor repair can create entanglement and entrapment hazards. For more information about safety requirements, refer to child care rule 10A NCAC 09 .0601. Reminders: NCDHHS Responds to Increase in Measles Cases Measles is on the rise globally and in North Carolina. As a highly contagious, airborne disease, even one case is a major priority for public health. NCDHHS is taking action by launching new outreach resources for child care providers, families, and community stakeholder to help curb the spread. Child care providers can share information about vaccinations with the families served and be informed with the most current information. For more information and to access tools and resources, visit NCDHHS at dph.ncdhhs.gov/measles. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. Rhonda Blackmon, Licensing Supervisor, may also be contacted at 910-709-4168 or Rhonda.blackmon@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 27 Completed Date: 4/28/2026 Age: From 0 To 11 Total Minutes: 390 Time In: 09:15 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:45 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance with Rated License Assessment visit. The previous Annual Compliance visit was completed on May 08, 2025, and prior to today’s visit, the eighteen-month compliance history score was 87%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 20, 2023. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet an educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program. The information on record was verified as correct by Cynthia McMillian, Legal Designee, and the owner’s corporation status is listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on January 09, 2026. Fire Classification of Approved for Day Time and Night Care was completed on November 21, 2025. Cynthia McMillian, Director/Legal Designee, was present while I observed the indoor and outdoor areas. Twenty-three (23) children were present upon my arrival. Children were observed participating in free-choice indoor and outdoor activities. Children had access to fine motor, literacy, science, dramatic-play, blocks, gross motor, creative art and music materials. The groups from Spaces #2 and #3 were observed in the outdoor learning environment. Children were observed engaging in sand play, playing on riding toys, playing on the see-saw, and exploring the nature in the environment. The outdoor learning environment was monitored for playground safety requirements. A loose plank was observed on the ramp that leads from Space #3 to the outdoor learning environment. In Space #4, children were observed participating in tummy time and free-choice activities. Infant feeding plans and documentation of visual sleep checks were available for review. A diaper change was observed, and all diapering procedures were followed. Routine care and handwashing practices were observed. Lunch consisted of cheese pizza with extra cheese, corn, diced pears, and milk. C. McMillian left the facility at 2:30pm for a van route and returned with four (4) school age children at 3:00pm. The children went into Space #1. The children put their belongings in their individual cubbies, washed their hands, and sat at a table for snack. When the children finished their snacks, they used the bathroom, washed their hands, and transitioned to the outdoor learning environment for outdoor play. Eleven staff files were reviewed. One staff member did not complete the required amount of annual on-going training hours, based on her education and experience. Six staff members did not have an annual evaluation on file. Three children’s records were reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on March 19, 2026. The most recent quarterly (shelter-in-place) drill was completed on February 24, 2026. The most recent playground inspection was completed on March 19, 2026. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A loose plank was observed on the ramp that leads from Space #3 to the outdoor learning environment. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member did not complete the required amount of annual ongoing training hours based on her education and experience (20 Hours Required; 12 Hours Received). .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six staff members did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 12, 2026, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 407 Hope Mills, NC 28348 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Rated License Assessment: An application for a Rated License Assessment was received on March 24, 2026. You chose the Classroom and Instructional Quality Pathway. The following documents were reviewed and monitored for compliance today: • Application for Assessment for a Rated License for Centers – The facility meets enhanced staff/child ratio. • Family and Community Engagement Standards (Child Care Centers) – Family and Community Engagement Foundational Practices and three additional options: C-1, EL-2, and EO-3. • Facility Continuous Quality Improvement (CQI) Plan – Goal/Plan was established; reason for goal, timeframe to achieve goal, and steps to achieve goal were documented and available for review. • Individual Continuous Quality Improvement (CQI) Professional Development (PD) Plan (Child Care Center) – Individual PD plans were on file and available for review. Goals were identified for each employee, time frame to achieve the goal, and steps to achieve the goal were documented on each plan. • Staff Information and Education – I was unable to determine the star level for education standards today. Paperwork was received by the Workforce Education Unit for evaluation from eleven staff members. Return letters were generated for two staff members on October 31, 2025, and December 18, 2025. The return letters were reviewed with the Legal Designee during today’s visit. • The Curriculum and formative assessment - The required curriculum and formative assessments, Funny Daffer were monitored for each child. Coaching and training opportunities for the administrator were provided by Sheila Jones, Region 5 Early Childhood Consultant. Documentation of coaching/training was maintained on-site and available for review. Once the requested education has been submitted and verified by the Workforce Education Unit, the star level will be determined and the rated license assessment packet for the Classroom & Instructional Quality Pathway will be completed. When the requested education has been verified, a rated license assessment packet will be completed and submitted to Raleigh for the issuance of a new star-rated license. Technical Assistance: Annual Ongoing Training Requirements A violation was cited today for a staff member not meeting the required amount of annual on-going training hours, based on experience and education. After the first year of employment, the administrator and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours The administrator stated that the staff member is currently taking EDU 119, and she will encourage the staff member to complete the required training hours as soon as possible. For more information about annual ongoing training requirements, refer to child care rule NCAC 09 .1103(a). Annual Staff Evaluations A system for evaluation of employees is a basic component of any personnel policy. Staff members who are well trained are better able to prevent, recognize, and correct health and safety problems. Children must be protected from incompetent caregiving. A system for evaluation and a plan to promote continued development are essential to assist staff with meeting performance requirements. More information about annual staff evaluation requirements can be found in child care rule 10A NCAC 09 .0514(f). Safe Environment A violation was cited today for a loose plank observed on a ramp that leads to the outdoor learning environment. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, bulging ceilings can collapse and cause injuries, and playground equipment and fences in poor repair can create entanglement and entrapment hazards. For more information about safety requirements, refer to child care rule 10A NCAC 09 .0601. Reminders: NCDHHS Responds to Increase in Measles Cases Measles is on the rise globally and in North Carolina. As a highly contagious, airborne disease, even one case is a major priority for public health. NCDHHS is taking action by launching new outreach resources for child care providers, families, and community stakeholder to help curb the spread. Child care providers can share information about vaccinations with the families served and be informed with the most current information. For more information and to access tools and resources, visit NCDHHS at dph.ncdhhs.gov/measles. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. Rhonda Blackmon, Licensing Supervisor, may also be contacted at 910-709-4168 or Rhonda.blackmon@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: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 27 Completed Date: 4/28/2026 Age: From 0 To 11 Total Minutes: 390 Time In: 09:15 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 04:45 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance with Rated License Assessment visit. The previous Annual Compliance visit was completed on May 08, 2025, and prior to today’s visit, the eighteen-month compliance history score was 87%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 20, 2023. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet an educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program. The information on record was verified as correct by Cynthia McMillian, Legal Designee, and the owner’s corporation status is listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on January 09, 2026. Fire Classification of Approved for Day Time and Night Care was completed on November 21, 2025. Cynthia McMillian, Director/Legal Designee, was present while I observed the indoor and outdoor areas. Twenty-three (23) children were present upon my arrival. Children were observed participating in free-choice indoor and outdoor activities. Children had access to fine motor, literacy, science, dramatic-play, blocks, gross motor, creative art and music materials. The groups from Spaces #2 and #3 were observed in the outdoor learning environment. Children were observed engaging in sand play, playing on riding toys, playing on the see-saw, and exploring the nature in the environment. The outdoor learning environment was monitored for playground safety requirements. A loose plank was observed on the ramp that leads from Space #3 to the outdoor learning environment. In Space #4, children were observed participating in tummy time and free-choice activities. Infant feeding plans and documentation of visual sleep checks were available for review. A diaper change was observed, and all diapering procedures were followed. Routine care and handwashing practices were observed. Lunch consisted of cheese pizza with extra cheese, corn, diced pears, and milk. C. McMillian left the facility at 2:30pm for a van route and returned with four (4) school age children at 3:00pm. The children went into Space #1. The children put their belongings in their individual cubbies, washed their hands, and sat at a table for snack. When the children finished their snacks, they used the bathroom, washed their hands, and transitioned to the outdoor learning environment for outdoor play. Eleven staff files were reviewed. One staff member did not complete the required amount of annual on-going training hours, based on her education and experience. Six staff members did not have an annual evaluation on file. Three children’s records were reviewed, and all documentation was observed in compliance with applicable child care rules. Program files, including the EPR Plan, were reviewed. The most recent fire drill was completed on March 19, 2026. The most recent quarterly (shelter-in-place) drill was completed on February 24, 2026. The most recent playground inspection was completed on March 19, 2026. Transportation requirements were monitored and observed in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A loose plank was observed on the ramp that leads from Space #3 to the outdoor learning environment. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member did not complete the required amount of annual ongoing training hours based on her education and experience (20 Hours Required; 12 Hours Received). .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six staff members did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 12, 2026, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 407 Hope Mills, NC 28348 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Rated License Assessment: An application for a Rated License Assessment was received on March 24, 2026. You chose the Classroom and Instructional Quality Pathway. The following documents were reviewed and monitored for compliance today: • Application for Assessment for a Rated License for Centers – The facility meets enhanced staff/child ratio. • Family and Community Engagement Standards (Child Care Centers) – Family and Community Engagement Foundational Practices and three additional options: C-1, EL-2, and EO-3. • Facility Continuous Quality Improvement (CQI) Plan – Goal/Plan was established; reason for goal, timeframe to achieve goal, and steps to achieve goal were documented and available for review. • Individual Continuous Quality Improvement (CQI) Professional Development (PD) Plan (Child Care Center) – Individual PD plans were on file and available for review. Goals were identified for each employee, time frame to achieve the goal, and steps to achieve the goal were documented on each plan. • Staff Information and Education – I was unable to determine the star level for education standards today. Paperwork was received by the Workforce Education Unit for evaluation from eleven staff members. Return letters were generated for two staff members on October 31, 2025, and December 18, 2025. The return letters were reviewed with the Legal Designee during today’s visit. • The Curriculum and formative assessment - The required curriculum and formative assessments, Funny Daffer were monitored for each child. Coaching and training opportunities for the administrator were provided by Sheila Jones, Region 5 Early Childhood Consultant. Documentation of coaching/training was maintained on-site and available for review. Once the requested education has been submitted and verified by the Workforce Education Unit, the star level will be determined and the rated license assessment packet for the Classroom & Instructional Quality Pathway will be completed. When the requested education has been verified, a rated license assessment packet will be completed and submitted to Raleigh for the issuance of a new star-rated license. Technical Assistance: Annual Ongoing Training Requirements A violation was cited today for a staff member not meeting the required amount of annual on-going training hours, based on experience and education. After the first year of employment, the administrator and staff who work with children shall complete on-going training activities as follows: • 4 Year Degree or Higher in Child Care Related Field – 5 Hours • 2 Year Degree in Child Care Related Field – 8 Hours • North Carolina Early Childhood Administration Credential – 8 Hours • North Carolina Early Childhood Credential – 10 Hours • 10 Years of Early Childhood Work Experience – 15 Hours • None of the Above – 20 Hours The administrator stated that the staff member is currently taking EDU 119, and she will encourage the staff member to complete the required training hours as soon as possible. For more information about annual ongoing training requirements, refer to child care rule NCAC 09 .1103(a). Annual Staff Evaluations A system for evaluation of employees is a basic component of any personnel policy. Staff members who are well trained are better able to prevent, recognize, and correct health and safety problems. Children must be protected from incompetent caregiving. A system for evaluation and a plan to promote continued development are essential to assist staff with meeting performance requirements. More information about annual staff evaluation requirements can be found in child care rule 10A NCAC 09 .0514(f). Safe Environment A violation was cited today for a loose plank observed on a ramp that leads to the outdoor learning environment. