Creative Enhancement Afterschool Care

10A NCAC 09 .0601 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 3/19/2026 Number Present: 23 Completed Date: 3/19/2026 Age: From 4 To 5 Total Minutes: 170 Time In: 09:00 AM Time Out: 11:50 AM 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 August 28, 2025, and prior to today’s visit, the eighteen-month compliance history score was 91%, which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Five-Star License issued January 30, 2020. The License was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 with DCDEE was verified as correct by Tiffany Armfield, Legal Designee. Current Inspections are as follows: Sanitation Classification of Approved completed on August 08, 2025. Fire Classification of Approved for Day Time Care Only completed on September 15, 2025. Tiffany Armfield, Legal Designee, was present while I observed the indoor and outdoor areas. Upon my arrival, twenty-three (23) children and four (4) teachers were present. The groups from Spaces #1 and #2 were observed in the outdoor learning environment. The children were observed playing on a stationary train, stationary school bus, slides, and climbing domes. The outdoor learning environment was monitored for playground safety requirements. Foundation anchors were exposed on the stationary school bus, the stationary tree house slide, the bouncing care, and the bicycle merry-go-round. A damaged picnic table was observed in a shaded area of the outdoor learning environment. Routine care and handwashing practices were observed. Lunch consisted of stewed beef, rice with gravy, sweet peas, diced pears, and milk. Program files were reviewed. The most recent fire drill was completed on March 05, 2026. The most recent quarterly (shelter-in-place) drill was completed on December 23, 2025. NC Pre-K Program Requirements NC Pre-K requirements were reviewed. The Creative Curriculum was implemented in the activity plan and the classroom activities. The Ages and Stages Questionnaires (ASQ-3) were used for developmental screenings and were placed in each child’s file. Hearing and Vision screenings were documented on each child’s health assessment form. Dental Screenings were placed in each child’s file. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the outdoor learning environment, foundation anchors were exposed on the stationary school bus, the stationary tree house slide, the bouncing care, and the bicycle merry-go-round. .0601(c) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. In the outdoor learning environment, a broken picnic table was observed in a shaded area. When this was brought to the legal designee's attention, the table was immediately removed from the outdoor learning environment and disposed of. .0601(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 02, 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 TA/Consultation: Safe Outdoor Environment A violation was cited today for the foundation anchors being exposed on several pieces of stationary equipment. 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, entrapment, and tripping hazards. For more information about safety requirements, refer to child care rule 10A NCAC 09 .0601. NC Pre-K Classroom Observation I discussed with T. Armfield the results from classroom observations conducted during today’s visit. To make learning come alive for children, teachers can plan questions that encourage children to connect concepts from the story to their world. Almost every book contains a central conflict or concept for children to consider in their own lives. I encouraged T. Armfield to have staff help children make connections to the real world by asking questions like, “How do you think the character feels? Tell me about a time you felt that way.” Reminders: QRIS Modernization: Pathway Discussion During today’s visit, an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue the Classroom and Instructional Quality Pathway. The legal designee stated that she will ensure all staff submit their most recent transcripts to DCDEE WORKS. The facility currently uses the Creative Curriculum and Teaching Strategies GOLD as an ongoing assessment tool. 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: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 3/19/2026 Number Present: 23 Completed Date: 3/19/2026 Age: From 4 To 5 Total Minutes: 170 Time In: 09:00 AM Time Out: 11:50 AM 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 August 28, 2025, and prior to today’s visit, the eighteen-month compliance history score was 91%, which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Five-Star License issued January 30, 2020. The License was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 with DCDEE was verified as correct by Tiffany Armfield, Legal Designee. Current Inspections are as follows: Sanitation Classification of Approved completed on August 08, 2025. Fire Classification of Approved for Day Time Care Only completed on September 15, 2025. Tiffany Armfield, Legal Designee, was present while I observed the indoor and outdoor areas. Upon my arrival, twenty-three (23) children and four (4) teachers were present. The groups from Spaces #1 and #2 were observed in the outdoor learning environment. The children were observed playing on a stationary train, stationary school bus, slides, and climbing domes. The outdoor learning environment was monitored for playground safety requirements. Foundation anchors were exposed on the stationary school bus, the stationary tree house slide, the bouncing care, and the bicycle merry-go-round. A damaged picnic table was observed in a shaded area of the outdoor learning environment. Routine care and handwashing practices were observed. Lunch consisted of stewed beef, rice with gravy, sweet peas, diced pears, and milk. Program files were reviewed. The most recent fire drill was completed on March 05, 2026. The most recent quarterly (shelter-in-place) drill was completed on December 23, 2025. NC Pre-K Program Requirements NC Pre-K requirements were reviewed. The Creative Curriculum was implemented in the activity plan and the classroom activities. The Ages and Stages Questionnaires (ASQ-3) were used for developmental screenings and were placed in each child’s file. Hearing and Vision screenings were documented on each child’s health assessment form. Dental Screenings were placed in each child’s file. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the outdoor learning environment, foundation anchors were exposed on the stationary school bus, the stationary tree house slide, the bouncing care, and the bicycle merry-go-round. .0601(c) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. In the outdoor learning environment, a broken picnic table was observed in a shaded area. When this was brought to the legal designee's attention, the table was immediately removed from the outdoor learning environment and disposed of. .0601(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 02, 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 TA/Consultation: Safe Outdoor Environment A violation was cited today for the foundation anchors being exposed on several pieces of stationary equipment. 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, entrapment, and tripping hazards. For more information about safety requirements, refer to child care rule 10A NCAC 09 .0601. NC Pre-K Classroom Observation I discussed with T. Armfield the results from classroom observations conducted during today’s visit. To make learning come alive for children, teachers can plan questions that encourage children to connect concepts from the story to their world. Almost every book contains a central conflict or concept for children to consider in their own lives. I encouraged T. Armfield to have staff help children make connections to the real world by asking questions like, “How do you think the character feels? Tell me about a time you felt that way.” Reminders: QRIS Modernization: Pathway Discussion During today’s visit, an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility will pursue the Classroom and Instructional Quality Pathway. The legal designee stated that she will ensure all staff submit their most recent transcripts to DCDEE WORKS. The facility currently uses the Creative Curriculum and Teaching Strategies GOLD as an ongoing assessment tool. 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 .0802 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: 0226-032L Visit Date: 2/18/2026 Number Present: 26 Completed Date: 2/18/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 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 August 28, 2025, and prior to today’s visit, the eighteen-month compliance history score was 90%, which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Five-Star License issued January 30, 2020. The License was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 with DCDEE was verified as correct by Tiffany Armfield, Legal Designee. Current Inspections are as follows: Sanitation Classification of Superior completed on August 08, 2025. Fire Classification of Approved for Day Time Care Only completed on September 15, 2025. There are allegations of violations of child care requirements, including, but not limited to: • Supervision • Safe Environment • Incident Reporting I was greeted today by T. Armfield, Legal Designee. Upon my arrival, twenty-six (26) children and four (4) teachers were present. Children were observed participating in free-choice indoor and outdoor activities. The children had access to blocks, fine motor, literacy, dramatic play, and creative art materials. Each group maintained the staff/child ratio and the children were adequately supervised. Routine care and handwashing practices were observed. Lunch consisted of hamburger steak with gravy, rice, green beans, diced peaches, and milk. The allegations were discussed with the legal designee. I interviewed the legal designee and two additional staff members. During separate interviews with the legal designee and staff members, it was confirmed that a child received an injury that required medical attention on November 17, 2025. A teacher stated that she noticed the child fall off a bicycle merry-go-round. When she checked the child, she brushed dirt out of his hair and did not notice any signs of an injury. However, when the child was picked up to go home, the parent/guardian noticed a gash in the back of the child’s head. An incident report was completed by the teacher when the wound was brought to her attention. The parent/guardian refused to sign the incident report and took the copy with them. During separate interviews with the legal designee and staff members, they stated that they have no concerns with bullying and have not witnessed any incidents of bullying. I reviewed the incident report, which confirmed that the incident/injury occurred on November 17, 2025. I also reviewed medical records to confirm that the child’s injury required medical treatment. A copy of the incident report was not sent to the child care consultant within 7 days. The incident report did not include information about the medical treatment received. Camera footage was not available for review. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation of violations of child care requirements pertaining to supervision. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation of violations of child care requirements pertaining to children being cared for in an unsafe environment. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to incident reporting is substantiated. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Upon reviewing the incident report for an injury that occurred occurred on November 17, 2025, the child care consultant observed that the incident report was missing information about the medical treatment the child received. Medical records were available for review that confirmed the medical treatment the child received. .0802 (e) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. A copy of the incident report for a child's injury requiring medical treatment on November 17, 2025, was not sent to the child care consultant within 7 days. The incident report was available for review during today's visit. .0802(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. The violations that were observed and documented today may impact the compliance history score. Technical Assistance/Reminders: Incident Reporting A violation was cited today for not sending your child care consultant a copy of an incident report for a child’s injury that required follow-up medical treatment. Injury patterns can be discerned from incident reports and can be used to prevent future problems (scanning for hazards, maintenance, providing direct supervision, etc.). A report form is also necessary for providing information to the child’s parents/guardians and primary care provider and other appropriate health or state agencies. The legal designee stated that she forgot to send me a copy of the incident report. For more information about incident reporting, refer to child care rule 10A NCAC 09 .0802. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest child care updates for child care at https://ncchildcare.ncdhhs.gov/. If you have questions or concerns, please contact Tiffany Reed 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: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: 0226-032L Visit Date: 2/18/2026 Number Present: 26 Completed Date: 2/18/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 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 August 28, 2025, and prior to today’s visit, the eighteen-month compliance history score was 90%, which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Five-Star License issued January 30, 2020. The License was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 with DCDEE was verified as correct by Tiffany Armfield, Legal Designee. Current Inspections are as follows: Sanitation Classification of Superior completed on August 08, 2025. Fire Classification of Approved for Day Time Care Only completed on September 15, 2025. There are allegations of violations of child care requirements, including, but not limited to: • Supervision • Safe Environment • Incident Reporting I was greeted today by T. Armfield, Legal Designee. Upon my arrival, twenty-six (26) children and four (4) teachers were present. Children were observed participating in free-choice indoor and outdoor activities. The children had access to blocks, fine motor, literacy, dramatic play, and creative art materials. Each group maintained the staff/child ratio and the children were adequately supervised. Routine care and handwashing practices were observed. Lunch consisted of hamburger steak with gravy, rice, green beans, diced peaches, and milk. The allegations were discussed with the legal designee. I interviewed the legal designee and two additional staff members. During separate interviews with the legal designee and staff members, it was confirmed that a child received an injury that required medical attention on November 17, 2025. A teacher stated that she noticed the child fall off a bicycle merry-go-round. When she checked the child, she brushed dirt out of his hair and did not notice any signs of an injury. However, when the child was picked up to go home, the parent/guardian noticed a gash in the back of the child’s head. An incident report was completed by the teacher when the wound was brought to her attention. The parent/guardian refused to sign the incident report and took the copy with them. During separate interviews with the legal designee and staff members, they stated that they have no concerns with bullying and have not witnessed any incidents of bullying. I reviewed the incident report, which confirmed that the incident/injury occurred on November 17, 2025. I also reviewed medical records to confirm that the child’s injury required medical treatment. A copy of the incident report was not sent to the child care consultant within 7 days. The incident report did not include information about the medical treatment received. Camera footage was not available for review. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation of violations of child care requirements pertaining to supervision. Based on the information gathered and observations made, there is not sufficient information to confirm the allegation of violations of child care requirements pertaining to children being cared for in an unsafe environment. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to incident reporting is substantiated. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Upon reviewing the incident report for an injury that occurred occurred on November 17, 2025, the child care consultant observed that the incident report was missing information about the medical treatment the child received. Medical records were available for review that confirmed the medical treatment the child received. .0802 (e) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. A copy of the incident report for a child's injury requiring medical treatment on November 17, 2025, was not sent to the child care consultant within 7 days. The incident report was available for review during today's visit. .0802(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. The violations that were observed and documented today may impact the compliance history score. Technical Assistance/Reminders: Incident Reporting A violation was cited today for not sending your child care consultant a copy of an incident report for a child’s injury that required follow-up medical treatment. Injury patterns can be discerned from incident reports and can be used to prevent future problems (scanning for hazards, maintenance, providing direct supervision, etc.). A report form is also necessary for providing information to the child’s parents/guardians and primary care provider and other appropriate health or state agencies. The legal designee stated that she forgot to send me a copy of the incident report. For more information about incident reporting, refer to child care rule 10A NCAC 09 .0802. DCDEE Website/Child Care Consultant Contact Information Please visit DCDEE’s website for the latest child care updates for child care at https://ncchildcare.ncdhhs.gov/. If you have questions or concerns, please contact Tiffany Reed 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 .0514 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 8/28/2025 Number Present: 13 Completed Date: 8/28/2025 Age: From 4 To 4 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 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, including Health and Safety Training, and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on September 04, 2024, and prior to today’s visit, the eighteen-month compliance history score was 90% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five-Star License issued January 30, 2020. The license was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 Tiffany Armfield, Legal Designee. Current Inspections are as follows: Sanitation Classification of Superior was completed on August 08, 2025. Fire Classification of Approved for Day Time Care Only was completed on September 12, 2024. T. Armfield, Legal Designee, was present while I observed the indoor and outdoor areas. Thirteen (13) children were present upon my arrival. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. The groups from Spaces #1 and #2 were observed in the outdoor learning environment. The children were observed kicking and throwing balls, using the slide, and participating in sand play activities. The girl’s bathroom was not stocked with toilet paper. A used washcloth was observed on the floor, next to the sink in the girl’s bathroom. The legal designee left the facility at 10:30am to run errands. Routine care and handwashing activities were observed. Lunch consisted of beefaroni (ground beef, macaroni noodles, and tomato sauce), green beans, mixed fruit, and milk. Six staff files were reviewed. Six staff members did not have a staff development plan on file. One staff member did not have documentation of orientation on file. One staff member did not complete the required health and safety training courses within one year of hire. Two staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training as a part of on-going training within five years of completing the previous health and safety training topics. One staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff members did not complete the required amount of on-going training hours, based on their education and experience. Two 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 conducted on July 29, 2025. The most recent shelter-in-place drill was conducted on June 06, 2025. The most recent playground inspection was completed on August 05, 2025. Transportation requirements were monitored and observed in compliance with child care rules. NC Pre-K requirements were reviewed. The Creative Curriculum was implemented in the activity plan and classroom activities. The most recent sanitation inspection was received during today’s visit. At the completion of the visit, the Visit Summary was emailed to the legal designee and administrator. The following violations were observed: Violation Number Comment Rule 604 Lavatories were not kept clean, in good repair and kept free of storage. A used washcloth was observed on the floor, next to the sink in the girl's bathroom. When this was brought to the legal designee's attention, she immediately had a staff member remove the item from the bathroom. 15A NCAC 18A .2818(a) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. A sanitation inspection was not completed at least annually. The most recent sanitation inspection was completed on 8/08/2025. The previous sanitation was completed on 5/14/2024. This is a violation of a requirement in 15A NCAC 18A .2834(b). The girl's bathroom was not stocked with toilet paper. When this was brought to the legal designee's attention, she immediately had a staff member restock the bathroom with toilet paper. This is a violation of a requirement in 15A NCAC 18A .2817(a). GS 110-91 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member did not receive at least 16 hours of orientation within the first six weeks of employment (DOE: 8/26/24). .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two staff members did not complete the required amount of on-going training hours, based on their education and experience. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member did not receive at least six hours of orientation within the first two weeks of employment (DOE: 8/26/24). .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six staff members did not have a staff development plan on file. 10A NCAC 09 .0514(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (DOE: 8/26/24). The staff member completed the training during the visit, during the children's nap time. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member did not complete the required healthy safety training courses within one year of employment (DOE: 10/25/23). .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training as a part of on-going training within five years of completing the previous health and safety training topics. .1103(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 September 11, 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 Staff Records Seven violations were cited today, because there were a variety of required items missing from staff files. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also lists deadlines for other required documents. Periodically reviewing staff files will ensure that certifications and documents don’t expire. I encouraged the legal designee to check staff files on a monthly basis. A Staff File Checklist Staff File Checklist for Centers can be located by visiting https://ncchildcare.ncdhhs.gov. The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rules 10A NCAC 09 .0514, 10A NCAC 09 .1101, 10A NCAC 09 .1102, and 10A NCAC 09 .1103 for more information regarding staff record requirements. Annual On-Going Training Requirements A violation was cited today for a staff member not meeting the required annual on-going training hours, based on experience and education. According to Child Care Rule .1103(a), 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 Reminders Fire Inspection According to your records, your fire inspection is due to expire on September 12, 2025. To remain in compliance with child care rules, you must schedule and obtain an updated inspection before the expiration date. I encouraged the administrator to call the local fire department or fire marshal to schedule an updated inspection as soon as possible. When the fire inspection has been completed, please send a copy of the inspection report to Tiffany Reed, Child Care Consultant. NC Foundations of Early Learning & Development (NCFELD) During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 regarding activity schedules and plans. Your program already had a copy of the publication. An extra copy was left with you. Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf. Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. Infant and Early Childhood Mental Health Infant and early childhood mental health supports the development in young children of key social and emotional skills, like empathy, self-regulation and communication, which are vital for building healthy relationships and going through life. A new webpage by the Division of Child and Family Well-Being (DCFW) shares information and resources about infant and early childhood mental health in family-friendly language. To learn how DCFW and others address the social and emotional health of young children and families, visit https://www.ncdhhs.gov/divisions/child-and-family-well-being/whole-child-health-section/child-behavioral-health/infant-and-early-childhood-mental-health. Where Will You Go on the Pathways to the Stars? DCDEE is actively planning for the implementation of new QRIS requirements. We want to know more about your interest in the new options so that we can plan for training, technical assistance and resources that will assist you in achieving your Two- through Five- Star Rated License. You are not required to choose a specific licensure pathway right now, but please use the operator interest survey to help us understand what information and support you’ll need to choose and navigate your own pathway. More information about the pathways to stars, including informational videos, are available online at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. As always, DCDEE licensing consultants are ready and able to assist you. 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 .1101 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 8/28/2025 Number Present: 13 Completed Date: 8/28/2025 Age: From 4 To 4 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 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, including Health and Safety Training, and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on September 04, 2024, and prior to today’s visit, the eighteen-month compliance history score was 90% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five-Star License issued January 30, 2020. The license was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 Tiffany Armfield, Legal Designee. Current Inspections are as follows: Sanitation Classification of Superior was completed on August 08, 2025. Fire Classification of Approved for Day Time Care Only was completed on September 12, 2024. T. Armfield, Legal Designee, was present while I observed the indoor and outdoor areas. Thirteen (13) children were present upon my arrival. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. The groups from Spaces #1 and #2 were observed in the outdoor learning environment. The children were observed kicking and throwing balls, using the slide, and participating in sand play activities. The girl’s bathroom was not stocked with toilet paper. A used washcloth was observed on the floor, next to the sink in the girl’s bathroom. The legal designee left the facility at 10:30am to run errands. Routine care and handwashing activities were observed. Lunch consisted of beefaroni (ground beef, macaroni noodles, and tomato sauce), green beans, mixed fruit, and milk. Six staff files were reviewed. Six staff members did not have a staff development plan on file. One staff member did not have documentation of orientation on file. One staff member did not complete the required health and safety training courses within one year of hire. Two staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training as a part of on-going training within five years of completing the previous health and safety training topics. One staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff members did not complete the required amount of on-going training hours, based on their education and experience. Two 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 conducted on July 29, 2025. The most recent shelter-in-place drill was conducted on June 06, 2025. The most recent playground inspection was completed on August 05, 2025. Transportation requirements were monitored and observed in compliance with child care rules. NC Pre-K requirements were reviewed. The Creative Curriculum was implemented in the activity plan and classroom activities. The most recent sanitation inspection was received during today’s visit. At the completion of the visit, the Visit Summary was emailed to the legal designee and administrator. The following violations were observed: Violation Number Comment Rule 604 Lavatories were not kept clean, in good repair and kept free of storage. A used washcloth was observed on the floor, next to the sink in the girl's bathroom. When this was brought to the legal designee's attention, she immediately had a staff member remove the item from the bathroom. 15A NCAC 18A .2818(a) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. A sanitation inspection was not completed at least annually. The most recent sanitation inspection was completed on 8/08/2025. The previous sanitation was completed on 5/14/2024. This is a violation of a requirement in 15A NCAC 18A .2834(b). The girl's bathroom was not stocked with toilet paper. When this was brought to the legal designee's attention, she immediately had a staff member restock the bathroom with toilet paper. This is a violation of a requirement in 15A NCAC 18A .2817(a). GS 110-91 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member did not receive at least 16 hours of orientation within the first six weeks of employment (DOE: 8/26/24). .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two staff members did not complete the required amount of on-going training hours, based on their education and experience. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member did not receive at least six hours of orientation within the first two weeks of employment (DOE: 8/26/24). .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six staff members did not have a staff development plan on file. 10A NCAC 09 .0514(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (DOE: 8/26/24). The staff member completed the training during the visit, during the children's nap time. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member did not complete the required healthy safety training courses within one year of employment (DOE: 10/25/23). .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training as a part of on-going training within five years of completing the previous health and safety training topics. .1103(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 September 11, 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 Staff Records Seven violations were cited today, because there were a variety of required items missing from staff files. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also lists deadlines for other required documents. Periodically reviewing staff files will ensure that certifications and documents don’t expire. I encouraged the legal designee to check staff files on a monthly basis. A Staff File Checklist Staff File Checklist for Centers can be located by visiting https://ncchildcare.ncdhhs.gov. The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rules 10A NCAC 09 .0514, 10A NCAC 09 .1101, 10A NCAC 09 .1102, and 10A NCAC 09 .1103 for more information regarding staff record requirements. Annual On-Going Training Requirements A violation was cited today for a staff member not meeting the required annual on-going training hours, based on experience and education. According to Child Care Rule .1103(a), 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 Reminders Fire Inspection According to your records, your fire inspection is due to expire on September 12, 2025. To remain in compliance with child care rules, you must schedule and obtain an updated inspection before the expiration date. I encouraged the administrator to call the local fire department or fire marshal to schedule an updated inspection as soon as possible. When the fire inspection has been completed, please send a copy of the inspection report to Tiffany Reed, Child Care Consultant. NC Foundations of Early Learning & Development (NCFELD) During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 regarding activity schedules and plans. Your program already had a copy of the publication. An extra copy was left with you. Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf. Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. Infant and Early Childhood Mental Health Infant and early childhood mental health supports the development in young children of key social and emotional skills, like empathy, self-regulation and communication, which are vital for building healthy relationships and going through life. A new webpage by the Division of Child and Family Well-Being (DCFW) shares information and resources about infant and early childhood mental health in family-friendly language. To learn how DCFW and others address the social and emotional health of young children and families, visit https://www.ncdhhs.gov/divisions/child-and-family-well-being/whole-child-health-section/child-behavioral-health/infant-and-early-childhood-mental-health. Where Will You Go on the Pathways to the Stars? DCDEE is actively planning for the implementation of new QRIS requirements. We want to know more about your interest in the new options so that we can plan for training, technical assistance and resources that will assist you in achieving your Two- through Five- Star Rated License. You are not required to choose a specific licensure pathway right now, but please use the operator interest survey to help us understand what information and support you’ll need to choose and navigate your own pathway. More information about the pathways to stars, including informational videos, are available online at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. As always, DCDEE licensing consultants are ready and able to assist you. 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 .1102 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 8/28/2025 Number Present: 13 Completed Date: 8/28/2025 Age: From 4 To 4 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 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, including Health and Safety Training, and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on September 04, 2024, and prior to today’s visit, the eighteen-month compliance history score was 90% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five-Star License issued January 30, 2020. The license was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 Tiffany Armfield, Legal Designee. Current Inspections are as follows: Sanitation Classification of Superior was completed on August 08, 2025. Fire Classification of Approved for Day Time Care Only was completed on September 12, 2024. T. Armfield, Legal Designee, was present while I observed the indoor and outdoor areas. Thirteen (13) children were present upon my arrival. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. The groups from Spaces #1 and #2 were observed in the outdoor learning environment. The children were observed kicking and throwing balls, using the slide, and participating in sand play activities. The girl’s bathroom was not stocked with toilet paper. A used washcloth was observed on the floor, next to the sink in the girl’s bathroom. The legal designee left the facility at 10:30am to run errands. Routine care and handwashing activities were observed. Lunch consisted of beefaroni (ground beef, macaroni noodles, and tomato sauce), green beans, mixed fruit, and milk. Six staff files were reviewed. Six staff members did not have a staff development plan on file. One staff member did not have documentation of orientation on file. One staff member did not complete the required health and safety training courses within one year of hire. Two staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training as a part of on-going training within five years of completing the previous health and safety training topics. One staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff members did not complete the required amount of on-going training hours, based on their education and experience. Two 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 conducted on July 29, 2025. The most recent shelter-in-place drill was conducted on June 06, 2025. The most recent playground inspection was completed on August 05, 2025. Transportation requirements were monitored and observed in compliance with child care rules. NC Pre-K requirements were reviewed. The Creative Curriculum was implemented in the activity plan and classroom activities. The most recent sanitation inspection was received during today’s visit. At the completion of the visit, the Visit Summary was emailed to the legal designee and administrator. The following violations were observed: Violation Number Comment Rule 604 Lavatories were not kept clean, in good repair and kept free of storage. A used washcloth was observed on the floor, next to the sink in the girl's bathroom. When this was brought to the legal designee's attention, she immediately had a staff member remove the item from the bathroom. 15A NCAC 18A .2818(a) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. A sanitation inspection was not completed at least annually. The most recent sanitation inspection was completed on 8/08/2025. The previous sanitation was completed on 5/14/2024. This is a violation of a requirement in 15A NCAC 18A .2834(b). The girl's bathroom was not stocked with toilet paper. When this was brought to the legal designee's attention, she immediately had a staff member restock the bathroom with toilet paper. This is a violation of a requirement in 15A NCAC 18A .2817(a). GS 110-91 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member did not receive at least 16 hours of orientation within the first six weeks of employment (DOE: 8/26/24). .