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, bulging ceilings can collapse and cause injuries, and playground equipment and fences in poor repair can create entanglement and entrapment hazards. For more information about safety requirements, refer to child care rule 10A NCAC 09 .0601. Reminders: NCDHHS Responds to Increase in Measles Cases Measles is on the rise globally and in North Carolina. As a highly contagious, airborne disease, even one case is a major priority for public health. NCDHHS is taking action by launching new outreach resources for child care providers, families, and community stakeholder to help curb the spread. Child care providers can share information about vaccinations with the families served and be informed with the most current information. For more information and to access tools and resources, visit NCDHHS at dph.ncdhhs.gov/measles. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. Rhonda Blackmon, Licensing Supervisor, may also be contacted at 910-709-4168 or Rhonda.blackmon@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: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 20 Completed Date: 5/8/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 09:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on May 30, 2023, and prior to today’s visit, the eighteen-month compliance history score was 85%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 20, 2023. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet an educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program. The information on record was verified as correct by Cynthia McMillian, Legal Designee, and the owner’s corporation status is listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 22, 2025. Fire Classification of Approved for Day Time and Night Care was completed on October 14, 2024. Cynthia McMillian, Director/Legal Designee, was present while I observed the indoor and outdoor areas. Nineteen (19) children were present upon my arrival. Children were observed participating in free-choice activities and outdoor play. Children had access to fine motor, literacy, science, dramatic-play, blocks, gross motor, creative art and music materials. Space #1 was not in use but was monitored for general health and safety requirements. In Space #2, children were observed playing with various blocks and manipulatives. Foam blocks were accessible to children under three years of age. In Space #3, children were observed transitioning to the outdoor learning environment. Children were observed racing and participating in a bean bag toss activity. Children were also observed playing with bouncing balls, plastic baseball sets, and riding on tricycles. The outdoor learning environment was monitored for health and safety requirements. In Space #4, children were observed participating in tummy time and free-choice activities. All prepared bottles in the refrigerator were properly labeled. Infant feeding plans and documentation of visual sleep checks were available for review. A diaper change was observed, and all diapering procedures were followed. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, French fries, mixed vegetables, applesauce, and milk. Three staff files were reviewed, and all documentation was observed in compliance with applicable child care rules. Four children’s files were reviewed. On one child’s application, the parent/guardian identified asthma as a health concern. However, an asthma action plan was not on file and there was no further documentation of asthma on the child’s health assessment. Program files, including the EPR Plan, were reviewed. The most recent playground inspection was completed on April 03, 2025. The most recent fire drill was completed on April 03, 2025. The most recent lockdown drill was completed on February 07, 2025. Transportation requirements were monitored. A pair of pliers were observed on the floor of the approved vehicle. A bottle of engine oil cleaner was stored under the back seat of the approved vehicle. One of the identified drivers of vehicle used to transport children was not at least 21 years of age. The director called an employee to pick up children from public school with their personal vehicle and bring them to the facility for afterschool care. The employee arrived to the facility at 2:55pm with one school aged child. The vehicle that was used to transport children did not have a fire extinguisher, a first aid kit, emergency identifying information for each child, or a list of children being transported. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the vehicle used to transport children, a bottle of engine oil cleaner was stored on the floor, under the back seat. When this was brought to the director's attention, she immediately had an employee remove the item from the vehicle and place it in locked storage. .2820(b) 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 #2, foam blocks were accessible to children under three years of age. When this was brought to the director's attention, she immediately took the foam blocks out of Space #2 and placed them in closet storage. .0604(q) 1101 The driver was not at least 21 years old or a licensed bus driver. Khalil Hasan, Lead Teacher and Driver, was not at least 21 years old. 10A NCAC 09 .1003(e)(1) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The director asked an employee to transpor children from their public school to the facility in their personal vehicle. A first aid kit and fire extinguisher were not in the employee's personal vehicle. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The director asked an employee to transport children from their public school to the facility in their personal vehicle. Emergency and identifying information for each child being transported was not in the employee's personal vehicle. 10A NCAC 09 .1003(d) 1127 For routine transport of children to and from the center, staff did not have a list of the children being transported. The director asked an employee to transport children from their public school to the facility in their personal vehicle. A list of children being transported was not in the employee's personal vehicle. 10A NCAC 09 .1003(l) 1128 For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle. The director asked an employee to transport children from their public school to the facility in their personal vehicle. A transportation list was not available for review or used to document attendance of children boarding and exiting the vehicle. 10A NCAC 09 .1003(l) 1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. In the vehicle used to transport children, a pair of pliers was stored on the floor, in front of the second row of seats. When this was brought to the director's attention, she immediately had an employee remove the item from the vehicle and place it in locked storage. .2506(c) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. On one child's (A.W.) medical file, the parent/guardian documented asthma as a health concern. However, an asthma action plan or additional medical documentation was not on file. .0801(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 22, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Safe Indoor Environment A violation was cited today for foam blocks being accessible to children under the age of three. According to Child Care Rule .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam, rubber, and styrofoam, shall not be accessible to children under three years of age. Medical Action Plan A violation was cited today for a child with a documented health concern not having a medical action plan on file. Children with special health care needs could have a variety of different problems ranging from asthma, diabetes, cerebral palsy, bleeding disorders, metabolic problems, cystic fibrosis, sickle cell disease, seizure disorder, sensory disorders, autism, severe allergy, immune deficiencies, or many other conditions. Some of these conditions require daily treatments and some only require observation for signs of impending illness and ability to respond in a timely manner. A medical action plan is created by the child’s primary care provider in collaboration with the family. The medical action plan should be reviewed with the parents/guardians and should be maintained as part of each child’s confidential record. Emergency medications should be provided by the parent/guardian prior to the child’s first day of attendance. C. McMillian stated that she would call the parent to obtain more information and documentation about the child’s medical concern. More information about medical action plans can be found in child care rule 10A NCAC 09 .0801(b). Hazardous Items Storage Two violations were cited today for the unsafe storage of hazardous items. There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. The substances most involved in poison exposures of children are cosmetics and personal care products, cleaning substances, and medications. When not in active use, all chemicals used inside or outside should be stored in a safe and secure manner in a locked room or cabinet, fitted with a child-resistive opening device, inaccessible to children, and separate from stored medications and food. Additionally, hazardous equipment and materials, including tools, should be made inaccessible to children. Restricting access to hazardous equipment and materials can prevent injuries to children and staff in child care. For more information about hazardous items storage, refer to child care sanitation rule 15A NCAC 18A .2820(a-g). Transportation Requirements Five violations were cited today for not complying with transportation requirements. Any driver who transports children for a child care program should be at least twenty-one years of age. Vehicles should be equipped with a first aid kit, fire extinguisher, and functioning seat belts. At least one adult should have a functioning cell phone at hand. Information, names of the children and parent/guardian contact information should be carried in the vehicle along with identifying information (name, address, and telephone number) about the child care center. For more information about transportation requirements, refer to child care rules 10A NCAC 09 .1002 & .1003. Reminders Impact Early Childhood Education Summit PBS North Carolina’s fourth annual Impact Early Childhood Education Summit will be held Saturday, June 7, at Winston-Salem State University’s Albert H. Anderson Conference Center. This full-day conference aims to empower educators, childcare providers, parents and caregivers to lay a strong foundation for young learners. Educators can earn professional credit hours for attending. Register now through May 23, 2025. Secure your spot early for a powerful day of learning, connection, and inspiration. If you’re an educator from a Western NC county affected by Hurricane Helene, free ticket registration is available. PBS NC also offers discounted group ticket options to make it easier for more educators to attend. Date: Saturday, June 7, 2025 Time: 9:00 a.m. — 5:00 p.m. Location: Winston-Salem State University Albert H. Anderson Jr. Conference Center 1545 Reynolds Park Road Winston-Salem, NC 27110 DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have any questions or concerns, please contact me at: 910-605-2367 or tiffany.L.reed@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 .1002 · Violation

Name of Operation: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 20 Completed Date: 5/8/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 09:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on May 30, 2023, and prior to today’s visit, the eighteen-month compliance history score was 85%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 20, 2023. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet an educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program. The information on record was verified as correct by Cynthia McMillian, Legal Designee, and the owner’s corporation status is listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 22, 2025. Fire Classification of Approved for Day Time and Night Care was completed on October 14, 2024. Cynthia McMillian, Director/Legal Designee, was present while I observed the indoor and outdoor areas. Nineteen (19) children were present upon my arrival. Children were observed participating in free-choice activities and outdoor play. Children had access to fine motor, literacy, science, dramatic-play, blocks, gross motor, creative art and music materials. Space #1 was not in use but was monitored for general health and safety requirements. In Space #2, children were observed playing with various blocks and manipulatives. Foam blocks were accessible to children under three years of age. In Space #3, children were observed transitioning to the outdoor learning environment. Children were observed racing and participating in a bean bag toss activity. Children were also observed playing with bouncing balls, plastic baseball sets, and riding on tricycles. The outdoor learning environment was monitored for health and safety requirements. In Space #4, children were observed participating in tummy time and free-choice activities. All prepared bottles in the refrigerator were properly labeled. Infant feeding plans and documentation of visual sleep checks were available for review. A diaper change was observed, and all diapering procedures were followed. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, French fries, mixed vegetables, applesauce, and milk. Three staff files were reviewed, and all documentation was observed in compliance with applicable child care rules. Four children’s files were reviewed. On one child’s application, the parent/guardian identified asthma as a health concern. However, an asthma action plan was not on file and there was no further documentation of asthma on the child’s health assessment. Program files, including the EPR Plan, were reviewed. The most recent playground inspection was completed on April 03, 2025. The most recent fire drill was completed on April 03, 2025. The most recent lockdown drill was completed on February 07, 2025. Transportation requirements were monitored. A pair of pliers were observed on the floor of the approved vehicle. A bottle of engine oil cleaner was stored under the back seat of the approved vehicle. One of the identified drivers of vehicle used to transport children was not at least 21 years of age. The director called an employee to pick up children from public school with their personal vehicle and bring them to the facility for afterschool care. The employee arrived to the facility at 2:55pm with one school aged child. The vehicle that was used to transport children did not have a fire extinguisher, a first aid kit, emergency identifying information for each child, or a list of children being transported. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the vehicle used to transport children, a bottle of engine oil cleaner was stored on the floor, under the back seat. When this was brought to the director's attention, she immediately had an employee remove the item from the vehicle and place it in locked storage. .2820(b) 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 #2, foam blocks were accessible to children under three years of age. When this was brought to the director's attention, she immediately took the foam blocks out of Space #2 and placed them in closet storage. .0604(q) 1101 The driver was not at least 21 years old or a licensed bus driver. Khalil Hasan, Lead Teacher and Driver, was not at least 21 years old. 10A NCAC 09 .1003(e)(1) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The director asked an employee to transpor children from their public school to the facility in their personal vehicle. A first aid kit and fire extinguisher were not in the employee's personal vehicle. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The director asked an employee to transport children from their public school to the facility in their personal vehicle. Emergency and identifying information for each child being transported was not in the employee's personal vehicle. 10A NCAC 09 .1003(d) 1127 For routine transport of children to and from the center, staff did not have a list of the children being transported. The director asked an employee to transport children from their public school to the facility in their personal vehicle. A list of children being transported was not in the employee's personal vehicle. 