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two staff members did not complete the required amount of on-going training hours, based on their education and experience. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member did not receive at least six hours of orientation within the first two weeks of employment (DOE: 8/26/24). .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six staff members did not have a staff development plan on file. 10A NCAC 09 .0514(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (DOE: 8/26/24). The staff member completed the training during the visit, during the children's nap time. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member did not complete the required healthy safety training courses within one year of employment (DOE: 10/25/23). .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training as a part of on-going training within five years of completing the previous health and safety training topics. .1103(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 September 11, 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 Staff Records Seven violations were cited today, because there were a variety of required items missing from staff files. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also lists deadlines for other required documents. Periodically reviewing staff files will ensure that certifications and documents don’t expire. I encouraged the legal designee to check staff files on a monthly basis. A Staff File Checklist Staff File Checklist for Centers can be located by visiting https://ncchildcare.ncdhhs.gov. The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rules 10A NCAC 09 .0514, 10A NCAC 09 .1101, 10A NCAC 09 .1102, and 10A NCAC 09 .1103 for more information regarding staff record requirements. Annual On-Going Training Requirements A violation was cited today for a staff member not meeting the required annual on-going training hours, based on experience and education. According to Child Care Rule .1103(a), 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 Reminders Fire Inspection According to your records, your fire inspection is due to expire on September 12, 2025. To remain in compliance with child care rules, you must schedule and obtain an updated inspection before the expiration date. I encouraged the administrator to call the local fire department or fire marshal to schedule an updated inspection as soon as possible. When the fire inspection has been completed, please send a copy of the inspection report to Tiffany Reed, Child Care Consultant. NC Foundations of Early Learning & Development (NCFELD) During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 regarding activity schedules and plans. Your program already had a copy of the publication. An extra copy was left with you. Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf. Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. Infant and Early Childhood Mental Health Infant and early childhood mental health supports the development in young children of key social and emotional skills, like empathy, self-regulation and communication, which are vital for building healthy relationships and going through life. A new webpage by the Division of Child and Family Well-Being (DCFW) shares information and resources about infant and early childhood mental health in family-friendly language. To learn how DCFW and others address the social and emotional health of young children and families, visit https://www.ncdhhs.gov/divisions/child-and-family-well-being/whole-child-health-section/child-behavioral-health/infant-and-early-childhood-mental-health. Where Will You Go on the Pathways to the Stars? DCDEE is actively planning for the implementation of new QRIS requirements. We want to know more about your interest in the new options so that we can plan for training, technical assistance and resources that will assist you in achieving your Two- through Five- Star Rated License. You are not required to choose a specific licensure pathway right now, but please use the operator interest survey to help us understand what information and support you’ll need to choose and navigate your own pathway. More information about the pathways to stars, including informational videos, are available online at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. As always, DCDEE licensing consultants are ready and able to assist you. 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 .1103 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 8/28/2025 Number Present: 13 Completed Date: 8/28/2025 Age: From 4 To 4 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 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, including Health and Safety Training, and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on September 04, 2024, and prior to today’s visit, the eighteen-month compliance history score was 90% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five-Star License issued January 30, 2020. The license was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 Tiffany Armfield, Legal Designee. Current Inspections are as follows: Sanitation Classification of Superior was completed on August 08, 2025. Fire Classification of Approved for Day Time Care Only was completed on September 12, 2024. T. Armfield, Legal Designee, was present while I observed the indoor and outdoor areas. Thirteen (13) children were present upon my arrival. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. The groups from Spaces #1 and #2 were observed in the outdoor learning environment. The children were observed kicking and throwing balls, using the slide, and participating in sand play activities. The girl’s bathroom was not stocked with toilet paper. A used washcloth was observed on the floor, next to the sink in the girl’s bathroom. The legal designee left the facility at 10:30am to run errands. Routine care and handwashing activities were observed. Lunch consisted of beefaroni (ground beef, macaroni noodles, and tomato sauce), green beans, mixed fruit, and milk. Six staff files were reviewed. Six staff members did not have a staff development plan on file. One staff member did not have documentation of orientation on file. One staff member did not complete the required health and safety training courses within one year of hire. Two staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training as a part of on-going training within five years of completing the previous health and safety training topics. One staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff members did not complete the required amount of on-going training hours, based on their education and experience. Two 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 conducted on July 29, 2025. The most recent shelter-in-place drill was conducted on June 06, 2025. The most recent playground inspection was completed on August 05, 2025. Transportation requirements were monitored and observed in compliance with child care rules. NC Pre-K requirements were reviewed. The Creative Curriculum was implemented in the activity plan and classroom activities. The most recent sanitation inspection was received during today’s visit. At the completion of the visit, the Visit Summary was emailed to the legal designee and administrator. The following violations were observed: Violation Number Comment Rule 604 Lavatories were not kept clean, in good repair and kept free of storage. A used washcloth was observed on the floor, next to the sink in the girl's bathroom. When this was brought to the legal designee's attention, she immediately had a staff member remove the item from the bathroom. 15A NCAC 18A .2818(a) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. A sanitation inspection was not completed at least annually. The most recent sanitation inspection was completed on 8/08/2025. The previous sanitation was completed on 5/14/2024. This is a violation of a requirement in 15A NCAC 18A .2834(b). The girl's bathroom was not stocked with toilet paper. When this was brought to the legal designee's attention, she immediately had a staff member restock the bathroom with toilet paper. This is a violation of a requirement in 15A NCAC 18A .2817(a). GS 110-91 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member did not receive at least 16 hours of orientation within the first six weeks of employment (DOE: 8/26/24). .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two staff members did not complete the required amount of on-going training hours, based on their education and experience. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member did not receive at least six hours of orientation within the first two weeks of employment (DOE: 8/26/24). .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six staff members did not have a staff development plan on file. 10A NCAC 09 .0514(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (DOE: 8/26/24). The staff member completed the training during the visit, during the children's nap time. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member did not complete the required healthy safety training courses within one year of employment (DOE: 10/25/23). .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training as a part of on-going training within five years of completing the previous health and safety training topics. .1103(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 September 11, 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 Staff Records Seven violations were cited today, because there were a variety of required items missing from staff files. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also lists deadlines for other required documents. Periodically reviewing staff files will ensure that certifications and documents don’t expire. I encouraged the legal designee to check staff files on a monthly basis. A Staff File Checklist Staff File Checklist for Centers can be located by visiting https://ncchildcare.ncdhhs.gov. The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rules 10A NCAC 09 .0514, 10A NCAC 09 .1101, 10A NCAC 09 .1102, and 10A NCAC 09 .1103 for more information regarding staff record requirements. Annual On-Going Training Requirements A violation was cited today for a staff member not meeting the required annual on-going training hours, based on experience and education. According to Child Care Rule .1103(a), 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 Reminders Fire Inspection According to your records, your fire inspection is due to expire on September 12, 2025. To remain in compliance with child care rules, you must schedule and obtain an updated inspection before the expiration date. I encouraged the administrator to call the local fire department or fire marshal to schedule an updated inspection as soon as possible. When the fire inspection has been completed, please send a copy of the inspection report to Tiffany Reed, Child Care Consultant. NC Foundations of Early Learning & Development (NCFELD) During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 regarding activity schedules and plans. Your program already had a copy of the publication. An extra copy was left with you. Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf. Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. Infant and Early Childhood Mental Health Infant and early childhood mental health supports the development in young children of key social and emotional skills, like empathy, self-regulation and communication, which are vital for building healthy relationships and going through life. A new webpage by the Division of Child and Family Well-Being (DCFW) shares information and resources about infant and early childhood mental health in family-friendly language. To learn how DCFW and others address the social and emotional health of young children and families, visit https://www.ncdhhs.gov/divisions/child-and-family-well-being/whole-child-health-section/child-behavioral-health/infant-and-early-childhood-mental-health. Where Will You Go on the Pathways to the Stars? DCDEE is actively planning for the implementation of new QRIS requirements. We want to know more about your interest in the new options so that we can plan for training, technical assistance and resources that will assist you in achieving your Two- through Five- Star Rated License. You are not required to choose a specific licensure pathway right now, but please use the operator interest survey to help us understand what information and support you’ll need to choose and navigate your own pathway. More information about the pathways to stars, including informational videos, are available online at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. As always, DCDEE licensing consultants are ready and able to assist you. 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

GS 110-91 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 8/28/2025 Number Present: 13 Completed Date: 8/28/2025 Age: From 4 To 4 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 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, including Health and Safety Training, and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on September 04, 2024, and prior to today’s visit, the eighteen-month compliance history score was 90% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five-Star License issued January 30, 2020. The license was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 Tiffany Armfield, Legal Designee. Current Inspections are as follows: Sanitation Classification of Superior was completed on August 08, 2025. Fire Classification of Approved for Day Time Care Only was completed on September 12, 2024. T. Armfield, Legal Designee, was present while I observed the indoor and outdoor areas. Thirteen (13) children were present upon my arrival. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. The groups from Spaces #1 and #2 were observed in the outdoor learning environment. The children were observed kicking and throwing balls, using the slide, and participating in sand play activities. The girl’s bathroom was not stocked with toilet paper. A used washcloth was observed on the floor, next to the sink in the girl’s bathroom. The legal designee left the facility at 10:30am to run errands. Routine care and handwashing activities were observed. Lunch consisted of beefaroni (ground beef, macaroni noodles, and tomato sauce), green beans, mixed fruit, and milk. Six staff files were reviewed. Six staff members did not have a staff development plan on file. One staff member did not have documentation of orientation on file. One staff member did not complete the required health and safety training courses within one year of hire. Two staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training as a part of on-going training within five years of completing the previous health and safety training topics. One staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff members did not complete the required amount of on-going training hours, based on their education and experience. Two 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 conducted on July 29, 2025. The most recent shelter-in-place drill was conducted on June 06, 2025. The most recent playground inspection was completed on August 05, 2025. Transportation requirements were monitored and observed in compliance with child care rules. NC Pre-K requirements were reviewed. The Creative Curriculum was implemented in the activity plan and classroom activities. The most recent sanitation inspection was received during today’s visit. At the completion of the visit, the Visit Summary was emailed to the legal designee and administrator. The following violations were observed: Violation Number Comment Rule 604 Lavatories were not kept clean, in good repair and kept free of storage. A used washcloth was observed on the floor, next to the sink in the girl's bathroom. When this was brought to the legal designee's attention, she immediately had a staff member remove the item from the bathroom. 15A NCAC 18A .2818(a) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. A sanitation inspection was not completed at least annually. The most recent sanitation inspection was completed on 8/08/2025. The previous sanitation was completed on 5/14/2024. This is a violation of a requirement in 15A NCAC 18A .2834(b). The girl's bathroom was not stocked with toilet paper. When this was brought to the legal designee's attention, she immediately had a staff member restock the bathroom with toilet paper. This is a violation of a requirement in 15A NCAC 18A .2817(a). GS 110-91 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member did not receive at least 16 hours of orientation within the first six weeks of employment (DOE: 8/26/24). .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two staff members did not complete the required amount of on-going training hours, based on their education and experience. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member did not receive at least six hours of orientation within the first two weeks of employment (DOE: 8/26/24). .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six staff members did not have a staff development plan on file. 10A NCAC 09 .0514(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (DOE: 8/26/24). The staff member completed the training during the visit, during the children's nap time. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member did not complete the required healthy safety training courses within one year of employment (DOE: 10/25/23). .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training as a part of on-going training within five years of completing the previous health and safety training topics. .1103(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 September 11, 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 Staff Records Seven violations were cited today, because there were a variety of required items missing from staff files. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also lists deadlines for other required documents. Periodically reviewing staff files will ensure that certifications and documents don’t expire. I encouraged the legal designee to check staff files on a monthly basis. A Staff File Checklist Staff File Checklist for Centers can be located by visiting https://ncchildcare.ncdhhs.gov. The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rules 10A NCAC 09 .0514, 10A NCAC 09 .1101, 10A NCAC 09 .1102, and 10A NCAC 09 .1103 for more information regarding staff record requirements. Annual On-Going Training Requirements A violation was cited today for a staff member not meeting the required annual on-going training hours, based on experience and education. According to Child Care Rule .1103(a), 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 Reminders Fire Inspection According to your records, your fire inspection is due to expire on September 12, 2025. To remain in compliance with child care rules, you must schedule and obtain an updated inspection before the expiration date. I encouraged the administrator to call the local fire department or fire marshal to schedule an updated inspection as soon as possible. When the fire inspection has been completed, please send a copy of the inspection report to Tiffany Reed, Child Care Consultant. NC Foundations of Early Learning & Development (NCFELD) During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 regarding activity schedules and plans. Your program already had a copy of the publication. An extra copy was left with you. Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf. Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. Infant and Early Childhood Mental Health Infant and early childhood mental health supports the development in young children of key social and emotional skills, like empathy, self-regulation and communication, which are vital for building healthy relationships and going through life. A new webpage by the Division of Child and Family Well-Being (DCFW) shares information and resources about infant and early childhood mental health in family-friendly language. To learn how DCFW and others address the social and emotional health of young children and families, visit https://www.ncdhhs.gov/divisions/child-and-family-well-being/whole-child-health-section/child-behavioral-health/infant-and-early-childhood-mental-health. Where Will You Go on the Pathways to the Stars? DCDEE is actively planning for the implementation of new QRIS requirements. We want to know more about your interest in the new options so that we can plan for training, technical assistance and resources that will assist you in achieving your Two- through Five- Star Rated License. You are not required to choose a specific licensure pathway right now, but please use the operator interest survey to help us understand what information and support you’ll need to choose and navigate your own pathway. More information about the pathways to stars, including informational videos, are available online at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. As always, DCDEE licensing consultants are ready and able to assist you. 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: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 8/28/2025 Number Present: 13 Completed Date: 8/28/2025 Age: From 4 To 4 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 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, including Health and Safety Training, and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on September 04, 2024, and prior to today’s visit, the eighteen-month compliance history score was 90% which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five-Star License issued January 30, 2020. The license was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 Tiffany Armfield, Legal Designee. Current Inspections are as follows: Sanitation Classification of Superior was completed on August 08, 2025. Fire Classification of Approved for Day Time Care Only was completed on September 12, 2024. T. Armfield, Legal Designee, was present while I observed the indoor and outdoor areas. Thirteen (13) children were present upon my arrival. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. The groups from Spaces #1 and #2 were observed in the outdoor learning environment. The children were observed kicking and throwing balls, using the slide, and participating in sand play activities. The girl’s bathroom was not stocked with toilet paper. A used washcloth was observed on the floor, next to the sink in the girl’s bathroom. The legal designee left the facility at 10:30am to run errands. Routine care and handwashing activities were observed. Lunch consisted of beefaroni (ground beef, macaroni noodles, and tomato sauce), green beans, mixed fruit, and milk. Six staff files were reviewed. Six staff members did not have a staff development plan on file. One staff member did not have documentation of orientation on file. One staff member did not complete the required health and safety training courses within one year of hire. Two staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training as a part of on-going training within five years of completing the previous health and safety training topics. One staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Two staff members did not complete the required amount of on-going training hours, based on their education and experience. Two 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 conducted on July 29, 2025. The most recent shelter-in-place drill was conducted on June 06, 2025. The most recent playground inspection was completed on August 05, 2025. Transportation requirements were monitored and observed in compliance with child care rules. NC Pre-K requirements were reviewed. The Creative Curriculum was implemented in the activity plan and classroom activities. The most recent sanitation inspection was received during today’s visit. At the completion of the visit, the Visit Summary was emailed to the legal designee and administrator. The following violations were observed: Violation Number Comment Rule 604 Lavatories were not kept clean, in good repair and kept free of storage. A used washcloth was observed on the floor, next to the sink in the girl's bathroom. When this was brought to the legal designee's attention, she immediately had a staff member remove the item from the bathroom. 15A NCAC 18A .2818(a) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. A sanitation inspection was not completed at least annually. The most recent sanitation inspection was completed on 8/08/2025. The previous sanitation was completed on 5/14/2024. This is a violation of a requirement in 15A NCAC 18A .2834(b). The girl's bathroom was not stocked with toilet paper. When this was brought to the legal designee's attention, she immediately had a staff member restock the bathroom with toilet paper. This is a violation of a requirement in 15A NCAC 18A .2817(a). GS 110-91 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member did not receive at least 16 hours of orientation within the first six weeks of employment (DOE: 8/26/24). .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two staff members did not complete the required amount of on-going training hours, based on their education and experience. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member did not receive at least six hours of orientation within the first two weeks of employment (DOE: 8/26/24). .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Six staff members did not have a staff development plan on file. 10A NCAC 09 .0514(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment (DOE: 8/26/24). The staff member completed the training during the visit, during the children's nap time. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One staff member did not complete the required healthy safety training courses within one year of employment (DOE: 10/25/23). .1102(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training as a part of on-going training within five years of completing the previous health and safety training topics. .1103(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 September 11, 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 Staff Records Seven violations were cited today, because there were a variety of required items missing from staff files. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also lists deadlines for other required documents. Periodically reviewing staff files will ensure that certifications and documents don’t expire. I encouraged the legal designee to check staff files on a monthly basis. A Staff File Checklist Staff File Checklist for Centers can be located by visiting https://ncchildcare.ncdhhs.gov. The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rules 10A NCAC 09 .0514, 10A NCAC 09 .1101, 10A NCAC 09 .1102, and 10A NCAC 09 .1103 for more information regarding staff record requirements. Annual On-Going Training Requirements A violation was cited today for a staff member not meeting the required annual on-going training hours, based on experience and education. According to Child Care Rule .1103(a), 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 Reminders Fire Inspection According to your records, your fire inspection is due to expire on September 12, 2025. To remain in compliance with child care rules, you must schedule and obtain an updated inspection before the expiration date. I encouraged the administrator to call the local fire department or fire marshal to schedule an updated inspection as soon as possible. When the fire inspection has been completed, please send a copy of the inspection report to Tiffany Reed, Child Care Consultant. NC Foundations of Early Learning & Development (NCFELD) During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 regarding activity schedules and plans. Your program already had a copy of the publication. An extra copy was left with you. Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf. Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. Infant and Early Childhood Mental Health Infant and early childhood mental health supports the development in young children of key social and emotional skills, like empathy, self-regulation and communication, which are vital for building healthy relationships and going through life. A new webpage by the Division of Child and Family Well-Being (DCFW) shares information and resources about infant and early childhood mental health in family-friendly language. To learn how DCFW and others address the social and emotional health of young children and families, visit https://www.ncdhhs.gov/divisions/child-and-family-well-being/whole-child-health-section/child-behavioral-health/infant-and-early-childhood-mental-health. Where Will You Go on the Pathways to the Stars? DCDEE is actively planning for the implementation of new QRIS requirements. We want to know more about your interest in the new options so that we can plan for training, technical assistance and resources that will assist you in achieving your Two- through Five- Star Rated License. You are not required to choose a specific licensure pathway right now, but please use the operator interest survey to help us understand what information and support you’ll need to choose and navigate your own pathway. More information about the pathways to stars, including informational videos, are available online at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. As always, DCDEE licensing consultants are ready and able to assist you. 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: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 23 Completed Date: 4/3/2025 Age: From 4 To 5 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance visit was completed September 04, 2024 and prior to today’s visit, the eighteen-month compliance history score was 89% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Five-Star License issued January 30, 2020. The License was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 with DCDEE was verified as correct by Joseph Flood, Owner. Current Inspections are as follows: Sanitation Classification of Approved completed on May 14, 2024. Fire Classification of Approved for Day Time Care Only completed on September 12, 2024. J. Flood, Owner, and Tiffany Armfield, Administrator, were present while I observed the indoor and outdoor areas. Upon my arrival, twenty-three (23) children and four (4) teachers were present. In Space #1, a current activity plan was observed posted on the wall, on the information board. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. A bottle of hand sanitizer was stored on top of a table, below five feet from the finished floor. A crack was observed in the ceiling, near the doorway where both classrooms connect. Another crack was observed in the ceiling, near the door that exits to the playground. In the boys’ bathroom, a vent was observed loose and hanging from the ceiling. In the girls' bathroom, the backsplash on the wall behind the sink was observed with peeling tiles. The group from Space #1 was observed in the outdoor learning environment. Children had access to a four-seat spring rider, climbing domes, a tic-tac-toe stand, a xylophone stand, slides, a stationary toy bus, balls, and riding toys. Three children were observed following bees around the playground. One child said, “Ooh! Look at the bees!” The teacher responded by saying, “Don’t get too close.” The child said, “Why?” The teacher responded by saying, “Because I don’t want you or your friends to get stung. We don’t want to get too close and make the bees angry. If one of us gets stung, it’s going to hurt, and we might have to go to the doctor. We don’t want that to happen, right?” The child responded by saying, “No.” In Space #2, a current activity plan was observed posted on the wall, on the information board. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. A bottle of hand sanitizer was stored on a cubby shelf, below five feet from the finished floor. Three containers of Zep disinfectant towels were stored on a cubby shelf, below five feet from the finished floor. The group was observed transitioning back to their classroom from outdoor play. The children used the bathroom, washed their hands, and sat in a carpeted area. The teacher read a book titled, ‘We Are on the Map’. The teacher reviewed features of the book, including the front, back, spine, title, author, and illustrator of the book. The teacher asked the children, “Do you live in a town, city, state, or country?” One child responded by saying, “A town!” The teacher responded by saying, “Why do you think we live in a town?” The child didn’t respond. Another child said, “A city!” The teacher responded by saying, “Why do you think we live in a city?” The child responded by saying, “Because there are lots of buildings.” The teacher explained the difference between a town, city, state, and country. Routine care and handwashing practices were observed. Lunch consisted of meatloaf, mashed potatoes, mixed vegetables, sliced peaches, and milk. Program files were reviewed. The most recent fire drill was completed on March 20, 2025. The most recent shelter-in-place drill was completed on January 09, 2025. The most recent playground inspection was completed on March 25, 2025. The most recent sanitation inspection was received during today's visit. NC Pre-K requirements were reviewed. The Creative Curriculum was implemented in the activity plan and the classroom activities. The Ages and Stages Questionnaires (ASQ-3) were used for developmental screenings and were placed in each child’s file. Hearing and Vision screenings were documented on each child’s health assessment form. Dental Screenings were placed in each child’s file. School-aged children were not present during today's visit. However, current activity plans were available for review and age appropriate materials for school-aged children were available. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space #1, a crack was observed in the ceiling, near the doorway where both classrooms connect. Another crack was observed in the ceiling, near the door that exits to the playground. In the boys' bathroom, a vent was observed loose and hanging from the ceiling. In the girls' bathroom, the backsplash on the wall behind the sink was observed with peeling tiles. 15A NCAC 18A .2825(a) 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 #1, a bottle of hand sanitizer was stored on top of a table, below five feet from the finished floor. In Space #2, a bottle of hand sanitizer was stored on a cubby shelf, below five feet from the finished floor. In Space #2, three containers of Zep disinfectant towels were stored on a cubby shelf, below five feet from the finished floor. When this was brought to the Administrator's attention, she immediately removed all items and placed them in a locked cabinet. .2820(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 April 17, 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 TA/Consultation: Hazardous Items Storage A violation was cited today for not making potentially hazardous products inaccessible to children. According to child care sanitation rule 15A NCAC 18A .2820(c), non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. We discussed the importance of having staff complete safety checks in the morning, before children arrive for the day, to ensure that all potentially hazardous items are stored at least five feet from the finished floor. A hard copy of the Hazardous Items Storage printout from the DCDEE website was left with the administrator. Condition of Ceilings and Walls A violation was cited today for areas of the ceiling being observed in poor repair. According to child care sanitation rule 15A NCAC 18A .2825(a), in child care centers, the walls and ceilings, including doors and windows, of all rooms and areas shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. We discussed the importance of having staff complete monthly building maintenance checks to identify hazards and schedule repairs as soon as possible. Preschool Age Group Observation I discussed with T. Armfield the results from classroom observations conducted during today’s visit. I encouraged the teachers to continue promoting children’s thinking skills throughout the school day in many classroom activities including centers, whole group instruction, meal and snack time, as well as transition. This is important when teachers are intentionally thinking about finding opportunities to do this at different times during the day, and not just during a structured instructional activity. For example: • Creating opportunities for children to solve problems, experiment, and figure out how things work. • Making learning meaningful and connecting concepts to children’s lives. • Using how and why questions that help children think about ideas. • Linking understanding with something previously learned. • Predicting what may happen next. • Brainstorming new ideas or making something in a new way. Reminders: Sanitation Inspection According to your records, your sanitation inspection is due to expire on May 14, 2025. I encouraged the administrator to contact the Cumberland County Environmental Health Department at (910)433-3618 to schedule and obtain an updated inspection before the expiration date. 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 .0604 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 30 Completed Date: 9/4/2024 Age: From 4 To 6 Total Minutes: 435 Time In: 09:00 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 05:15 PM 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, including Health and Safety Training, and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on September 12, 2023, 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 Five-Star License issued January 30, 2020. The license was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 Tiffany Armfield, Assistant Director. Current Inspections are as follows: Sanitation Classification of Superior was completed on May 01, 2024. Fire Classification of Approved for Day Time Care Only was completed on September 14, 2023. T. Armfield, Assistant Director, was present while I observed the indoor and outdoor areas. Eighteen children were present upon my arrival. Children were observed tracing the letters of their names with dry erase markers on sheets of laminated paper. In Space #2, a broken outlet cover plate was observed on the wall, next to the block building area. A bottle of hand antiseptic was stored on a table, below five feet from the finished floor. The NC Pre-K lead teachers and assistant teachers in both classrooms were found in the NC Pre-K Plan. The Creative Curriculum was implemented in the classroom activities. The activity plan and daily schedule were posted. In the outdoor learning environment, the sand surfacing surrounding the stationary slide measured at 2 inches in depth. Small pieces of glass and other debris were observed in the sand throughout the outdoor learning environment. Routine care and handwashing activities were observed. Lunch consisted of hamburger on whole wheat bun, baked beans, sweet peas, pineapples, and milk. Twelve children, who were enrolled for afterschool care, arrived to the facility between 3:00 and 3:30pm. As children arrived at the facility, they put their belongings in their assigned cubbies and washed their hands. Children were served animal crackers and milk for snack. After snack, the children used the bathroom and washed their hands before transitioning to free-choice activities and outdoor play. The groups of children alternated between outdoor play and free-choice activities indoors. Children had access to fine motor, gross motor, dramatic-play, science, math, literacy and art materials. Five staff files were reviewed. Two staff members had expired background check qualification letters on file. One staff member did not meet their required annual on-going training hours, based on their education and experience. Twenty children’s records were reviewed. Twenty children did not have tobacco restriction notices on file, signed by their parents. Program files, including the EPR Plan, were reviewed and observed in compliance with child care rules. Transportation requirements were monitored and observed in compliance with child care rules. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #2, an electrical outlet's covering plate was cracked, exposing the space behind the wall. The administrator immediately replaced the electrical outlet plate during the visit. 10A NCAC 09 .0604(c) 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. A bottle of hand sanitizer was stored on a table, below five feet from the finished floor. The hand sanitizer was immediately placed on a shelf, above five feet from the finished floor. .2820(b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Small pieces of glass and other debris were observed in the sand throughout the outdoor learning environment. 10A NCAC 09 .0604(p) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Two staff members had expired qualification letters on file. G.S. 110-90.2(b) & .2703(n)&(o) 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 on-going training hours, based on their education and experience. .1103(a) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Children's files did not contain tobacco restriction notifications, signed by their parents. .0604(j) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The sand surrounding the stationary slide measured at two inches in depth. The sand surrounding and under a stationary climber measured at three inches in depth. .0605(k)(1-4) 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 September 18, 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 Criminal Background Check(CBC)/Qualifying Letter A violation was cited today for staff members not obtaining an updated CBC qualifying letter before the expiration date. According to Child Care Rule 10A NCAC 09 .2703(o), prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. The staff member was instructed by the administrator to start the CBC renewal process immediately. Outdoor Learning Environment A violation was cited today for the depth of resilient surfacing not measuring at least 6 inches. According to Child Care Rule .0605(k)(1-4), the depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand. Equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials. Equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand. Equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand. When sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Annual On-Going Training Requirements A violation was cited today for a staff member not meeting the required annual on-going training hours, based on experience and education. According to Child Care Rule .1103(a), 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 Reminders Fire Inspection According to your records, your fire inspection is due to expire on September 14, 2024. To remain in compliance with child care rules, you must schedule and obtain an updated inspection before the expiration date. I encouraged the administrator to call the local fire department or fire marshal to schedule an updated inspection as soon as possible. When the fire inspection has been completed, please send a copy of the inspection report to Tiffany Reed, Child Care Consultant. 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 .2703 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 30 Completed Date: 9/4/2024 Age: From 4 To 6 Total Minutes: 435 Time In: 09:00 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 05:15 PM 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, including Health and Safety Training, and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on September 12, 2023, 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 Five-Star License issued January 30, 2020. The license was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 Tiffany Armfield, Assistant Director. Current Inspections are as follows: Sanitation Classification of Superior was completed on May 01, 2024. Fire Classification of Approved for Day Time Care Only was completed on September 14, 2023. T. Armfield, Assistant Director, was present while I observed the indoor and outdoor areas. Eighteen children were present upon my arrival. Children were observed tracing the letters of their names with dry erase markers on sheets of laminated paper. In Space #2, a broken outlet cover plate was observed on the wall, next to the block building area. A bottle of hand antiseptic was stored on a table, below five feet from the finished floor. The NC Pre-K lead teachers and assistant teachers in both classrooms were found in the NC Pre-K Plan. The Creative Curriculum was implemented in the classroom activities. The activity plan and daily schedule were posted. In the outdoor learning environment, the sand surfacing surrounding the stationary slide measured at 2 inches in depth. Small pieces of glass and other debris were observed in the sand throughout the outdoor learning environment. Routine care and handwashing activities were observed. Lunch consisted of hamburger on whole wheat bun, baked beans, sweet peas, pineapples, and milk. Twelve children, who were enrolled for afterschool care, arrived to the facility between 3:00 and 3:30pm. As children arrived at the facility, they put their belongings in their assigned cubbies and washed their hands. Children were served animal crackers and milk for snack. After snack, the children used the bathroom and washed their hands before transitioning to free-choice activities and outdoor play. The groups of children alternated between outdoor play and free-choice activities indoors. Children had access to fine motor, gross motor, dramatic-play, science, math, literacy and art materials. Five staff files were reviewed. Two staff members had expired background check qualification letters on file. One staff member did not meet their required annual on-going training hours, based on their education and experience. Twenty children’s records were reviewed. Twenty children did not have tobacco restriction notices on file, signed by their parents. Program files, including the EPR Plan, were reviewed and observed in compliance with child care rules. Transportation requirements were monitored and observed in compliance with child care rules. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #2, an electrical outlet's covering plate was cracked, exposing the space behind the wall. The administrator immediately replaced the electrical outlet plate during the visit. 10A NCAC 09 .0604(c) 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. A bottle of hand sanitizer was stored on a table, below five feet from the finished floor. The hand sanitizer was immediately placed on a shelf, above five feet from the finished floor. .2820(b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Small pieces of glass and other debris were observed in the sand throughout the outdoor learning environment. 10A NCAC 09 .0604(p) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Two staff members had expired qualification letters on file. G.S. 110-90.2(b) & .2703(n)&(o) 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 on-going training hours, based on their education and experience. .1103(a) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Children's files did not contain tobacco restriction notifications, signed by their parents. .0604(j) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The sand surrounding the stationary slide measured at two inches in depth. The sand surrounding and under a stationary climber measured at three inches in depth. .0605(k)(1-4) 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 September 18, 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 Criminal Background Check(CBC)/Qualifying Letter A violation was cited today for staff members not obtaining an updated CBC qualifying letter before the expiration date. According to Child Care Rule 10A NCAC 09 .2703(o), prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. The staff member was instructed by the administrator to start the CBC renewal process immediately. Outdoor Learning Environment A violation was cited today for the depth of resilient surfacing not measuring at least 6 inches. According to Child Care Rule .0605(k)(1-4), the depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand. Equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials. Equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand. Equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand. When sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Annual On-Going Training Requirements A violation was cited today for a staff member not meeting the required annual on-going training hours, based on experience and education. According to Child Care Rule .1103(a), 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 Reminders Fire Inspection According to your records, your fire inspection is due to expire on September 14, 2024. To remain in compliance with child care rules, you must schedule and obtain an updated inspection before the expiration date. I encouraged the administrator to call the local fire department or fire marshal to schedule an updated inspection as soon as possible. When the fire inspection has been completed, please send a copy of the inspection report to Tiffany Reed, Child Care Consultant. 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

G.S. 110-90 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 30 Completed Date: 9/4/2024 Age: From 4 To 6 Total Minutes: 435 Time In: 09:00 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 05:15 PM 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, including Health and Safety Training, and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on September 12, 2023, 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 Five-Star License issued January 30, 2020. The license was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 Tiffany Armfield, Assistant Director. Current Inspections are as follows: Sanitation Classification of Superior was completed on May 01, 2024. Fire Classification of Approved for Day Time Care Only was completed on September 14, 2023. T. Armfield, Assistant Director, was present while I observed the indoor and outdoor areas. Eighteen children were present upon my arrival. Children were observed tracing the letters of their names with dry erase markers on sheets of laminated paper. In Space #2, a broken outlet cover plate was observed on the wall, next to the block building area. A bottle of hand antiseptic was stored on a table, below five feet from the finished floor. The NC Pre-K lead teachers and assistant teachers in both classrooms were found in the NC Pre-K Plan. The Creative Curriculum was implemented in the classroom activities. The activity plan and daily schedule were posted. In the outdoor learning environment, the sand surfacing surrounding the stationary slide measured at 2 inches in depth. Small pieces of glass and other debris were observed in the sand throughout the outdoor learning environment. Routine care and handwashing activities were observed. Lunch consisted of hamburger on whole wheat bun, baked beans, sweet peas, pineapples, and milk. Twelve children, who were enrolled for afterschool care, arrived to the facility between 3:00 and 3:30pm. As children arrived at the facility, they put their belongings in their assigned cubbies and washed their hands. Children were served animal crackers and milk for snack. After snack, the children used the bathroom and washed their hands before transitioning to free-choice activities and outdoor play. The groups of children alternated between outdoor play and free-choice activities indoors. Children had access to fine motor, gross motor, dramatic-play, science, math, literacy and art materials. Five staff files were reviewed. Two staff members had expired background check qualification letters on file. One staff member did not meet their required annual on-going training hours, based on their education and experience. Twenty children’s records were reviewed. Twenty children did not have tobacco restriction notices on file, signed by their parents. Program files, including the EPR Plan, were reviewed and observed in compliance with child care rules. Transportation requirements were monitored and observed in compliance with child care rules. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #2, an electrical outlet's covering plate was cracked, exposing the space behind the wall. The administrator immediately replaced the electrical outlet plate during the visit. 10A NCAC 09 .0604(c) 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. A bottle of hand sanitizer was stored on a table, below five feet from the finished floor. The hand sanitizer was immediately placed on a shelf, above five feet from the finished floor. .2820(b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Small pieces of glass and other debris were observed in the sand throughout the outdoor learning environment. 10A NCAC 09 .0604(p) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Two staff members had expired qualification letters on file. G.S. 110-90.2(b) & .2703(n)&(o) 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 on-going training hours, based on their education and experience. .1103(a) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Children's files did not contain tobacco restriction notifications, signed by their parents. .0604(j) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The sand surrounding the stationary slide measured at two inches in depth. The sand surrounding and under a stationary climber measured at three inches in depth. .0605(k)(1-4) 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 September 18, 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 Criminal Background Check(CBC)/Qualifying Letter A violation was cited today for staff members not obtaining an updated CBC qualifying letter before the expiration date. According to Child Care Rule 10A NCAC 09 .2703(o), prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. The staff member was instructed by the administrator to start the CBC renewal process immediately. Outdoor Learning Environment A violation was cited today for the depth of resilient surfacing not measuring at least 6 inches. According to Child Care Rule .0605(k)(1-4), the depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand. Equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials. Equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand. Equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand. When sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Annual On-Going Training Requirements A violation was cited today for a staff member not meeting the required annual on-going training hours, based on experience and education. According to Child Care Rule .1103(a), 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 Reminders Fire Inspection According to your records, your fire inspection is due to expire on September 14, 2024. To remain in compliance with child care rules, you must schedule and obtain an updated inspection before the expiration date. I encouraged the administrator to call the local fire department or fire marshal to schedule an updated inspection as soon as possible. When the fire inspection has been completed, please send a copy of the inspection report to Tiffany Reed, Child Care Consultant. 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: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 30 Completed Date: 9/4/2024 Age: From 4 To 6 Total Minutes: 435 Time In: 09:00 AM Time Out: 01:00 PM Time In: 02:00 PM Time Out: 05:15 PM 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, including Health and Safety Training, and the NC Pre-K program using Child Care Rules Section .3000 pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on September 12, 2023, 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 Five-Star License issued January 30, 2020. The license was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 Tiffany Armfield, Assistant Director. Current Inspections are as follows: Sanitation Classification of Superior was completed on May 01, 2024. Fire Classification of Approved for Day Time Care Only was completed on September 14, 2023. T. Armfield, Assistant Director, was present while I observed the indoor and outdoor areas. Eighteen children were present upon my arrival. Children were observed tracing the letters of their names with dry erase markers on sheets of laminated paper. In Space #2, a broken outlet cover plate was observed on the wall, next to the block building area. A bottle of hand antiseptic was stored on a table, below five feet from the finished floor. The NC Pre-K lead teachers and assistant teachers in both classrooms were found in the NC Pre-K Plan. The Creative Curriculum was implemented in the classroom activities. The activity plan and daily schedule were posted. In the outdoor learning environment, the sand surfacing surrounding the stationary slide measured at 2 inches in depth. Small pieces of glass and other debris were observed in the sand throughout the outdoor learning environment. Routine care and handwashing activities were observed. Lunch consisted of hamburger on whole wheat bun, baked beans, sweet peas, pineapples, and milk. Twelve children, who were enrolled for afterschool care, arrived to the facility between 3:00 and 3:30pm. As children arrived at the facility, they put their belongings in their assigned cubbies and washed their hands. Children were served animal crackers and milk for snack. After snack, the children used the bathroom and washed their hands before transitioning to free-choice activities and outdoor play. The groups of children alternated between outdoor play and free-choice activities indoors. Children had access to fine motor, gross motor, dramatic-play, science, math, literacy and art materials. Five staff files were reviewed. Two staff members had expired background check qualification letters on file. One staff member did not meet their required annual on-going training hours, based on their education and experience. Twenty children’s records were reviewed. Twenty children did not have tobacco restriction notices on file, signed by their parents. Program files, including the EPR Plan, were reviewed and observed in compliance with child care rules. Transportation requirements were monitored and observed in compliance with child care rules. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #2, an electrical outlet's covering plate was cracked, exposing the space behind the wall. The administrator immediately replaced the electrical outlet plate during the visit. 10A NCAC 09 .0604(c) 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. A bottle of hand sanitizer was stored on a table, below five feet from the finished floor. The hand sanitizer was immediately placed on a shelf, above five feet from the finished floor. .2820(b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Small pieces of glass and other debris were observed in the sand throughout the outdoor learning environment. 10A NCAC 09 .0604(p) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Two staff members had expired qualification letters on file. G.S. 110-90.2(b) & .2703(n)&(o) 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 on-going training hours, based on their education and experience. .1103(a) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Children's files did not contain tobacco restriction notifications, signed by their parents. .0604(j) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The sand surrounding the stationary slide measured at two inches in depth. The sand surrounding and under a stationary climber measured at three inches in depth. .0605(k)(1-4) 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 September 18, 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 Criminal Background Check(CBC)/Qualifying Letter A violation was cited today for staff members not obtaining an updated CBC qualifying letter before the expiration date. According to Child Care Rule 10A NCAC 09 .2703(o), prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. The staff member was instructed by the administrator to start the CBC renewal process immediately. Outdoor Learning Environment A violation was cited today for the depth of resilient surfacing not measuring at least 6 inches. According to Child Care Rule .0605(k)(1-4), the depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand. Equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials. Equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand. Equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand. When sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Annual On-Going Training Requirements A violation was cited today for a staff member not meeting the required annual on-going training hours, based on experience and education. According to Child Care Rule .1103(a), 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 Reminders Fire Inspection According to your records, your fire inspection is due to expire on September 14, 2024. To remain in compliance with child care rules, you must schedule and obtain an updated inspection before the expiration date. I encouraged the administrator to call the local fire department or fire marshal to schedule an updated inspection as soon as possible. When the fire inspection has been completed, please send a copy of the inspection report to Tiffany Reed, Child Care Consultant. 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 .0601 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: JENNIFER STRICKLAND Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 27 Completed Date: 3/7/2024 Age: From 4 To 5 Total Minutes: 225 Time In: 01:00 PM Time Out: 04:45 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 September 12, 2023 and prior to today’s visit, the eighteen-month compliance history score was 94% which at or above 94%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d ). This program currently operates with a Five-Star License issued January 30, 2020. The License was based on the program earning seven (7) points in education standards, six (6) points in program standards, and one(1) quality point by choosing to meet the 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 with DCDEE was verified as correct by Tiffany Armfield, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed on April 25, 2023. Fire Classification of Approved for Day Time Care Only completed on August 14, 2023. Tamara Fitch, NC PreK Teacher, was present while I observed the indoor and outdoor areas. Ms. Armfield, Administrator, arrived at the facility later during the visit. In Space #1 and #2, children were napping. Teachers in both classrooms started getting children up after my arrival. Children in space #2 helped put their cots up, took their blankets to their cubbies, and sat on the carpet to play with magnetic tiles. Children had conversations with each other. However, the interaction with the teacher was limited. Handwashing was not observed during this transition. I observed one child eating Oreo cookies at the table while the other children played on the carpet. At 1:26 pm, the children were served a cup of milk, and one of the teachers offered them turkey sandwiches. Handwashing was not observed during this transition. The activity plan posted in this space was dated February 1-29. The teacher corrected this violation by printing and posting an activity plan for March. In Space #2, Children were sitting at the table eating a snack consisting of white cheddar popcorn and milk. The snack didn’t match the items posted on the menu. According to the menu, children were supposed to have goldfish crackers and milk. I talked to both teachers about updating the menu when items are substituted. When finished, the children transitioned to the carpet and picked up a book of their choice to look at. Handwashing was not observed during this transition. Teacher interaction was limited. Both classrooms had defined activity areas that contained at least three related activities and sufficient quantity of each for three children to use. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #2.Lead Teacher printed a current activity plan and posted in the classroom. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One child was observed eating Oreo cookies while the other children were on the carpet. Teacher asked the child to put cookies back inside her backpack. 10A NCAC 09 .0901(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Space #1 and #2 didn’t have snack substitution recorded on the menu that was posted. Teachers added substitution to individual menus posted in the classroom. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor play area, cement, and metal stakes protruded and were not flush to the ground and cover with sand. Maintenance personnel came to the facility and cover the areas and hammered the stakes to the ground. 10A NCAC 09 .0601(a) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Outdoor area had many pieces of debris (children mask, juice pouches, torn plastic, small pieces of glass) 10A NCAC 09 .0604(p) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Metal was exposed from under three of the structures in the playground (The playhouse, the bus, marry go around, and the slide). Maintenance personnel came over to the facility and added more sand to the areas. .0605(k)(1-4) 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. The violation(s) must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 pm on March 21, 2024, describing how and when the violations were corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the deadline, an annual compliance follow-up visit will be conducted to verify that all violation(s) have been corrected. Mail or email the information to: Jennifer Strickland Child Care Consultant P.O. Box 641 Fayetteville, NC 28302 jennifer.a.strickland@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 Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Observation Suggestion: Conversations can occur throughout the day during structured times, such as meeting time, and unstructured times, such as snack and free play. Converse with children individually and in a small and large groups. Listen to what children say and respond in a way that shows you are interested in what they say. Ask follow-up questions to keep the conversation going and include some open-ended questions to encourage children to contribute more to the conversation. Activity Plans: Activity plans must be completed and available for review (keep at least a month on file for review). During today’s visit space #2 did not have a current activity plan posted and available for review. Refer to child care rule GS 110- 91(12) and 10A NCAC 09 .0508. Nutrition: A violation was cited today for not serving two out of five nutritional components for snack today. According to Child Care Rule 10A NCAC 09 .0901(a), meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Natural Outdoor 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 Website/ Child Care Consultant Contact Information Visit the DCDEE website (https://ncchildcare.ncdhhs.gov) for updated requirements, forms, and other pertinent information. Please feel free to contact me at jennifer.a.strickland@dhhs.nc.gov or 910- 882-2378 if you have any questions 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: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: JENNIFER STRICKLAND Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 27 Completed Date: 3/7/2024 Age: From 4 To 5 Total Minutes: 225 Time In: 01:00 PM Time Out: 04:45 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 September 12, 2023 and prior to today’s visit, the eighteen-month compliance history score was 94% which at or above 94%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d ). This program currently operates with a Five-Star License issued January 30, 2020. The License was based on the program earning seven (7) points in education standards, six (6) points in program standards, and one(1) quality point by choosing to meet the 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 with DCDEE was verified as correct by Tiffany Armfield, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed on April 25, 2023. Fire Classification of Approved for Day Time Care Only completed on August 14, 2023. Tamara Fitch, NC PreK Teacher, was present while I observed the indoor and outdoor areas. Ms. Armfield, Administrator, arrived at the facility later during the visit. In Space #1 and #2, children were napping. Teachers in both classrooms started getting children up after my arrival. Children in space #2 helped put their cots up, took their blankets to their cubbies, and sat on the carpet to play with magnetic tiles. Children had conversations with each other. However, the interaction with the teacher was limited. Handwashing was not observed during this transition. I observed one child eating Oreo cookies at the table while the other children played on the carpet. At 1:26 pm, the children were served a cup of milk, and one of the teachers offered them turkey sandwiches. Handwashing was not observed during this transition. The activity plan posted in this space was dated February 1-29. The teacher corrected this violation by printing and posting an activity plan for March. In Space #2, Children were sitting at the table eating a snack consisting of white cheddar popcorn and milk. The snack didn’t match the items posted on the menu. According to the menu, children were supposed to have goldfish crackers and milk. I talked to both teachers about updating the menu when items are substituted. When finished, the children transitioned to the carpet and picked up a book of their choice to look at. Handwashing was not observed during this transition. Teacher interaction was limited. Both classrooms had defined activity areas that contained at least three related activities and sufficient quantity of each for three children to use. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #2.Lead Teacher printed a current activity plan and posted in the classroom. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One child was observed eating Oreo cookies while the other children were on the carpet. Teacher asked the child to put cookies back inside her backpack. 10A NCAC 09 .0901(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Space #1 and #2 didn’t have snack substitution recorded on the menu that was posted. Teachers added substitution to individual menus posted in the classroom. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor play area, cement, and metal stakes protruded and were not flush to the ground and cover with sand. Maintenance personnel came to the facility and cover the areas and hammered the stakes to the ground. 10A NCAC 09 .0601(a) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Outdoor area had many pieces of debris (children mask, juice pouches, torn plastic, small pieces of glass) 10A NCAC 09 .0604(p) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Metal was exposed from under three of the structures in the playground (The playhouse, the bus, marry go around, and the slide). Maintenance personnel came over to the facility and added more sand to the areas. .0605(k)(1-4) 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. The violation(s) must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 pm on March 21, 2024, describing how and when the violations were corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the deadline, an annual compliance follow-up visit will be conducted to verify that all violation(s) have been corrected. Mail or email the information to: Jennifer Strickland Child Care Consultant P.O. Box 641 Fayetteville, NC 28302 jennifer.a.strickland@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 Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Observation Suggestion: Conversations can occur throughout the day during structured times, such as meeting time, and unstructured times, such as snack and free play. Converse with children individually and in a small and large groups. Listen to what children say and respond in a way that shows you are interested in what they say. Ask follow-up questions to keep the conversation going and include some open-ended questions to encourage children to contribute more to the conversation. Activity Plans: Activity plans must be completed and available for review (keep at least a month on file for review). During today’s visit space #2 did not have a current activity plan posted and available for review. Refer to child care rule GS 110- 91(12) and 10A NCAC 09 .0508. Nutrition: A violation was cited today for not serving two out of five nutritional components for snack today. According to Child Care Rule 10A NCAC 09 .0901(a), meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Natural Outdoor 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 Website/ Child Care Consultant Contact Information Visit the DCDEE website (https://ncchildcare.ncdhhs.gov) for updated requirements, forms, and other pertinent information. Please feel free to contact me at jennifer.a.strickland@dhhs.nc.gov or 910- 882-2378 if you have any questions 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 .0901 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: JENNIFER STRICKLAND Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 27 Completed Date: 3/7/2024 Age: From 4 To 5 Total Minutes: 225 Time In: 01:00 PM Time Out: 04:45 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 September 12, 2023 and prior to today’s visit, the eighteen-month compliance history score was 94% which at or above 94%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d ). This program currently operates with a Five-Star License issued January 30, 2020. The License was based on the program earning seven (7) points in education standards, six (6) points in program standards, and one(1) quality point by choosing to meet the 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 with DCDEE was verified as correct by Tiffany Armfield, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed on April 25, 2023. Fire Classification of Approved for Day Time Care Only completed on August 14, 2023. Tamara Fitch, NC PreK Teacher, was present while I observed the indoor and outdoor areas. Ms. Armfield, Administrator, arrived at the facility later during the visit. In Space #1 and #2, children were napping. Teachers in both classrooms started getting children up after my arrival. Children in space #2 helped put their cots up, took their blankets to their cubbies, and sat on the carpet to play with magnetic tiles. Children had conversations with each other. However, the interaction with the teacher was limited. Handwashing was not observed during this transition. I observed one child eating Oreo cookies at the table while the other children played on the carpet. At 1:26 pm, the children were served a cup of milk, and one of the teachers offered them turkey sandwiches. Handwashing was not observed during this transition. The activity plan posted in this space was dated February 1-29. The teacher corrected this violation by printing and posting an activity plan for March. In Space #2, Children were sitting at the table eating a snack consisting of white cheddar popcorn and milk. The snack didn’t match the items posted on the menu. According to the menu, children were supposed to have goldfish crackers and milk. I talked to both teachers about updating the menu when items are substituted. When finished, the children transitioned to the carpet and picked up a book of their choice to look at. Handwashing was not observed during this transition. Teacher interaction was limited. Both classrooms had defined activity areas that contained at least three related activities and sufficient quantity of each for three children to use. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #2.Lead Teacher printed a current activity plan and posted in the classroom. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One child was observed eating Oreo cookies while the other children were on the carpet. Teacher asked the child to put cookies back inside her backpack. 10A NCAC 09 .0901(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Space #1 and #2 didn’t have snack substitution recorded on the menu that was posted. Teachers added substitution to individual menus posted in the classroom. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor play area, cement, and metal stakes protruded and were not flush to the ground and cover with sand. Maintenance personnel came to the facility and cover the areas and hammered the stakes to the ground. 