10A NCAC 09 .1003(l) 1128 For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle. The director asked an employee to transport children from their public school to the facility in their personal vehicle. A transportation list was not available for review or used to document attendance of children boarding and exiting the vehicle. 10A NCAC 09 .1003(l) 1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. In the vehicle used to transport children, a pair of pliers was stored on the floor, in front of the second row of seats. When this was brought to the director's attention, she immediately had an employee remove the item from the vehicle and place it in locked storage. .2506(c) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. On one child's (A.W.) medical file, the parent/guardian documented asthma as a health concern. However, an asthma action plan or additional medical documentation was not on file. .0801(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 22, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Safe Indoor Environment A violation was cited today for foam blocks being accessible to children under the age of three. According to Child Care Rule .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam, rubber, and styrofoam, shall not be accessible to children under three years of age. Medical Action Plan A violation was cited today for a child with a documented health concern not having a medical action plan on file. Children with special health care needs could have a variety of different problems ranging from asthma, diabetes, cerebral palsy, bleeding disorders, metabolic problems, cystic fibrosis, sickle cell disease, seizure disorder, sensory disorders, autism, severe allergy, immune deficiencies, or many other conditions. Some of these conditions require daily treatments and some only require observation for signs of impending illness and ability to respond in a timely manner. A medical action plan is created by the child’s primary care provider in collaboration with the family. The medical action plan should be reviewed with the parents/guardians and should be maintained as part of each child’s confidential record. Emergency medications should be provided by the parent/guardian prior to the child’s first day of attendance. C. McMillian stated that she would call the parent to obtain more information and documentation about the child’s medical concern. More information about medical action plans can be found in child care rule 10A NCAC 09 .0801(b). Hazardous Items Storage Two violations were cited today for the unsafe storage of hazardous items. There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. The substances most involved in poison exposures of children are cosmetics and personal care products, cleaning substances, and medications. When not in active use, all chemicals used inside or outside should be stored in a safe and secure manner in a locked room or cabinet, fitted with a child-resistive opening device, inaccessible to children, and separate from stored medications and food. Additionally, hazardous equipment and materials, including tools, should be made inaccessible to children. Restricting access to hazardous equipment and materials can prevent injuries to children and staff in child care. For more information about hazardous items storage, refer to child care sanitation rule 15A NCAC 18A .2820(a-g). Transportation Requirements Five violations were cited today for not complying with transportation requirements. Any driver who transports children for a child care program should be at least twenty-one years of age. Vehicles should be equipped with a first aid kit, fire extinguisher, and functioning seat belts. At least one adult should have a functioning cell phone at hand. Information, names of the children and parent/guardian contact information should be carried in the vehicle along with identifying information (name, address, and telephone number) about the child care center. For more information about transportation requirements, refer to child care rules 10A NCAC 09 .1002 & .1003. Reminders Impact Early Childhood Education Summit PBS North Carolina’s fourth annual Impact Early Childhood Education Summit will be held Saturday, June 7, at Winston-Salem State University’s Albert H. Anderson Conference Center. This full-day conference aims to empower educators, childcare providers, parents and caregivers to lay a strong foundation for young learners. Educators can earn professional credit hours for attending. Register now through May 23, 2025. Secure your spot early for a powerful day of learning, connection, and inspiration. If you’re an educator from a Western NC county affected by Hurricane Helene, free ticket registration is available. PBS NC also offers discounted group ticket options to make it easier for more educators to attend. Date: Saturday, June 7, 2025 Time: 9:00 a.m. — 5:00 p.m. Location: Winston-Salem State University Albert H. Anderson Jr. Conference Center 1545 Reynolds Park Road Winston-Salem, NC 27110 DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have any questions or concerns, please contact me at: 910-605-2367 or tiffany.L.reed@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 .1003 · Violation

Name of Operation: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 20 Completed Date: 5/8/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 09:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on May 30, 2023, and prior to today’s visit, the eighteen-month compliance history score was 85%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 20, 2023. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet an educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program. The information on record was verified as correct by Cynthia McMillian, Legal Designee, and the owner’s corporation status is listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 22, 2025. Fire Classification of Approved for Day Time and Night Care was completed on October 14, 2024. Cynthia McMillian, Director/Legal Designee, was present while I observed the indoor and outdoor areas. Nineteen (19) children were present upon my arrival. Children were observed participating in free-choice activities and outdoor play. Children had access to fine motor, literacy, science, dramatic-play, blocks, gross motor, creative art and music materials. Space #1 was not in use but was monitored for general health and safety requirements. In Space #2, children were observed playing with various blocks and manipulatives. Foam blocks were accessible to children under three years of age. In Space #3, children were observed transitioning to the outdoor learning environment. Children were observed racing and participating in a bean bag toss activity. Children were also observed playing with bouncing balls, plastic baseball sets, and riding on tricycles. The outdoor learning environment was monitored for health and safety requirements. In Space #4, children were observed participating in tummy time and free-choice activities. All prepared bottles in the refrigerator were properly labeled. Infant feeding plans and documentation of visual sleep checks were available for review. A diaper change was observed, and all diapering procedures were followed. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, French fries, mixed vegetables, applesauce, and milk. Three staff files were reviewed, and all documentation was observed in compliance with applicable child care rules. Four children’s files were reviewed. On one child’s application, the parent/guardian identified asthma as a health concern. However, an asthma action plan was not on file and there was no further documentation of asthma on the child’s health assessment. Program files, including the EPR Plan, were reviewed. The most recent playground inspection was completed on April 03, 2025. The most recent fire drill was completed on April 03, 2025. The most recent lockdown drill was completed on February 07, 2025. Transportation requirements were monitored. A pair of pliers were observed on the floor of the approved vehicle. A bottle of engine oil cleaner was stored under the back seat of the approved vehicle. One of the identified drivers of vehicle used to transport children was not at least 21 years of age. The director called an employee to pick up children from public school with their personal vehicle and bring them to the facility for afterschool care. The employee arrived to the facility at 2:55pm with one school aged child. The vehicle that was used to transport children did not have a fire extinguisher, a first aid kit, emergency identifying information for each child, or a list of children being transported. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the vehicle used to transport children, a bottle of engine oil cleaner was stored on the floor, under the back seat. When this was brought to the director's attention, she immediately had an employee remove the item from the vehicle and place it in locked storage. .2820(b) 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 #2, foam blocks were accessible to children under three years of age. When this was brought to the director's attention, she immediately took the foam blocks out of Space #2 and placed them in closet storage. .0604(q) 1101 The driver was not at least 21 years old or a licensed bus driver. Khalil Hasan, Lead Teacher and Driver, was not at least 21 years old. 10A NCAC 09 .1003(e)(1) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The director asked an employee to transpor children from their public school to the facility in their personal vehicle. A first aid kit and fire extinguisher were not in the employee's personal vehicle. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The director asked an employee to transport children from their public school to the facility in their personal vehicle. Emergency and identifying information for each child being transported was not in the employee's personal vehicle. 10A NCAC 09 .1003(d) 1127 For routine transport of children to and from the center, staff did not have a list of the children being transported. The director asked an employee to transport children from their public school to the facility in their personal vehicle. A list of children being transported was not in the employee's personal vehicle. 10A NCAC 09 .1003(l) 1128 For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle. The director asked an employee to transport children from their public school to the facility in their personal vehicle. A transportation list was not available for review or used to document attendance of children boarding and exiting the vehicle. 10A NCAC 09 .1003(l) 1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. In the vehicle used to transport children, a pair of pliers was stored on the floor, in front of the second row of seats. When this was brought to the director's attention, she immediately had an employee remove the item from the vehicle and place it in locked storage. .2506(c) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. On one child's (A.W.) medical file, the parent/guardian documented asthma as a health concern. However, an asthma action plan or additional medical documentation was not on file. .0801(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 22, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Safe Indoor Environment A violation was cited today for foam blocks being accessible to children under the age of three. According to Child Care Rule .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam, rubber, and styrofoam, shall not be accessible to children under three years of age. Medical Action Plan A violation was cited today for a child with a documented health concern not having a medical action plan on file. Children with special health care needs could have a variety of different problems ranging from asthma, diabetes, cerebral palsy, bleeding disorders, metabolic problems, cystic fibrosis, sickle cell disease, seizure disorder, sensory disorders, autism, severe allergy, immune deficiencies, or many other conditions. Some of these conditions require daily treatments and some only require observation for signs of impending illness and ability to respond in a timely manner. A medical action plan is created by the child’s primary care provider in collaboration with the family. The medical action plan should be reviewed with the parents/guardians and should be maintained as part of each child’s confidential record. Emergency medications should be provided by the parent/guardian prior to the child’s first day of attendance. C. McMillian stated that she would call the parent to obtain more information and documentation about the child’s medical concern. More information about medical action plans can be found in child care rule 10A NCAC 09 .0801(b). Hazardous Items Storage Two violations were cited today for the unsafe storage of hazardous items. There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. The substances most involved in poison exposures of children are cosmetics and personal care products, cleaning substances, and medications. When not in active use, all chemicals used inside or outside should be stored in a safe and secure manner in a locked room or cabinet, fitted with a child-resistive opening device, inaccessible to children, and separate from stored medications and food. Additionally, hazardous equipment and materials, including tools, should be made inaccessible to children. Restricting access to hazardous equipment and materials can prevent injuries to children and staff in child care. For more information about hazardous items storage, refer to child care sanitation rule 15A NCAC 18A .2820(a-g). Transportation Requirements Five violations were cited today for not complying with transportation requirements. Any driver who transports children for a child care program should be at least twenty-one years of age. Vehicles should be equipped with a first aid kit, fire extinguisher, and functioning seat belts. At least one adult should have a functioning cell phone at hand. Information, names of the children and parent/guardian contact information should be carried in the vehicle along with identifying information (name, address, and telephone number) about the child care center. For more information about transportation requirements, refer to child care rules 10A NCAC 09 .1002 & .1003. Reminders Impact Early Childhood Education Summit PBS North Carolina’s fourth annual Impact Early Childhood Education Summit will be held Saturday, June 7, at Winston-Salem State University’s Albert H. Anderson Conference Center. This full-day conference aims to empower educators, childcare providers, parents and caregivers to lay a strong foundation for young learners. Educators can earn professional credit hours for attending. Register now through May 23, 2025. Secure your spot early for a powerful day of learning, connection, and inspiration. If you’re an educator from a Western NC county affected by Hurricane Helene, free ticket registration is available. PBS NC also offers discounted group ticket options to make it easier for more educators to attend. Date: Saturday, June 7, 2025 Time: 9:00 a.m. — 5:00 p.m. Location: Winston-Salem State University Albert H. Anderson Jr. Conference Center 1545 Reynolds Park Road Winston-Salem, NC 27110 DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have any questions or concerns, please contact me at: 910-605-2367 or tiffany.L.reed@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: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/8/2025 Number Present: 20 Completed Date: 5/8/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 09:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on May 30, 2023, and prior to today’s visit, the eighteen-month compliance history score was 85%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 20, 2023. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet an educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program. The information on record was verified as correct by Cynthia McMillian, Legal Designee, and the owner’s corporation status is listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 22, 2025. Fire Classification of Approved for Day Time and Night Care was completed on October 14, 2024. Cynthia McMillian, Director/Legal Designee, was present while I observed the indoor and outdoor areas. Nineteen (19) children were present upon my arrival. Children were observed participating in free-choice activities and outdoor play. Children had access to fine motor, literacy, science, dramatic-play, blocks, gross motor, creative art and music materials. Space #1 was not in use but was monitored for general health and safety requirements. In Space #2, children were observed playing with various blocks and manipulatives. Foam blocks were accessible to children under three years of age. In Space #3, children were observed transitioning to the outdoor learning environment. Children were observed racing and participating in a bean bag toss activity. Children were also observed playing with bouncing balls, plastic baseball sets, and riding on tricycles. The outdoor learning environment was monitored for health and safety requirements. In Space #4, children were observed participating in tummy time and free-choice activities. All prepared bottles in the refrigerator were properly labeled. Infant feeding plans and documentation of visual sleep checks were available for review. A diaper change was observed, and all diapering procedures were followed. Routine care and handwashing practices were observed. Lunch consisted of fish sticks, French fries, mixed vegetables, applesauce, and milk. Three staff files were reviewed, and all documentation was observed in compliance with applicable child care rules. Four children’s files were reviewed. On one child’s application, the parent/guardian identified asthma as a health concern. However, an asthma action plan was not on file and there was no further documentation of asthma on the child’s health assessment. Program files, including the EPR Plan, were reviewed. The most recent playground inspection was completed on April 03, 2025. The most recent fire drill was completed on April 03, 2025. The most recent lockdown drill was completed on February 07, 2025. Transportation requirements were monitored. A pair of pliers were observed on the floor of the approved vehicle. A bottle of engine oil cleaner was stored under the back seat of the approved vehicle. One of the identified drivers of vehicle used to transport children was not at least 21 years of age. The director called an employee to pick up children from public school with their personal vehicle and bring them to the facility for afterschool care. The employee arrived to the facility at 2:55pm with one school aged child. The vehicle that was used to transport children did not have a fire extinguisher, a first aid kit, emergency identifying information for each child, or a list of children being transported. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the vehicle used to transport children, a bottle of engine oil cleaner was stored on the floor, under the back seat. When this was brought to the director's attention, she immediately had an employee remove the item from the vehicle and place it in locked storage. .2820(b) 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 #2, foam blocks were accessible to children under three years of age. When this was brought to the director's attention, she immediately took the foam blocks out of Space #2 and placed them in closet storage. .0604(q) 1101 The driver was not at least 21 years old or a licensed bus driver. Khalil Hasan, Lead Teacher and Driver, was not at least 21 years old. 10A NCAC 09 .1003(e)(1) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The director asked an employee to transpor children from their public school to the facility in their personal vehicle. A first aid kit and fire extinguisher were not in the employee's personal vehicle. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The director asked an employee to transport children from their public school to the facility in their personal vehicle. Emergency and identifying information for each child being transported was not in the employee's personal vehicle. 10A NCAC 09 .1003(d) 1127 For routine transport of children to and from the center, staff did not have a list of the children being transported. The director asked an employee to transport children from their public school to the facility in their personal vehicle. A list of children being transported was not in the employee's personal vehicle. 10A NCAC 09 .1003(l) 1128 For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle. The director asked an employee to transport children from their public school to the facility in their personal vehicle. A transportation list was not available for review or used to document attendance of children boarding and exiting the vehicle. 10A NCAC 09 .1003(l) 1421 Hazardous items, materials, and equipment such as archery equipment, hand and power tools, nails, chemicals, or propane stoves were not used under adult supervision. In the vehicle used to transport children, a pair of pliers was stored on the floor, in front of the second row of seats. When this was brought to the director's attention, she immediately had an employee remove the item from the vehicle and place it in locked storage. .2506(c) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. On one child's (A.W.) medical file, the parent/guardian documented asthma as a health concern. However, an asthma action plan or additional medical documentation was not on file. .0801(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 22, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Safe Indoor Environment A violation was cited today for foam blocks being accessible to children under the age of three. According to Child Care Rule .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam, rubber, and styrofoam, shall not be accessible to children under three years of age. Medical Action Plan A violation was cited today for a child with a documented health concern not having a medical action plan on file. Children with special health care needs could have a variety of different problems ranging from asthma, diabetes, cerebral palsy, bleeding disorders, metabolic problems, cystic fibrosis, sickle cell disease, seizure disorder, sensory disorders, autism, severe allergy, immune deficiencies, or many other conditions. Some of these conditions require daily treatments and some only require observation for signs of impending illness and ability to respond in a timely manner. A medical action plan is created by the child’s primary care provider in collaboration with the family. The medical action plan should be reviewed with the parents/guardians and should be maintained as part of each child’s confidential record. Emergency medications should be provided by the parent/guardian prior to the child’s first day of attendance. C. McMillian stated that she would call the parent to obtain more information and documentation about the child’s medical concern. More information about medical action plans can be found in child care rule 10A NCAC 09 .0801(b). Hazardous Items Storage Two violations were cited today for the unsafe storage of hazardous items. There are over two million human poison exposures reported to poison centers every year. Children under six years of age account for over half of those potential poisonings. The substances most involved in poison exposures of children are cosmetics and personal care products, cleaning substances, and medications. When not in active use, all chemicals used inside or outside should be stored in a safe and secure manner in a locked room or cabinet, fitted with a child-resistive opening device, inaccessible to children, and separate from stored medications and food. Additionally, hazardous equipment and materials, including tools, should be made inaccessible to children. Restricting access to hazardous equipment and materials can prevent injuries to children and staff in child care. For more information about hazardous items storage, refer to child care sanitation rule 15A NCAC 18A .2820(a-g). Transportation Requirements Five violations were cited today for not complying with transportation requirements. Any driver who transports children for a child care program should be at least twenty-one years of age. Vehicles should be equipped with a first aid kit, fire extinguisher, and functioning seat belts. At least one adult should have a functioning cell phone at hand. Information, names of the children and parent/guardian contact information should be carried in the vehicle along with identifying information (name, address, and telephone number) about the child care center. For more information about transportation requirements, refer to child care rules 10A NCAC 09 .1002 & .1003. Reminders Impact Early Childhood Education Summit PBS North Carolina’s fourth annual Impact Early Childhood Education Summit will be held Saturday, June 7, at Winston-Salem State University’s Albert H. Anderson Conference Center. This full-day conference aims to empower educators, childcare providers, parents and caregivers to lay a strong foundation for young learners. Educators can earn professional credit hours for attending. Register now through May 23, 2025. Secure your spot early for a powerful day of learning, connection, and inspiration. If you’re an educator from a Western NC county affected by Hurricane Helene, free ticket registration is available. PBS NC also offers discounted group ticket options to make it easier for more educators to attend. Date: Saturday, June 7, 2025 Time: 9:00 a.m. — 5:00 p.m. Location: Winston-Salem State University Albert H. Anderson Jr. Conference Center 1545 Reynolds Park Road Winston-Salem, NC 27110 DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have any questions or concerns, please contact me at: 910-605-2367 or tiffany.L.reed@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 .2818 · Violation

Name of Operation: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: STACEY EATON Operation Type: Center Case Number: 0225-028A Visit Date: 3/19/2025 Number Present: 19 Completed Date: 3/19/2025 Age: From 0 To 5 Total Minutes: 85 Time In: 10:20 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow-up regarding allegations of violations of child care requirements at this child care facility. Cynthia McMillian, Administrator, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. McMillian, Administrator. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member failed to place an eleven-month-old child appropriately on a cot during naptime by grabbing the child by the left arm and leg multiple times. G.S. 110-91(10) 1756 Enhanced staff/child ratios and group sizes were not met. On January 29, 2025, staff members failed to comply with enhanced staff/child ratios when one staff member was responsible for the care of seven infants. 10A NCAC 09 .2818 Violations must be corrected immediately. Within one week March 26, 2025, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at. Stacey Eaton, Investigations Consultant, Phone#: (910)260-2071, Fax#: (910)425-7124, Email Address: stacey.eaton@dhhs.nc.gov. You may contact me at Stacey Eaton, Investigations Consultant, Phone#: (910)260-2071, Fax#: (910) 425-7124, Email Address: stacey.eaton@dhhs.nc.gov or Melissa Loehr, Southeastern Investigations Supervisor, Email Address: melissa.loehr@dhhs.nc.gov. Thank you for your time. 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. 110-91 · Violation

Name of Operation: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: STACEY EATON Operation Type: Center Case Number: 0225-028A Visit Date: 3/19/2025 Number Present: 19 Completed Date: 3/19/2025 Age: From 0 To 5 Total Minutes: 85 Time In: 10:20 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow-up regarding allegations of violations of child care requirements at this child care facility. Cynthia McMillian, Administrator, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. McMillian, Administrator. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member failed to place an eleven-month-old child appropriately on a cot during naptime by grabbing the child by the left arm and leg multiple times. G.S. 110-91(10) 1756 Enhanced staff/child ratios and group sizes were not met. On January 29, 2025, staff members failed to comply with enhanced staff/child ratios when one staff member was responsible for the care of seven infants. 10A NCAC 09 .2818 Violations must be corrected immediately. Within one week March 26, 2025, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at. Stacey Eaton, Investigations Consultant, Phone#: (910)260-2071, Fax#: (910)425-7124, Email Address: stacey.eaton@dhhs.nc.gov. You may contact me at Stacey Eaton, Investigations Consultant, Phone#: (910)260-2071, Fax#: (910) 425-7124, Email Address: stacey.eaton@dhhs.nc.gov or Melissa Loehr, Southeastern Investigations Supervisor, Email Address: melissa.loehr@dhhs.nc.gov. Thank you for your time. 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: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: STACEY EATON Operation Type: Center Case Number: 0225-028A Visit Date: 2/10/2025 Number Present: 16 Completed Date: 2/10/2024 Age: From 0 To 4 Total Minutes: 95 Time In: 12:15 PM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Khalil Hasan, Lead Teacher, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Mr. Hasan, Lead Teacher, who told me that Cynthia McMillian, Administrator, was not at the facility today. I also spoke to two additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Staff member was observed alone in the classroom with seven infant children during naptime. GS 110-91(7);.0713(a-d) You may contact me at Stacey Eaton, Investigations Consultant, Phne#: (910)260-2071, Fax#: (910)425-7124, Email Address: stacey.eaton@dhhs.nc.gov or Melissa Loehr, Southeastern Investigations Supervisor, Phone#: Email Address: melissa.loehr@dhhs.nc.gov. Thank you for your time. 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 .1102 · Violation

Name of Operation: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 19 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 300 Time In: 09:15 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed May 21, 2024 and prior to today’s visit, the eighteen-month compliance history score was 92% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued January 20, 2023. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet an educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program. The information on record was verified as correct by Cynthia McMillian, Legal Designee. Current Inspections are as follows: Sanitation Classification of Provisional was completed on June 13, 2024. Fire Classification of Approved for Day Time and Night Care was completed October 14, 2024. C. McMillian, Legal Designee, was present while I observed the indoor and outdoor areas. Upon my arrival, nineteen (19) children and six (6) teachers were present. Children had access to literacy, dramatic-play, fine motor, blocks, music, and creative art materials. In Space #1, one child was observed participating in free-choice activities. The teacher and child were observed sitting at a table, drawing on chalk boards with chalk. When the child lost interest in the activity, the teacher asked the child, “What would you like to do next?” The child responded by saying, “Draw. I want to draw on a piece of paper.” The teacher asked the child, “Can you help me clean this up first?” The child responded by saying, “No!” In Space #2, children were observed participating in free-choice activities. One teacher was observed changing diapers. All diapering procedures were followed. The group cleaned up toys and materials before transitioning to a whole group activity in a carpeted area. The teachers and children sat in the carpeted area while singing and clapping to the ABC song and the Itsy Bitsy Spider song. In Space #3, children were observed participating in free-choice activities. Two children were building structures with Legos in a carpeted area. A teacher sat with the children and asked them the color of each Lego they picked up. Another group of children were observed sitting at a table, playing with manipulatives while singing the Old McDonald song. In Space #4, infants were observed participating in free-choice and tummy time activities. A diaper change was observed, and all diapering procedures were followed. A diapering procedures poster was not posted in the diapering area. Infant feeding plans were posted in the food preparation area. Visual sleep checks were available for review. In the refrigerator, the thermometer read and 42 degrees fahrenheit, and all bottles were labeled correctly. Due to the inclement weather, outdoor play was not observed during the visit. However, the outdoor learning environment was observed for playground safety requirements. Routine care and handwashing practices were observed. Lunch consisted of beef stew, crackers, green beans, pineapple chunks, and milk. One staff file was reviewed for a recently hired staff member. One staff member used distance learning to complete First Aid and CPR training. The most recent sanitation inspection was received during today’s visit. According to the sanitation classification placard that was posted in the facility, the facility received a Superior rating. However, according to the sanitation inspection report and the CDP Inc. website, the facility received a Provisional rating. The administrator did not complete lead-in-water testing within three years of the facility's previous lead-in-water test. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One staff member (B.D.) used distance learning to complete First Aid and CPR training. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 9998 A violation was found for which there is no item number. The administrator did not complete lead-in-water testing within three years of the facility's previous lead-in-water test. According to the facility's records, the most recent lead-in-water test was completed on June 24, 2021. The Legal Designee had documentation that verified she has taken the Clean Classrooms for Carolina Kids training on September 24, 2024, and she is waiting for the agency to send her the testing kit. This is a violation of a requirement in 15A NCAC 18A .2816(b). 9999 A violation was found for which there is no item number. In Space #4, a diapering procedures poster, containing instructions for proper methods of diaper changing and handwashing, was not posted in the diapering area. This is a violation of a requirement in 15A NCAC 18A .2819(h). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on November 28, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 TA/Consultation: CPR/First Aid Requirements A violation was cited today for a staff member using distance learning to complete First Aid and CPR training. According to child care rule 10A NCAC 09 .1102(c-d), distance learning shall not be permitted for CPR or First Aid training. A list of approved training organizations can be located on the DCDEE website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. A hard copy of the list of approved CPR/First Aid training organizations was left with C. McMillian. Infant/Toddler Classroom Observation I discussed the results of my observation in Space #2 with C. McMillian. The teachers were always aware of their surroundings. Self-talk and Parallel talk were both observed. Being available to provide comfort to children and respond to their individual needs by listening and watching for their verbal and physical cues is important because when toddlers can see their teachers as a source of comfort and security, they are more willing to try new things, explore and learn. Both staff were responsive to the needs of the toddlers, and promptly responded to crying by feeding, changing, and interacting with the toddlers. Preschool Classroom Observation I discussed the results of my observation in Space #1 with C. McMillian. I encourage staff to continue using positive language when having discussions with children and providing children with positive guidance. I observed that transitioning from one activity to another appeared to be a challenge throughout the visit. I encouraged staff to discuss with program administrators the resources available to them regarding communicating with children with special needs, dealing with challenging behaviors, all while maintaining a safe and healthy classroom space. Outdoor Learning Environment The wooden fence surrounding the outdoor learning environment was showing signs of wear and tear. I suggested for C. McMillian to periodically check the planks of the wooden fence, to repair or replace the planks as needed, or to replace the entire fence. Reminders: Challenging Behaviors Hotline Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@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 .1105 · Violation

Name of Operation: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 19 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 300 Time In: 09:15 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed May 21, 2024 and prior to today’s visit, the eighteen-month compliance history score was 92% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued January 20, 2023. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet an educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program. The information on record was verified as correct by Cynthia McMillian, Legal Designee. Current Inspections are as follows: Sanitation Classification of Provisional was completed on June 13, 2024. Fire Classification of Approved for Day Time and Night Care was completed October 14, 2024. C. McMillian, Legal Designee, was present while I observed the indoor and outdoor areas. Upon my arrival, nineteen (19) children and six (6) teachers were present. Children had access to literacy, dramatic-play, fine motor, blocks, music, and creative art materials. In Space #1, one child was observed participating in free-choice activities. The teacher and child were observed sitting at a table, drawing on chalk boards with chalk. When the child lost interest in the activity, the teacher asked the child, “What would you like to do next?” The child responded by saying, “Draw. I want to draw on a piece of paper.” The teacher asked the child, “Can you help me clean this up first?” The child responded by saying, “No!” In Space #2, children were observed participating in free-choice activities. One teacher was observed changing diapers. All diapering procedures were followed. The group cleaned up toys and materials before transitioning to a whole group activity in a carpeted area. The teachers and children sat in the carpeted area while singing and clapping to the ABC song and the Itsy Bitsy Spider song. In Space #3, children were observed participating in free-choice activities. Two children were building structures with Legos in a carpeted area. A teacher sat with the children and asked them the color of each Lego they picked up. Another group of children were observed sitting at a table, playing with manipulatives while singing the Old McDonald song. In Space #4, infants were observed participating in free-choice and tummy time activities. A diaper change was observed, and all diapering procedures were followed. A diapering procedures poster was not posted in the diapering area. Infant feeding plans were posted in the food preparation area. Visual sleep checks were available for review. In the refrigerator, the thermometer read and 42 degrees fahrenheit, and all bottles were labeled correctly. Due to the inclement weather, outdoor play was not observed during the visit. However, the outdoor learning environment was observed for playground safety requirements. Routine care and handwashing practices were observed. Lunch consisted of beef stew, crackers, green beans, pineapple chunks, and milk. One staff file was reviewed for a recently hired staff member. One staff member used distance learning to complete First Aid and CPR training. The most recent sanitation inspection was received during today’s visit. According to the sanitation classification placard that was posted in the facility, the facility received a Superior rating. However, according to the sanitation inspection report and the CDP Inc. website, the facility received a Provisional rating. The administrator did not complete lead-in-water testing within three years of the facility's previous lead-in-water test. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One staff member (B.D.) used distance learning to complete First Aid and CPR training. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 9998 A violation was found for which there is no item number. The administrator did not complete lead-in-water testing within three years of the facility's previous lead-in-water test. According to the facility's records, the most recent lead-in-water test was completed on June 24, 2021. The Legal Designee had documentation that verified she has taken the Clean Classrooms for Carolina Kids training on September 24, 2024, and she is waiting for the agency to send her the testing kit. This is a violation of a requirement in 15A NCAC 18A .2816(b). 9999 A violation was found for which there is no item number. In Space #4, a diapering procedures poster, containing instructions for proper methods of diaper changing and handwashing, was not posted in the diapering area. This is a violation of a requirement in 15A NCAC 18A .2819(h). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on November 28, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 TA/Consultation: CPR/First Aid Requirements A violation was cited today for a staff member using distance learning to complete First Aid and CPR training. According to child care rule 10A NCAC 09 .1102(c-d), distance learning shall not be permitted for CPR or First Aid training. A list of approved training organizations can be located on the DCDEE website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. A hard copy of the list of approved CPR/First Aid training organizations was left with C. McMillian. Infant/Toddler Classroom Observation I discussed the results of my observation in Space #2 with C. McMillian. The teachers were always aware of their surroundings. Self-talk and Parallel talk were both observed. Being available to provide comfort to children and respond to their individual needs by listening and watching for their verbal and physical cues is important because when toddlers can see their teachers as a source of comfort and security, they are more willing to try new things, explore and learn. Both staff were responsive to the needs of the toddlers, and promptly responded to crying by feeding, changing, and interacting with the toddlers. Preschool Classroom Observation I discussed the results of my observation in Space #1 with C. McMillian. I encourage staff to continue using positive language when having discussions with children and providing children with positive guidance. I observed that transitioning from one activity to another appeared to be a challenge throughout the visit. I encouraged staff to discuss with program administrators the resources available to them regarding communicating with children with special needs, dealing with challenging behaviors, all while maintaining a safe and healthy classroom space. Outdoor Learning Environment The wooden fence surrounding the outdoor learning environment was showing signs of wear and tear. I suggested for C. McMillian to periodically check the planks of the wooden fence, to repair or replace the planks as needed, or to replace the entire fence. Reminders: Challenging Behaviors Hotline Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@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: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 19 Completed Date: 11/14/2024 Age: From 0 To 4 Total Minutes: 300 Time In: 09:15 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed May 21, 2024 and prior to today’s visit, the eighteen-month compliance history score was 92% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued January 20, 2023. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet an educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program. The information on record was verified as correct by Cynthia McMillian, Legal Designee. Current Inspections are as follows: Sanitation Classification of Provisional was completed on June 13, 2024. Fire Classification of Approved for Day Time and Night Care was completed October 14, 2024. C. McMillian, Legal Designee, was present while I observed the indoor and outdoor areas. Upon my arrival, nineteen (19) children and six (6) teachers were present. Children had access to literacy, dramatic-play, fine motor, blocks, music, and creative art materials. In Space #1, one child was observed participating in free-choice activities. The teacher and child were observed sitting at a table, drawing on chalk boards with chalk. When the child lost interest in the activity, the teacher asked the child, “What would you like to do next?” The child responded by saying, “Draw. I want to draw on a piece of paper.” The teacher asked the child, “Can you help me clean this up first?” The child responded by saying, “No!” In Space #2, children were observed participating in free-choice activities. One teacher was observed changing diapers. All diapering procedures were followed. The group cleaned up toys and materials before transitioning to a whole group activity in a carpeted area. The teachers and children sat in the carpeted area while singing and clapping to the ABC song and the Itsy Bitsy Spider song. In Space #3, children were observed participating in free-choice activities. Two children were building structures with Legos in a carpeted area. A teacher sat with the children and asked them the color of each Lego they picked up. Another group of children were observed sitting at a table, playing with manipulatives while singing the Old McDonald song. In Space #4, infants were observed participating in free-choice and tummy time activities. A diaper change was observed, and all diapering procedures were followed. A diapering procedures poster was not posted in the diapering area. Infant feeding plans were posted in the food preparation area. Visual sleep checks were available for review. In the refrigerator, the thermometer read and 42 degrees fahrenheit, and all bottles were labeled correctly. Due to the inclement weather, outdoor play was not observed during the visit. However, the outdoor learning environment was observed for playground safety requirements. Routine care and handwashing practices were observed. Lunch consisted of beef stew, crackers, green beans, pineapple chunks, and milk. One staff file was reviewed for a recently hired staff member. One staff member used distance learning to complete First Aid and CPR training. The most recent sanitation inspection was received during today’s visit. According to the sanitation classification placard that was posted in the facility, the facility received a Superior rating. However, according to the sanitation inspection report and the CDP Inc. website, the facility received a Provisional rating. The administrator did not complete lead-in-water testing within three years of the facility's previous lead-in-water test. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. One staff member (B.D.) used distance learning to complete First Aid and CPR training. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 9998 A violation was found for which there is no item number. The administrator did not complete lead-in-water testing within three years of the facility's previous lead-in-water test. According to the facility's records, the most recent lead-in-water test was completed on June 24, 2021. The Legal Designee had documentation that verified she has taken the Clean Classrooms for Carolina Kids training on September 24, 2024, and she is waiting for the agency to send her the testing kit. This is a violation of a requirement in 15A NCAC 18A .2816(b). 9999 A violation was found for which there is no item number. In Space #4, a diapering procedures poster, containing instructions for proper methods of diaper changing and handwashing, was not posted in the diapering area. This is a violation of a requirement in 15A NCAC 18A .2819(h). Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on November 28, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 TA/Consultation: CPR/First Aid Requirements A violation was cited today for a staff member using distance learning to complete First Aid and CPR training. According to child care rule 10A NCAC 09 .1102(c-d), distance learning shall not be permitted for CPR or First Aid training. A list of approved training organizations can be located on the DCDEE website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. A hard copy of the list of approved CPR/First Aid training organizations was left with C. McMillian. Infant/Toddler Classroom Observation I discussed the results of my observation in Space #2 with C. McMillian. The teachers were always aware of their surroundings. Self-talk and Parallel talk were both observed. Being available to provide comfort to children and respond to their individual needs by listening and watching for their verbal and physical cues is important because when toddlers can see their teachers as a source of comfort and security, they are more willing to try new things, explore and learn. Both staff were responsive to the needs of the toddlers, and promptly responded to crying by feeding, changing, and interacting with the toddlers. Preschool Classroom Observation I discussed the results of my observation in Space #1 with C. McMillian. I encourage staff to continue using positive language when having discussions with children and providing children with positive guidance. I observed that transitioning from one activity to another appeared to be a challenge throughout the visit. I encouraged staff to discuss with program administrators the resources available to them regarding communicating with children with special needs, dealing with challenging behaviors, all while maintaining a safe and healthy classroom space. Outdoor Learning Environment The wooden fence surrounding the outdoor learning environment was showing signs of wear and tear. I suggested for C. McMillian to periodically check the planks of the wooden fence, to repair or replace the planks as needed, or to replace the entire fence. Reminders: Challenging Behaviors Hotline Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@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 .0102 · Violation

Name of Operation: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 13 Completed Date: 5/21/2024 Age: From 0 To 5 Total Minutes: 435 Time In: 09:00 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on May 30, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 20, 2023. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet an educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program. The information on record was verified as correct by Cynthia McMillian, Legal Designee, and the owner’s corporation status is listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on September 18, 2023. Fire Classification of Approved for Day Time Care Only was completed on November 07, 2023. Cynthia McMillian, Director, was present while I observed the indoor and outdoor areas. Thirteen children were present upon my arrival. Space #1 was not in use. Children in Spaces #2, #3, and #4 were observed participating in free-choice activities and outdoor play activities. Children had access to fine motor, literacy, science, dramatic-play, blocks, gross motor, creative art and music materials. In Space #2, plastic bags containing clothes were stored on cubby shelves, below five feet from the finished floor. The plastic bags were removed from the cubby by the director and placed in a storage cabinet that was above five feet from the finished floor. Two packs of wipes, labeled “keep out of reach of children”, were stored on cubby shelves, below five feet from the finished floor. The packs of wipes were removed from the cubby by the director and placed in a storage cabinet that was above five feet from the finished floor. Routine care and handwashing practices were observed. Lunch consisted of macaroni and cheese, sweet peas, sliced pears and milk. Six staff files were reviewed. One recently-hired staff member did not have a medical report on file. Two children’s files were reviewed, and all documentation was in compliance. Program files, including the EPR Plan were reviewed and all documentation was in compliance. The most recent playground inspection was completed on April 22, 2024. The most recent fire drill was completed on April 22, 2024. Transportation requirements were monitored and observed in compliance. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #2, two packs of wipes, labeled "keep out of reach of children", were stored on cubby shelves, below five feet from the finished floor. The director immediately removed the packs of wipes and placed them in a cabinet above five feet from the finished floor. .2820(b) 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 #2, plastic bags containing clothing were stored on cubby shelves, below five feet from the finished floor. The director immediately removed the plastic bags and placed them into a cabinet that was above five feet from the finished floor. .0604(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. Tina Danzy, Teacher, did not have a medical report on file prior to her employment date (DOE: 5/21/2024). 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 04, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Staff Medical Requirements A violation was cited today for a staff member not obtaining a medical report prior to their date of employment. According to Child Care Rule 10A NCAC 09 .0701(a) child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement must be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. Safe Indoor Environment A violation was cited today for plastic bags being accessible to children under the age of three. According to Child Care Rule 10A NCAC 09 .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. Hazardous Items Storage A violation was cited today for the storage of hazardous products. According to Child Care Sanitation Rule 15A NCAC 18A .2820(b), any product that is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Outdoor Learning Environment The wooden fence surrounding the outdoor learning environment is beginning to show signs of wear and tear. I suggested for C. McMillian to periodically check the planks of the wooden fence and to repair or replace the planks as needed. Reminders: Natural Outdoor Learning Initiative The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 13 Completed Date: 5/21/2024 Age: From 0 To 5 Total Minutes: 435 Time In: 09:00 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on May 30, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 20, 2023. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet an educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program. The information on record was verified as correct by Cynthia McMillian, Legal Designee, and the owner’s corporation status is listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on September 18, 2023. Fire Classification of Approved for Day Time Care Only was completed on November 07, 2023. Cynthia McMillian, Director, was present while I observed the indoor and outdoor areas. Thirteen children were present upon my arrival. Space #1 was not in use. Children in Spaces #2, #3, and #4 were observed participating in free-choice activities and outdoor play activities. Children had access to fine motor, literacy, science, dramatic-play, blocks, gross motor, creative art and music materials. In Space #2, plastic bags containing clothes were stored on cubby shelves, below five feet from the finished floor. The plastic bags were removed from the cubby by the director and placed in a storage cabinet that was above five feet from the finished floor. Two packs of wipes, labeled “keep out of reach of children”, were stored on cubby shelves, below five feet from the finished floor. The packs of wipes were removed from the cubby by the director and placed in a storage cabinet that was above five feet from the finished floor. Routine care and handwashing practices were observed. Lunch consisted of macaroni and cheese, sweet peas, sliced pears and milk. Six staff files were reviewed. One recently-hired staff member did not have a medical report on file. Two children’s files were reviewed, and all documentation was in compliance. Program files, including the EPR Plan were reviewed and all documentation was in compliance. The most recent playground inspection was completed on April 22, 2024. The most recent fire drill was completed on April 22, 2024. Transportation requirements were monitored and observed in compliance. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #2, two packs of wipes, labeled "keep out of reach of children", were stored on cubby shelves, below five feet from the finished floor. The director immediately removed the packs of wipes and placed them in a cabinet above five feet from the finished floor. .2820(b) 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 #2, plastic bags containing clothing were stored on cubby shelves, below five feet from the finished floor. The director immediately removed the plastic bags and placed them into a cabinet that was above five feet from the finished floor. .0604(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. Tina Danzy, Teacher, did not have a medical report on file prior to her employment date (DOE: 5/21/2024). 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 04, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Staff Medical Requirements A violation was cited today for a staff member not obtaining a medical report prior to their date of employment. According to Child Care Rule 10A NCAC 09 .0701(a) child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement must be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. Safe Indoor Environment A violation was cited today for plastic bags being accessible to children under the age of three. According to Child Care Rule 10A NCAC 09 .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. Hazardous Items Storage A violation was cited today for the storage of hazardous products. According to Child Care Sanitation Rule 15A NCAC 18A .2820(b), any product that is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Outdoor Learning Environment The wooden fence surrounding the outdoor learning environment is beginning to show signs of wear and tear. I suggested for C. McMillian to periodically check the planks of the wooden fence and to repair or replace the planks as needed. Reminders: Natural Outdoor Learning Initiative The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 13 Completed Date: 5/21/2024 Age: From 0 To 5 Total Minutes: 435 Time In: 09:00 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on May 30, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 20, 2023. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet an educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program. The information on record was verified as correct by Cynthia McMillian, Legal Designee, and the owner’s corporation status is listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on September 18, 2023. Fire Classification of Approved for Day Time Care Only was completed on November 07, 2023. Cynthia McMillian, Director, was present while I observed the indoor and outdoor areas. Thirteen children were present upon my arrival. Space #1 was not in use. Children in Spaces #2, #3, and #4 were observed participating in free-choice activities and outdoor play activities. Children had access to fine motor, literacy, science, dramatic-play, blocks, gross motor, creative art and music materials. In Space #2, plastic bags containing clothes were stored on cubby shelves, below five feet from the finished floor. The plastic bags were removed from the cubby by the director and placed in a storage cabinet that was above five feet from the finished floor. Two packs of wipes, labeled “keep out of reach of children”, were stored on cubby shelves, below five feet from the finished floor. The packs of wipes were removed from the cubby by the director and placed in a storage cabinet that was above five feet from the finished floor. Routine care and handwashing practices were observed. Lunch consisted of macaroni and cheese, sweet peas, sliced pears and milk. Six staff files were reviewed. One recently-hired staff member did not have a medical report on file. Two children’s files were reviewed, and all documentation was in compliance. Program files, including the EPR Plan were reviewed and all documentation was in compliance. The most recent playground inspection was completed on April 22, 2024. The most recent fire drill was completed on April 22, 2024. Transportation requirements were monitored and observed in compliance. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #2, two packs of wipes, labeled "keep out of reach of children", were stored on cubby shelves, below five feet from the finished floor. The director immediately removed the packs of wipes and placed them in a cabinet above five feet from the finished floor. .2820(b) 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 #2, plastic bags containing clothing were stored on cubby shelves, below five feet from the finished floor. The director immediately removed the plastic bags and placed them into a cabinet that was above five feet from the finished floor. .0604(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. Tina Danzy, Teacher, did not have a medical report on file prior to her employment date (DOE: 5/21/2024). 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 04, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Staff Medical Requirements A violation was cited today for a staff member not obtaining a medical report prior to their date of employment. According to Child Care Rule 10A NCAC 09 .0701(a) child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement must be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. Safe Indoor Environment A violation was cited today for plastic bags being accessible to children under the age of three. According to Child Care Rule 10A NCAC 09 .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. Hazardous Items Storage A violation was cited today for the storage of hazardous products. According to Child Care Sanitation Rule 15A NCAC 18A .2820(b), any product that is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Outdoor Learning Environment The wooden fence surrounding the outdoor learning environment is beginning to show signs of wear and tear. I suggested for C. McMillian to periodically check the planks of the wooden fence and to repair or replace the planks as needed. Reminders: Natural Outdoor Learning Initiative The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 13 Completed Date: 5/21/2024 Age: From 0 To 5 Total Minutes: 435 Time In: 09:00 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an Annual Compliance visit, including Health and Safety Training. The previous Annual Compliance visit was completed on May 30, 2023, and prior to today’s visit, the eighteen-month compliance history score was 94%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-Star License issued January 20, 2023. The license was based on the program earning 7 points in education standards, 2 points in program standards, and one quality point by choosing to meet an educational option of having a child care administrator with at least 10 years of documented child care administration work experience in a licensed program. The information on record was verified as correct by Cynthia McMillian, Legal Designee, and the owner’s corporation status is listed as current-active on the Secretary of State’s website. Current Inspections are as follows: Sanitation Classification of Superior was completed on September 18, 2023. Fire Classification of Approved for Day Time Care Only was completed on November 07, 2023. Cynthia McMillian, Director, was present while I observed the indoor and outdoor areas. Thirteen children were present upon my arrival. Space #1 was not in use. Children in Spaces #2, #3, and #4 were observed participating in free-choice activities and outdoor play activities. Children had access to fine motor, literacy, science, dramatic-play, blocks, gross motor, creative art and music materials. In Space #2, plastic bags containing clothes were stored on cubby shelves, below five feet from the finished floor. The plastic bags were removed from the cubby by the director and placed in a storage cabinet that was above five feet from the finished floor. Two packs of wipes, labeled “keep out of reach of children”, were stored on cubby shelves, below five feet from the finished floor. The packs of wipes were removed from the cubby by the director and placed in a storage cabinet that was above five feet from the finished floor. Routine care and handwashing practices were observed. Lunch consisted of macaroni and cheese, sweet peas, sliced pears and milk. Six staff files were reviewed. One recently-hired staff member did not have a medical report on file. Two children’s files were reviewed, and all documentation was in compliance. Program files, including the EPR Plan were reviewed and all documentation was in compliance. The most recent playground inspection was completed on April 22, 2024. The most recent fire drill was completed on April 22, 2024. Transportation requirements were monitored and observed in compliance. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #2, two packs of wipes, labeled "keep out of reach of children", were stored on cubby shelves, below five feet from the finished floor. The director immediately removed the packs of wipes and placed them in a cabinet above five feet from the finished floor. .2820(b) 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 #2, plastic bags containing clothing were stored on cubby shelves, below five feet from the finished floor. The director immediately removed the plastic bags and placed them into a cabinet that was above five feet from the finished floor. .0604(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. Tina Danzy, Teacher, did not have a medical report on file prior to her employment date (DOE: 5/21/2024). 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on June 04, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Facility Specific TA Staff Medical Requirements A violation was cited today for a staff member not obtaining a medical report prior to their date of employment. According to Child Care Rule 10A NCAC 09 .0701(a) child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, shall obtain a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement must be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. Safe Indoor Environment A violation was cited today for plastic bags being accessible to children under the age of three. According to Child Care Rule 10A NCAC 09 .0604(q), plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. Hazardous Items Storage A violation was cited today for the storage of hazardous products. According to Child Care Sanitation Rule 15A NCAC 18A .2820(b), any product that is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Outdoor Learning Environment The wooden fence surrounding the outdoor learning environment is beginning to show signs of wear and tear. I suggested for C. McMillian to periodically check the planks of the wooden fence and to repair or replace the planks as needed. Reminders: Natural Outdoor Learning Initiative The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: 0124-289L Visit Date: 2/2/2024 Number Present: 7 Completed Date: 2/2/2024 Age: From 0 To 4 Total Minutes: 390 Time In: 07:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed November 07, 2023, and prior to today’s visit, the eighteen-month compliance history score was 96%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-star license, issued January 20, 2023. The information on record with DCDEE was verified as correct by Cynthia McMillian, Assistant Director. Current Inspections are as follows: Sanitation Classification of superior completed was completed on September 18, 2023. Fire Classification of Approved for Day Time and Night Care was completed on November 07, 2023. Allegations are as follows: There is a concern that staff/child ratios were not being followed. There is a concern that a staff member did not have a valid qualification letter on file. Upon my arrival, I was greeted by Joselyn Wilson, Teacher. Seven (7) children and two (2) teachers were present. C. McMillian, Assistant Director, arrived later during the visit. Children were observed participating in free-choice activities. Children had access to blocks, fine motor, dramatic play, and literacy materials. Routine caregiving and handwashing activities were observed, before children were served breakfast. Breakfast consisted of turkey sausage, grits, sliced apples, and milk. The allegations were discussed with Cynthia McMillian, Assistant Director. I interviewed the director and the reporter. During the interview with the assistant director, she stated that on January 26, 2024, she had just returned to work from being out sick. Two staff had informed her at the last minute that they would not be able to report to work, due to illness. She called a substitute teacher to report to the facility. Parents were already in route to drop off their children, and she accepted the children into the facility. The assistant director’s husband, Michael McMillian, helped her care for the children until a substitute teacher arrived at the facility. The food program inspector came to the facility to drop off some documentation before a substitute teacher was able to arrive. During the interview with the reporter, she stated that on January 26, 2024, she arrived at the facility at approximately 7:15am. The assistant director answered the door with two children. The reporter stated that she heard crying coming from a classroom in the back of the building. The reporter walked to the classroom and observed an adult male in Space #4 with 6 children, including an infant. When the reporter asked him who he was, the assistant director stated that he was her husband and he was helping her out for the day. The reporter asked if he had a valid background check. The reporter stated that she was told that he could work with a provisional background check qualifying letter. The assistant director went into Space #4, and asked her husband to take the older children to the preschool classroom. The reporter stated that shortly after, another adult male arrived at the facility, and went into Space #3. When the reporter asked who he was, he stated his name and stated that he was the preschool teacher. Three recently-hired staff member's files were reviewed. One staff member did not have a valid criminal background check qualifying letter on file, or have a criminal background check completed prior to the first day of employment. One staff member did not have a staff health assessment completed prior to the first day of employment. I reviewed attendance records and sign-in sheets to verify that 7 children, including an infant, were present in the facility on January 26, 2024 between 7:15am and 8:15am. I searched for M. McMillian on the Criminal Background Check ABCMS website, and it showed that a background check application was submitted on January 26, 2024 at 10:04am. M. McMillian’s qualification letter was generated on January 28, 2024, and he is qualified for employment in any licensed NC child care facility until January 28, 2029. I printed a copy of M. McMillian’s qualification letter and gave it to the assistant director to place in his staff file during today’s visit. I reviewed video footage to determine that C. McMillian answered the door on January 26, 2024 at 8:01am, accompanied by two children. This confirmed that M. McMillian was left alone in Space #4 with five children. Visitor sign-in records confirmed that a visitor was present in the facility on January 26, 2024 between 8:01am and 8:20am. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to staff/child ratios not being followed is substantiated. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to a staff member not having a valid qualification letter on file is substantiated. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 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. Jocelyn Wilson, Teacher, did not have a health assessment completed prior to the first day of employment (Medical Report Completed: 2/01/2024; Date of Employment: 1/26/2024). 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Michael McMillian, Teacher, did not have a Criminal Background Check completed prior to the first day of employment (CBC Qualifying Letter Issued: 1/28/2024; Date of Employment: 1/25/2024). A copy of M. McMillian's CBC qualifying letter was printed during today's visit and placed into his staff file. G.S. 110-90.2(b) 1756 Enhanced staff/child ratios and group sizes were not met. During the interview process, it was determined that Michael McMillian, a staff member who was not yet qualified, was left alone in Space #4 with five children. During today's visit, the staff/child ratios were observed in compliance. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. Michael McMillian, Teacher, did not have a valid Criminal Background Check qualification letter on file. A copy of M. McMillian's CBC qualification letter was printed from the ABCMS website and placed into his staff file during today's visit. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. Technical Assistance: Staff/Child Ratios A violation was cited today because a staff member who was not a qualified provider, was left alone with children. According to Child Care Rule .2818, the center shall comply with the following enhanced staff/child ratios and maximum group sizes: Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 We discussed the importance of planning staff schedules to align with the times children are expected to arrive daily. We also discussed revising the operational procedures to update the policies regarding staff calling out sick. This will give the director an opportunity to have substitute staff in place, ensuring that the staff/child ratio is always maintained. During the visit, the assistant director updated the facility’s operational procedure for staff calling out of work. The update requires staff to notify the center director or assistant director at least 2 hours prior to their shift start time, if they are unable to report to work. This will allow enough time to arrange for a substitute to work in the staff’s place, ensuring that the staff/child ratio is always maintained. Criminal Background Check A violation was cited today because a caregiver, who did not have a valid Criminal Background Check qualifying letter, was left alone with children. According to Child Care Rule .2703(e), child care providers shall have a valid qualification letter prior to employment, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. We discussed the importance of ensuring that caregivers have a valid criminal background check qualifying letter on file before assuming the responsibility of children or caring for children. DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: 0124-289L Visit Date: 2/2/2024 Number Present: 7 Completed Date: 2/2/2024 Age: From 0 To 4 Total Minutes: 390 Time In: 07:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed November 07, 2023, and prior to today’s visit, the eighteen-month compliance history score was 96%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-star license, issued January 20, 2023. The information on record with DCDEE was verified as correct by Cynthia McMillian, Assistant Director. Current Inspections are as follows: Sanitation Classification of superior completed was completed on September 18, 2023. Fire Classification of Approved for Day Time and Night Care was completed on November 07, 2023. Allegations are as follows: There is a concern that staff/child ratios were not being followed. There is a concern that a staff member did not have a valid qualification letter on file. Upon my arrival, I was greeted by Joselyn Wilson, Teacher. Seven (7) children and two (2) teachers were present. C. McMillian, Assistant Director, arrived later during the visit. Children were observed participating in free-choice activities. Children had access to blocks, fine motor, dramatic play, and literacy materials. Routine caregiving and handwashing activities were observed, before children were served breakfast. Breakfast consisted of turkey sausage, grits, sliced apples, and milk. The allegations were discussed with Cynthia McMillian, Assistant Director. I interviewed the director and the reporter. During the interview with the assistant director, she stated that on January 26, 2024, she had just returned to work from being out sick. Two staff had informed her at the last minute that they would not be able to report to work, due to illness. She called a substitute teacher to report to the facility. Parents were already in route to drop off their children, and she accepted the children into the facility. The assistant director’s husband, Michael McMillian, helped her care for the children until a substitute teacher arrived at the facility. The food program inspector came to the facility to drop off some documentation before a substitute teacher was able to arrive. During the interview with the reporter, she stated that on January 26, 2024, she arrived at the facility at approximately 7:15am. The assistant director answered the door with two children. The reporter stated that she heard crying coming from a classroom in the back of the building. The reporter walked to the classroom and observed an adult male in Space #4 with 6 children, including an infant. When the reporter asked him who he was, the assistant director stated that he was her husband and he was helping her out for the day. The reporter asked if he had a valid background check. The reporter stated that she was told that he could work with a provisional background check qualifying letter. The assistant director went into Space #4, and asked her husband to take the older children to the preschool classroom. The reporter stated that shortly after, another adult male arrived at the facility, and went into Space #3. When the reporter asked who he was, he stated his name and stated that he was the preschool teacher. Three recently-hired staff member's files were reviewed. One staff member did not have a valid criminal background check qualifying letter on file, or have a criminal background check completed prior to the first day of employment. One staff member did not have a staff health assessment completed prior to the first day of employment. I reviewed attendance records and sign-in sheets to verify that 7 children, including an infant, were present in the facility on January 26, 2024 between 7:15am and 8:15am. I searched for M. McMillian on the Criminal Background Check ABCMS website, and it showed that a background check application was submitted on January 26, 2024 at 10:04am. M. McMillian’s qualification letter was generated on January 28, 2024, and he is qualified for employment in any licensed NC child care facility until January 28, 2029. I printed a copy of M. McMillian’s qualification letter and gave it to the assistant director to place in his staff file during today’s visit. I reviewed video footage to determine that C. McMillian answered the door on January 26, 2024 at 8:01am, accompanied by two children. This confirmed that M. McMillian was left alone in Space #4 with five children. Visitor sign-in records confirmed that a visitor was present in the facility on January 26, 2024 between 8:01am and 8:20am. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to staff/child ratios not being followed is substantiated. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to a staff member not having a valid qualification letter on file is substantiated. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 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. Jocelyn Wilson, Teacher, did not have a health assessment completed prior to the first day of employment (Medical Report Completed: 2/01/2024; Date of Employment: 1/26/2024). 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Michael McMillian, Teacher, did not have a Criminal Background Check completed prior to the first day of employment (CBC Qualifying Letter Issued: 1/28/2024; Date of Employment: 1/25/2024). A copy of M. McMillian's CBC qualifying letter was printed during today's visit and placed into his staff file. G.S. 110-90.2(b) 1756 Enhanced staff/child ratios and group sizes were not met. During the interview process, it was determined that Michael McMillian, a staff member who was not yet qualified, was left alone in Space #4 with five children. During today's visit, the staff/child ratios were observed in compliance. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. Michael McMillian, Teacher, did not have a valid Criminal Background Check qualification letter on file. A copy of M. McMillian's CBC qualification letter was printed from the ABCMS website and placed into his staff file during today's visit. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. Technical Assistance: Staff/Child Ratios A violation was cited today because a staff member who was not a qualified provider, was left alone with children. According to Child Care Rule .2818, the center shall comply with the following enhanced staff/child ratios and maximum group sizes: Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 We discussed the importance of planning staff schedules to align with the times children are expected to arrive daily. We also discussed revising the operational procedures to update the policies regarding staff calling out sick. This will give the director an opportunity to have substitute staff in place, ensuring that the staff/child ratio is always maintained. During the visit, the assistant director updated the facility’s operational procedure for staff calling out of work. The update requires staff to notify the center director or assistant director at least 2 hours prior to their shift start time, if they are unable to report to work. This will allow enough time to arrange for a substitute to work in the staff’s place, ensuring that the staff/child ratio is always maintained. Criminal Background Check A violation was cited today because a caregiver, who did not have a valid Criminal Background Check qualifying letter, was left alone with children. According to Child Care Rule .2703(e), child care providers shall have a valid qualification letter prior to employment, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. We discussed the importance of ensuring that caregivers have a valid criminal background check qualifying letter on file before assuming the responsibility of children or caring for children. DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: 0124-289L Visit Date: 2/2/2024 Number Present: 7 Completed Date: 2/2/2024 Age: From 0 To 4 Total Minutes: 390 Time In: 07:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed November 07, 2023, and prior to today’s visit, the eighteen-month compliance history score was 96%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-star license, issued January 20, 2023. The information on record with DCDEE was verified as correct by Cynthia McMillian, Assistant Director. Current Inspections are as follows: Sanitation Classification of superior completed was completed on September 18, 2023. Fire Classification of Approved for Day Time and Night Care was completed on November 07, 2023. Allegations are as follows: There is a concern that staff/child ratios were not being followed. There is a concern that a staff member did not have a valid qualification letter on file. Upon my arrival, I was greeted by Joselyn Wilson, Teacher. Seven (7) children and two (2) teachers were present. C. McMillian, Assistant Director, arrived later during the visit. Children were observed participating in free-choice activities. Children had access to blocks, fine motor, dramatic play, and literacy materials. Routine caregiving and handwashing activities were observed, before children were served breakfast. Breakfast consisted of turkey sausage, grits, sliced apples, and milk. The allegations were discussed with Cynthia McMillian, Assistant Director. I interviewed the director and the reporter. During the interview with the assistant director, she stated that on January 26, 2024, she had just returned to work from being out sick. Two staff had informed her at the last minute that they would not be able to report to work, due to illness. She called a substitute teacher to report to the facility. Parents were already in route to drop off their children, and she accepted the children into the facility. The assistant director’s husband, Michael McMillian, helped her care for the children until a substitute teacher arrived at the facility. The food program inspector came to the facility to drop off some documentation before a substitute teacher was able to arrive. During the interview with the reporter, she stated that on January 26, 2024, she arrived at the facility at approximately 7:15am. The assistant director answered the door with two children. The reporter stated that she heard crying coming from a classroom in the back of the building. The reporter walked to the classroom and observed an adult male in Space #4 with 6 children, including an infant. When the reporter asked him who he was, the assistant director stated that he was her husband and he was helping her out for the day. The reporter asked if he had a valid background check. The reporter stated that she was told that he could work with a provisional background check qualifying letter. The assistant director went into Space #4, and asked her husband to take the older children to the preschool classroom. The reporter stated that shortly after, another adult male arrived at the facility, and went into Space #3. When the reporter asked who he was, he stated his name and stated that he was the preschool teacher. Three recently-hired staff member's files were reviewed. One staff member did not have a valid criminal background check qualifying letter on file, or have a criminal background check completed prior to the first day of employment. One staff member did not have a staff health assessment completed prior to the first day of employment. I reviewed attendance records and sign-in sheets to verify that 7 children, including an infant, were present in the facility on January 26, 2024 between 7:15am and 8:15am. I searched for M. McMillian on the Criminal Background Check ABCMS website, and it showed that a background check application was submitted on January 26, 2024 at 10:04am. M. McMillian’s qualification letter was generated on January 28, 2024, and he is qualified for employment in any licensed NC child care facility until January 28, 2029. I printed a copy of M. McMillian’s qualification letter and gave it to the assistant director to place in his staff file during today’s visit. I reviewed video footage to determine that C. McMillian answered the door on January 26, 2024 at 8:01am, accompanied by two children. This confirmed that M. McMillian was left alone in Space #4 with five children. Visitor sign-in records confirmed that a visitor was present in the facility on January 26, 2024 between 8:01am and 8:20am. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to staff/child ratios not being followed is substantiated. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to a staff member not having a valid qualification letter on file is substantiated. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 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. Jocelyn Wilson, Teacher, did not have a health assessment completed prior to the first day of employment (Medical Report Completed: 2/01/2024; Date of Employment: 1/26/2024). 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Michael McMillian, Teacher, did not have a Criminal Background Check completed prior to the first day of employment (CBC Qualifying Letter Issued: 1/28/2024; Date of Employment: 1/25/2024). A copy of M. McMillian's CBC qualifying letter was printed during today's visit and placed into his staff file. G.S. 110-90.2(b) 1756 Enhanced staff/child ratios and group sizes were not met. During the interview process, it was determined that Michael McMillian, a staff member who was not yet qualified, was left alone in Space #4 with five children. During today's visit, the staff/child ratios were observed in compliance. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. Michael McMillian, Teacher, did not have a valid Criminal Background Check qualification letter on file. A copy of M. McMillian's CBC qualification letter was printed from the ABCMS website and placed into his staff file during today's visit. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. Technical Assistance: Staff/Child Ratios A violation was cited today because a staff member who was not a qualified provider, was left alone with children. According to Child Care Rule .2818, the center shall comply with the following enhanced staff/child ratios and maximum group sizes: Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 We discussed the importance of planning staff schedules to align with the times children are expected to arrive daily. We also discussed revising the operational procedures to update the policies regarding staff calling out sick. This will give the director an opportunity to have substitute staff in place, ensuring that the staff/child ratio is always maintained. During the visit, the assistant director updated the facility’s operational procedure for staff calling out of work. The update requires staff to notify the center director or assistant director at least 2 hours prior to their shift start time, if they are unable to report to work. This will allow enough time to arrange for a substitute to work in the staff’s place, ensuring that the staff/child ratio is always maintained. Criminal Background Check A violation was cited today because a caregiver, who did not have a valid Criminal Background Check qualifying letter, was left alone with children. According to Child Care Rule .2703(e), child care providers shall have a valid qualification letter prior to employment, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. We discussed the importance of ensuring that caregivers have a valid criminal background check qualifying letter on file before assuming the responsibility of children or caring for children. DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: 1ST START CHILD DEVELOPMENT CENTER, INC. Facility ID: 26002287 Consultant: TIFFANY REED Operation Type: Center Case Number: 0124-289L Visit Date: 2/2/2024 Number Present: 7 Completed Date: 2/2/2024 Age: From 0 To 4 Total Minutes: 390 Time In: 07:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed November 07, 2023, and prior to today’s visit, the eighteen-month compliance history score was 96%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four-star license, issued January 20, 2023. The information on record with DCDEE was verified as correct by Cynthia McMillian, Assistant Director. Current Inspections are as follows: Sanitation Classification of superior completed was completed on September 18, 2023. Fire Classification of Approved for Day Time and Night Care was completed on November 07, 2023. Allegations are as follows: There is a concern that staff/child ratios were not being followed. There is a concern that a staff member did not have a valid qualification letter on file. Upon my arrival, I was greeted by Joselyn Wilson, Teacher. Seven (7) children and two (2) teachers were present. C. McMillian, Assistant Director, arrived later during the visit. Children were observed participating in free-choice activities. Children had access to blocks, fine motor, dramatic play, and literacy materials. Routine caregiving and handwashing activities were observed, before children were served breakfast. Breakfast consisted of turkey sausage, grits, sliced apples, and milk. The allegations were discussed with Cynthia McMillian, Assistant Director. I interviewed the director and the reporter. During the interview with the assistant director, she stated that on January 26, 2024, she had just returned to work from being out sick. Two staff had informed her at the last minute that they would not be able to report to work, due to illness. She called a substitute teacher to report to the facility. Parents were already in route to drop off their children, and she accepted the children into the facility. The assistant director’s husband, Michael McMillian, helped her care for the children until a substitute teacher arrived at the facility. The food program inspector came to the facility to drop off some documentation before a substitute teacher was able to arrive. During the interview with the reporter, she stated that on January 26, 2024, she arrived at the facility at approximately 7:15am. The assistant director answered the door with two children. The reporter stated that she heard crying coming from a classroom in the back of the building. The reporter walked to the classroom and observed an adult male in Space #4 with 6 children, including an infant. When the reporter asked him who he was, the assistant director stated that he was her husband and he was helping her out for the day. The reporter asked if he had a valid background check. The reporter stated that she was told that he could work with a provisional background check qualifying letter. The assistant director went into Space #4, and asked her husband to take the older children to the preschool classroom. The reporter stated that shortly after, another adult male arrived at the facility, and went into Space #3. When the reporter asked who he was, he stated his name and stated that he was the preschool teacher. Three recently-hired staff member's files were reviewed. One staff member did not have a valid criminal background check qualifying letter on file, or have a criminal background check completed prior to the first day of employment. One staff member did not have a staff health assessment completed prior to the first day of employment. I reviewed attendance records and sign-in sheets to verify that 7 children, including an infant, were present in the facility on January 26, 2024 between 7:15am and 8:15am. I searched for M. McMillian on the Criminal Background Check ABCMS website, and it showed that a background check application was submitted on January 26, 2024 at 10:04am. M. McMillian’s qualification letter was generated on January 28, 2024, and he is qualified for employment in any licensed NC child care facility until January 28, 2029. I printed a copy of M. McMillian’s qualification letter and gave it to the assistant director to place in his staff file during today’s visit. I reviewed video footage to determine that C. McMillian answered the door on January 26, 2024 at 8:01am, accompanied by two children. This confirmed that M. McMillian was left alone in Space #4 with five children. Visitor sign-in records confirmed that a visitor was present in the facility on January 26, 2024 between 8:01am and 8:20am. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to staff/child ratios not being followed is substantiated. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to a staff member not having a valid qualification letter on file is substantiated. At the completion of the visit, the Visit Summary was reviewed with C. McMillian. The following violations were observed: Violation Number Comment Rule 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. Jocelyn Wilson, Teacher, did not have a health assessment completed prior to the first day of employment (Medical Report Completed: 2/01/2024; Date of Employment: 1/26/2024). 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Michael McMillian, Teacher, did not have a Criminal Background Check completed prior to the first day of employment (CBC Qualifying Letter Issued: 1/28/2024; Date of Employment: 1/25/2024). A copy of M. McMillian's CBC qualifying letter was printed during today's visit and placed into his staff file. G.S. 110-90.2(b) 1756 Enhanced staff/child ratios and group sizes were not met. During the interview process, it was determined that Michael McMillian, a staff member who was not yet qualified, was left alone in Space #4 with five children. During today's visit, the staff/child ratios were observed in compliance. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. Michael McMillian, Teacher, did not have a valid Criminal Background Check qualification letter on file. A copy of M. McMillian's CBC qualification letter was printed from the ABCMS website and placed into his staff file during today's visit. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. Technical Assistance: Staff/Child Ratios A violation was cited today because a staff member who was not a qualified provider, was left alone with children. According to Child Care Rule .2818, the center shall comply with the following enhanced staff/child ratios and maximum group sizes: Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 We discussed the importance of planning staff schedules to align with the times children are expected to arrive daily. We also discussed revising the operational procedures to update the policies regarding staff calling out sick. This will give the director an opportunity to have substitute staff in place, ensuring that the staff/child ratio is always maintained. During the visit, the assistant director updated the facility’s operational procedure for staff calling out of work. The update requires staff to notify the center director or assistant director at least 2 hours prior to their shift start time, if they are unable to report to work. This will allow enough time to arrange for a substitute to work in the staff’s place, ensuring that the staff/child ratio is always maintained. Criminal Background Check A violation was cited today because a caregiver, who did not have a valid Criminal Background Check qualifying letter, was left alone with children. According to Child Care Rule .2703(e), child care providers shall have a valid qualification letter prior to employment, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. We discussed the importance of ensuring that caregivers have a valid criminal background check qualifying letter on file before assuming the responsibility of children or caring for children. DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times