10A NCAC 09 .0601(a) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Outdoor area had many pieces of debris (children mask, juice pouches, torn plastic, small pieces of glass) 10A NCAC 09 .0604(p) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Metal was exposed from under three of the structures in the playground (The playhouse, the bus, marry go around, and the slide). Maintenance personnel came over to the facility and added more sand to the areas. .0605(k)(1-4) 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. The violation(s) must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 pm on March 21, 2024, describing how and when the violations were corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the deadline, an annual compliance follow-up visit will be conducted to verify that all violation(s) have been corrected. Mail or email the information to: Jennifer Strickland Child Care Consultant P.O. Box 641 Fayetteville, NC 28302 jennifer.a.strickland@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 Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Observation Suggestion: Conversations can occur throughout the day during structured times, such as meeting time, and unstructured times, such as snack and free play. Converse with children individually and in a small and large groups. Listen to what children say and respond in a way that shows you are interested in what they say. Ask follow-up questions to keep the conversation going and include some open-ended questions to encourage children to contribute more to the conversation. Activity Plans: Activity plans must be completed and available for review (keep at least a month on file for review). During today’s visit space #2 did not have a current activity plan posted and available for review. Refer to child care rule GS 110- 91(12) and 10A NCAC 09 .0508. Nutrition: A violation was cited today for not serving two out of five nutritional components for snack today. According to Child Care Rule 10A NCAC 09 .0901(a), meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Natural Outdoor 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 Website/ Child Care Consultant Contact Information Visit the DCDEE website (https://ncchildcare.ncdhhs.gov) for updated requirements, forms, and other pertinent information. Please feel free to contact me at jennifer.a.strickland@dhhs.nc.gov or 910- 882-2378 if you have any questions 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 .0508 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: JENNIFER STRICKLAND Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 27 Completed Date: 3/7/2024 Age: From 4 To 5 Total Minutes: 225 Time In: 01:00 PM Time Out: 04:45 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 September 12, 2023 and prior to today’s visit, the eighteen-month compliance history score was 94% which at or above 94%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d ). This program currently operates with a Five-Star License issued January 30, 2020. The License was based on the program earning seven (7) points in education standards, six (6) points in program standards, and one(1) quality point by choosing to meet the 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 with DCDEE was verified as correct by Tiffany Armfield, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed on April 25, 2023. Fire Classification of Approved for Day Time Care Only completed on August 14, 2023. Tamara Fitch, NC PreK Teacher, was present while I observed the indoor and outdoor areas. Ms. Armfield, Administrator, arrived at the facility later during the visit. In Space #1 and #2, children were napping. Teachers in both classrooms started getting children up after my arrival. Children in space #2 helped put their cots up, took their blankets to their cubbies, and sat on the carpet to play with magnetic tiles. Children had conversations with each other. However, the interaction with the teacher was limited. Handwashing was not observed during this transition. I observed one child eating Oreo cookies at the table while the other children played on the carpet. At 1:26 pm, the children were served a cup of milk, and one of the teachers offered them turkey sandwiches. Handwashing was not observed during this transition. The activity plan posted in this space was dated February 1-29. The teacher corrected this violation by printing and posting an activity plan for March. In Space #2, Children were sitting at the table eating a snack consisting of white cheddar popcorn and milk. The snack didn’t match the items posted on the menu. According to the menu, children were supposed to have goldfish crackers and milk. I talked to both teachers about updating the menu when items are substituted. When finished, the children transitioned to the carpet and picked up a book of their choice to look at. Handwashing was not observed during this transition. Teacher interaction was limited. Both classrooms had defined activity areas that contained at least three related activities and sufficient quantity of each for three children to use. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #2.Lead Teacher printed a current activity plan and posted in the classroom. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One child was observed eating Oreo cookies while the other children were on the carpet. Teacher asked the child to put cookies back inside her backpack. 10A NCAC 09 .0901(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Space #1 and #2 didn’t have snack substitution recorded on the menu that was posted. Teachers added substitution to individual menus posted in the classroom. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor play area, cement, and metal stakes protruded and were not flush to the ground and cover with sand. Maintenance personnel came to the facility and cover the areas and hammered the stakes to the ground. 10A NCAC 09 .0601(a) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Outdoor area had many pieces of debris (children mask, juice pouches, torn plastic, small pieces of glass) 10A NCAC 09 .0604(p) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Metal was exposed from under three of the structures in the playground (The playhouse, the bus, marry go around, and the slide). Maintenance personnel came over to the facility and added more sand to the areas. .0605(k)(1-4) 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. The violation(s) must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 pm on March 21, 2024, describing how and when the violations were corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the deadline, an annual compliance follow-up visit will be conducted to verify that all violation(s) have been corrected. Mail or email the information to: Jennifer Strickland Child Care Consultant P.O. Box 641 Fayetteville, NC 28302 jennifer.a.strickland@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 Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Observation Suggestion: Conversations can occur throughout the day during structured times, such as meeting time, and unstructured times, such as snack and free play. Converse with children individually and in a small and large groups. Listen to what children say and respond in a way that shows you are interested in what they say. Ask follow-up questions to keep the conversation going and include some open-ended questions to encourage children to contribute more to the conversation. Activity Plans: Activity plans must be completed and available for review (keep at least a month on file for review). During today’s visit space #2 did not have a current activity plan posted and available for review. Refer to child care rule GS 110- 91(12) and 10A NCAC 09 .0508. Nutrition: A violation was cited today for not serving two out of five nutritional components for snack today. According to Child Care Rule 10A NCAC 09 .0901(a), meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Natural Outdoor 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 Website/ Child Care Consultant Contact Information Visit the DCDEE website (https://ncchildcare.ncdhhs.gov) for updated requirements, forms, and other pertinent information. Please feel free to contact me at jennifer.a.strickland@dhhs.nc.gov or 910- 882-2378 if you have any questions 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 .0901 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: JENNIFER STRICKLAND Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 27 Completed Date: 3/7/2024 Age: From 4 To 5 Total Minutes: 225 Time In: 01:00 PM Time Out: 04:45 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 September 12, 2023 and prior to today’s visit, the eighteen-month compliance history score was 94% which at or above 94%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d ). This program currently operates with a Five-Star License issued January 30, 2020. The License was based on the program earning seven (7) points in education standards, six (6) points in program standards, and one(1) quality point by choosing to meet the 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 with DCDEE was verified as correct by Tiffany Armfield, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed on April 25, 2023. Fire Classification of Approved for Day Time Care Only completed on August 14, 2023. Tamara Fitch, NC PreK Teacher, was present while I observed the indoor and outdoor areas. Ms. Armfield, Administrator, arrived at the facility later during the visit. In Space #1 and #2, children were napping. Teachers in both classrooms started getting children up after my arrival. Children in space #2 helped put their cots up, took their blankets to their cubbies, and sat on the carpet to play with magnetic tiles. Children had conversations with each other. However, the interaction with the teacher was limited. Handwashing was not observed during this transition. I observed one child eating Oreo cookies at the table while the other children played on the carpet. At 1:26 pm, the children were served a cup of milk, and one of the teachers offered them turkey sandwiches. Handwashing was not observed during this transition. The activity plan posted in this space was dated February 1-29. The teacher corrected this violation by printing and posting an activity plan for March. In Space #2, Children were sitting at the table eating a snack consisting of white cheddar popcorn and milk. The snack didn’t match the items posted on the menu. According to the menu, children were supposed to have goldfish crackers and milk. I talked to both teachers about updating the menu when items are substituted. When finished, the children transitioned to the carpet and picked up a book of their choice to look at. Handwashing was not observed during this transition. Teacher interaction was limited. Both classrooms had defined activity areas that contained at least three related activities and sufficient quantity of each for three children to use. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #2.Lead Teacher printed a current activity plan and posted in the classroom. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One child was observed eating Oreo cookies while the other children were on the carpet. Teacher asked the child to put cookies back inside her backpack. 10A NCAC 09 .0901(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Space #1 and #2 didn’t have snack substitution recorded on the menu that was posted. Teachers added substitution to individual menus posted in the classroom. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor play area, cement, and metal stakes protruded and were not flush to the ground and cover with sand. Maintenance personnel came to the facility and cover the areas and hammered the stakes to the ground. 10A NCAC 09 .0601(a) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Outdoor area had many pieces of debris (children mask, juice pouches, torn plastic, small pieces of glass) 10A NCAC 09 .0604(p) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Metal was exposed from under three of the structures in the playground (The playhouse, the bus, marry go around, and the slide). Maintenance personnel came over to the facility and added more sand to the areas. .0605(k)(1-4) 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. The violation(s) must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 pm on March 21, 2024, describing how and when the violations were corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the deadline, an annual compliance follow-up visit will be conducted to verify that all violation(s) have been corrected. Mail or email the information to: Jennifer Strickland Child Care Consultant P.O. Box 641 Fayetteville, NC 28302 jennifer.a.strickland@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 Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Observation Suggestion: Conversations can occur throughout the day during structured times, such as meeting time, and unstructured times, such as snack and free play. Converse with children individually and in a small and large groups. Listen to what children say and respond in a way that shows you are interested in what they say. Ask follow-up questions to keep the conversation going and include some open-ended questions to encourage children to contribute more to the conversation. Activity Plans: Activity plans must be completed and available for review (keep at least a month on file for review). During today’s visit space #2 did not have a current activity plan posted and available for review. Refer to child care rule GS 110- 91(12) and 10A NCAC 09 .0508. Nutrition: A violation was cited today for not serving two out of five nutritional components for snack today. According to Child Care Rule 10A NCAC 09 .0901(a), meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Natural Outdoor 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 Website/ Child Care Consultant Contact Information Visit the DCDEE website (https://ncchildcare.ncdhhs.gov) for updated requirements, forms, and other pertinent information. Please feel free to contact me at jennifer.a.strickland@dhhs.nc.gov or 910- 882-2378 if you have any questions 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

GS 110- 91 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: JENNIFER STRICKLAND Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 27 Completed Date: 3/7/2024 Age: From 4 To 5 Total Minutes: 225 Time In: 01:00 PM Time Out: 04:45 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 September 12, 2023 and prior to today’s visit, the eighteen-month compliance history score was 94% which at or above 94%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d ). This program currently operates with a Five-Star License issued January 30, 2020. The License was based on the program earning seven (7) points in education standards, six (6) points in program standards, and one(1) quality point by choosing to meet the 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 with DCDEE was verified as correct by Tiffany Armfield, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed on April 25, 2023. Fire Classification of Approved for Day Time Care Only completed on August 14, 2023. Tamara Fitch, NC PreK Teacher, was present while I observed the indoor and outdoor areas. Ms. Armfield, Administrator, arrived at the facility later during the visit. In Space #1 and #2, children were napping. Teachers in both classrooms started getting children up after my arrival. Children in space #2 helped put their cots up, took their blankets to their cubbies, and sat on the carpet to play with magnetic tiles. Children had conversations with each other. However, the interaction with the teacher was limited. Handwashing was not observed during this transition. I observed one child eating Oreo cookies at the table while the other children played on the carpet. At 1:26 pm, the children were served a cup of milk, and one of the teachers offered them turkey sandwiches. Handwashing was not observed during this transition. The activity plan posted in this space was dated February 1-29. The teacher corrected this violation by printing and posting an activity plan for March. In Space #2, Children were sitting at the table eating a snack consisting of white cheddar popcorn and milk. The snack didn’t match the items posted on the menu. According to the menu, children were supposed to have goldfish crackers and milk. I talked to both teachers about updating the menu when items are substituted. When finished, the children transitioned to the carpet and picked up a book of their choice to look at. Handwashing was not observed during this transition. Teacher interaction was limited. Both classrooms had defined activity areas that contained at least three related activities and sufficient quantity of each for three children to use. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #2.Lead Teacher printed a current activity plan and posted in the classroom. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One child was observed eating Oreo cookies while the other children were on the carpet. Teacher asked the child to put cookies back inside her backpack. 10A NCAC 09 .0901(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Space #1 and #2 didn’t have snack substitution recorded on the menu that was posted. Teachers added substitution to individual menus posted in the classroom. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor play area, cement, and metal stakes protruded and were not flush to the ground and cover with sand. Maintenance personnel came to the facility and cover the areas and hammered the stakes to the ground. 10A NCAC 09 .0601(a) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Outdoor area had many pieces of debris (children mask, juice pouches, torn plastic, small pieces of glass) 10A NCAC 09 .0604(p) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Metal was exposed from under three of the structures in the playground (The playhouse, the bus, marry go around, and the slide). Maintenance personnel came over to the facility and added more sand to the areas. .0605(k)(1-4) 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. The violation(s) must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 pm on March 21, 2024, describing how and when the violations were corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the deadline, an annual compliance follow-up visit will be conducted to verify that all violation(s) have been corrected. Mail or email the information to: Jennifer Strickland Child Care Consultant P.O. Box 641 Fayetteville, NC 28302 jennifer.a.strickland@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 Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Observation Suggestion: Conversations can occur throughout the day during structured times, such as meeting time, and unstructured times, such as snack and free play. Converse with children individually and in a small and large groups. Listen to what children say and respond in a way that shows you are interested in what they say. Ask follow-up questions to keep the conversation going and include some open-ended questions to encourage children to contribute more to the conversation. Activity Plans: Activity plans must be completed and available for review (keep at least a month on file for review). During today’s visit space #2 did not have a current activity plan posted and available for review. Refer to child care rule GS 110- 91(12) and 10A NCAC 09 .0508. Nutrition: A violation was cited today for not serving two out of five nutritional components for snack today. According to Child Care Rule 10A NCAC 09 .0901(a), meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Natural Outdoor 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 Website/ Child Care Consultant Contact Information Visit the DCDEE website (https://ncchildcare.ncdhhs.gov) for updated requirements, forms, and other pertinent information. Please feel free to contact me at jennifer.a.strickland@dhhs.nc.gov or 910- 882-2378 if you have any questions 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

GS 110-91 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: JENNIFER STRICKLAND Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 27 Completed Date: 3/7/2024 Age: From 4 To 5 Total Minutes: 225 Time In: 01:00 PM Time Out: 04:45 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 September 12, 2023 and prior to today’s visit, the eighteen-month compliance history score was 94% which at or above 94%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d ). This program currently operates with a Five-Star License issued January 30, 2020. The License was based on the program earning seven (7) points in education standards, six (6) points in program standards, and one(1) quality point by choosing to meet the 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 with DCDEE was verified as correct by Tiffany Armfield, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed on April 25, 2023. Fire Classification of Approved for Day Time Care Only completed on August 14, 2023. Tamara Fitch, NC PreK Teacher, was present while I observed the indoor and outdoor areas. Ms. Armfield, Administrator, arrived at the facility later during the visit. In Space #1 and #2, children were napping. Teachers in both classrooms started getting children up after my arrival. Children in space #2 helped put their cots up, took their blankets to their cubbies, and sat on the carpet to play with magnetic tiles. Children had conversations with each other. However, the interaction with the teacher was limited. Handwashing was not observed during this transition. I observed one child eating Oreo cookies at the table while the other children played on the carpet. At 1:26 pm, the children were served a cup of milk, and one of the teachers offered them turkey sandwiches. Handwashing was not observed during this transition. The activity plan posted in this space was dated February 1-29. The teacher corrected this violation by printing and posting an activity plan for March. In Space #2, Children were sitting at the table eating a snack consisting of white cheddar popcorn and milk. The snack didn’t match the items posted on the menu. According to the menu, children were supposed to have goldfish crackers and milk. I talked to both teachers about updating the menu when items are substituted. When finished, the children transitioned to the carpet and picked up a book of their choice to look at. Handwashing was not observed during this transition. Teacher interaction was limited. Both classrooms had defined activity areas that contained at least three related activities and sufficient quantity of each for three children to use. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #2.Lead Teacher printed a current activity plan and posted in the classroom. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One child was observed eating Oreo cookies while the other children were on the carpet. Teacher asked the child to put cookies back inside her backpack. 10A NCAC 09 .0901(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Space #1 and #2 didn’t have snack substitution recorded on the menu that was posted. Teachers added substitution to individual menus posted in the classroom. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor play area, cement, and metal stakes protruded and were not flush to the ground and cover with sand. Maintenance personnel came to the facility and cover the areas and hammered the stakes to the ground. 10A NCAC 09 .0601(a) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Outdoor area had many pieces of debris (children mask, juice pouches, torn plastic, small pieces of glass) 10A NCAC 09 .0604(p) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Metal was exposed from under three of the structures in the playground (The playhouse, the bus, marry go around, and the slide). Maintenance personnel came over to the facility and added more sand to the areas. .0605(k)(1-4) 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. The violation(s) must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 pm on March 21, 2024, describing how and when the violations were corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the deadline, an annual compliance follow-up visit will be conducted to verify that all violation(s) have been corrected. Mail or email the information to: Jennifer Strickland Child Care Consultant P.O. Box 641 Fayetteville, NC 28302 jennifer.a.strickland@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 Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Observation Suggestion: Conversations can occur throughout the day during structured times, such as meeting time, and unstructured times, such as snack and free play. Converse with children individually and in a small and large groups. Listen to what children say and respond in a way that shows you are interested in what they say. Ask follow-up questions to keep the conversation going and include some open-ended questions to encourage children to contribute more to the conversation. Activity Plans: Activity plans must be completed and available for review (keep at least a month on file for review). During today’s visit space #2 did not have a current activity plan posted and available for review. Refer to child care rule GS 110- 91(12) and 10A NCAC 09 .0508. Nutrition: A violation was cited today for not serving two out of five nutritional components for snack today. According to Child Care Rule 10A NCAC 09 .0901(a), meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Natural Outdoor 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 Website/ Child Care Consultant Contact Information Visit the DCDEE website (https://ncchildcare.ncdhhs.gov) for updated requirements, forms, and other pertinent information. Please feel free to contact me at jennifer.a.strickland@dhhs.nc.gov or 910- 882-2378 if you have any questions 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: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: JENNIFER STRICKLAND Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 27 Completed Date: 3/7/2024 Age: From 4 To 5 Total Minutes: 225 Time In: 01:00 PM Time Out: 04:45 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 September 12, 2023 and prior to today’s visit, the eighteen-month compliance history score was 94% which at or above 94%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d ). This program currently operates with a Five-Star License issued January 30, 2020. The License was based on the program earning seven (7) points in education standards, six (6) points in program standards, and one(1) quality point by choosing to meet the 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 with DCDEE was verified as correct by Tiffany Armfield, Administrator. Current Inspections are as follows: Sanitation Classification of Superior completed on April 25, 2023. Fire Classification of Approved for Day Time Care Only completed on August 14, 2023. Tamara Fitch, NC PreK Teacher, was present while I observed the indoor and outdoor areas. Ms. Armfield, Administrator, arrived at the facility later during the visit. In Space #1 and #2, children were napping. Teachers in both classrooms started getting children up after my arrival. Children in space #2 helped put their cots up, took their blankets to their cubbies, and sat on the carpet to play with magnetic tiles. Children had conversations with each other. However, the interaction with the teacher was limited. Handwashing was not observed during this transition. I observed one child eating Oreo cookies at the table while the other children played on the carpet. At 1:26 pm, the children were served a cup of milk, and one of the teachers offered them turkey sandwiches. Handwashing was not observed during this transition. The activity plan posted in this space was dated February 1-29. The teacher corrected this violation by printing and posting an activity plan for March. In Space #2, Children were sitting at the table eating a snack consisting of white cheddar popcorn and milk. The snack didn’t match the items posted on the menu. According to the menu, children were supposed to have goldfish crackers and milk. I talked to both teachers about updating the menu when items are substituted. When finished, the children transitioned to the carpet and picked up a book of their choice to look at. Handwashing was not observed during this transition. Teacher interaction was limited. Both classrooms had defined activity areas that contained at least three related activities and sufficient quantity of each for three children to use. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #2.Lead Teacher printed a current activity plan and posted in the classroom. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One child was observed eating Oreo cookies while the other children were on the carpet. Teacher asked the child to put cookies back inside her backpack. 10A NCAC 09 .0901(a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Space #1 and #2 didn’t have snack substitution recorded on the menu that was posted. Teachers added substitution to individual menus posted in the classroom. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. In the outdoor play area, cement, and metal stakes protruded and were not flush to the ground and cover with sand. Maintenance personnel came to the facility and cover the areas and hammered the stakes to the ground. 10A NCAC 09 .0601(a) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Outdoor area had many pieces of debris (children mask, juice pouches, torn plastic, small pieces of glass) 10A NCAC 09 .0604(p) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Metal was exposed from under three of the structures in the playground (The playhouse, the bus, marry go around, and the slide). Maintenance personnel came over to the facility and added more sand to the areas. .0605(k)(1-4) 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. The violation(s) must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 pm on March 21, 2024, describing how and when the violations were corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the deadline, an annual compliance follow-up visit will be conducted to verify that all violation(s) have been corrected. Mail or email the information to: Jennifer Strickland Child Care Consultant P.O. Box 641 Fayetteville, NC 28302 jennifer.a.strickland@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 Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: Observation Suggestion: Conversations can occur throughout the day during structured times, such as meeting time, and unstructured times, such as snack and free play. Converse with children individually and in a small and large groups. Listen to what children say and respond in a way that shows you are interested in what they say. Ask follow-up questions to keep the conversation going and include some open-ended questions to encourage children to contribute more to the conversation. Activity Plans: Activity plans must be completed and available for review (keep at least a month on file for review). During today’s visit space #2 did not have a current activity plan posted and available for review. Refer to child care rule GS 110- 91(12) and 10A NCAC 09 .0508. Nutrition: A violation was cited today for not serving two out of five nutritional components for snack today. According to Child Care Rule 10A NCAC 09 .0901(a), meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Natural Outdoor 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 Website/ Child Care Consultant Contact Information Visit the DCDEE website (https://ncchildcare.ncdhhs.gov) for updated requirements, forms, and other pertinent information. Please feel free to contact me at jennifer.a.strickland@dhhs.nc.gov or 910- 882-2378 if you have any questions 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 .0304 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 33 Completed Date: 9/12/2023 Age: From 4 To 12 Total Minutes: 225 Time In: 02:30 PM Time Out: 06:15 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, including Health and Safety Training, and the NC Pre-K program using Child Care Rules Section .3000, pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on September 15, 2022, 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 Five-Star License issued January 30, 2020. The license was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 Tiffany Armfield, Assistant Director. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 25, 2023. Fire Classification of Approved for Day Time Care Only was completed on August 25, 2022. Joseph Flood, Administrator, and T. Armfield, Assistant Director, were present while I observed the indoor and outdoor areas. Thirty-three (33) children and three (3) teachers were present. Between 3:00pm and 3:30pm, children arrived to the facility. As children arrived to the facility, they put their belongings in their assigned cubbies and washed their hands. Children were served Chex Mix and milk for snack. After snack, the children used the bathroom and washed their hands before transitioning to free-choice activities and outdoor play. The groups of children alternated between outdoor play and free-choice activities indoors. Children had access to fine motor, gross motor, dramatic-play, science, math, literacy and art materials. In the outdoor play area, sand was used as surfacing material. The depth of the sand did not measure at twelve inches around and under pieces of stationary equipment with a critical height that measured over five feet. Five staff files were reviewed. One staff member did not retake the required health and safety trainings within five years of the previous health and safety training completion dates. Six children’s records were reviewed, and all documentation was in compliance. Program files, including the EPR Plan, was reviewed. An updated fire inspection was not scheduled and obtained within twelve months of the previous inspection. Transportation requirements were monitored, including insurance and registration. One of the vehicles did not contain a first aid kit. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection has not been scheduled and obtained within 12 months of the previous inspection. The most recent fire inspection was completed on August 25, 2022. 10A NCAC 09 .0304(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. A first aid kit was not located in a vehicle used to transport children (LP# PBX-9944). The assistant director found a first aid kit and placed it in the vehicle during today's visit. 10A NCAC 09 .1003(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Twelve inches of sand was not measured around stationary playground equipment. A slide had a critical height that measured at 5'2"(surfacing depth measured at 2 inches). A monkey bar climber had a critical height that measured 6'0" (surfacing depth measured at three inches). .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Joseph Flood, Administrator, did not complete health and safety training within five years of the previous training (Completed 7/20/2017;Expired 7/20/2022). .1103(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 September 26, 2023, 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 Outdoor Learning Environment A violation was cited today for the depth of resilient surfacing not measuring at least 6 inches. According to Child Care Rule .0605(k)(1-4), the depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand. Equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials. Equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand. Equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand. When sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Health and Safety Trainings A violation was cited today for a staff member not retaking the required health and safety trainings within five years of the previous training completion dates. According to Child Care Rule .1103(b), health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Fire Inspection A violation was cited today for an expired fire inspection. According to Child Care Rule .0304(a), each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Transportation A violation was cited today for a first aid kit not being located in a vehicle used to transport children. According to Child Care Rule .1003(c), a first aid kit shall be located in each vehicle used to transport children. The first aid kit shall be mounted or secured if kept in the passenger compartment. Reminders July 2023 Child Care Rule Changes The DCDEE is excited to share information about the July 2023 child care rule changes. The NC Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. July 2023 New Child Care Rule Rollout A New Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Child Care Consultant Contact Information Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 33 Completed Date: 9/12/2023 Age: From 4 To 12 Total Minutes: 225 Time In: 02:30 PM Time Out: 06:15 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, including Health and Safety Training, and the NC Pre-K program using Child Care Rules Section .3000, pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on September 15, 2022, 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 Five-Star License issued January 30, 2020. The license was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 Tiffany Armfield, Assistant Director. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 25, 2023. Fire Classification of Approved for Day Time Care Only was completed on August 25, 2022. Joseph Flood, Administrator, and T. Armfield, Assistant Director, were present while I observed the indoor and outdoor areas. Thirty-three (33) children and three (3) teachers were present. Between 3:00pm and 3:30pm, children arrived to the facility. As children arrived to the facility, they put their belongings in their assigned cubbies and washed their hands. Children were served Chex Mix and milk for snack. After snack, the children used the bathroom and washed their hands before transitioning to free-choice activities and outdoor play. The groups of children alternated between outdoor play and free-choice activities indoors. Children had access to fine motor, gross motor, dramatic-play, science, math, literacy and art materials. In the outdoor play area, sand was used as surfacing material. The depth of the sand did not measure at twelve inches around and under pieces of stationary equipment with a critical height that measured over five feet. Five staff files were reviewed. One staff member did not retake the required health and safety trainings within five years of the previous health and safety training completion dates. Six children’s records were reviewed, and all documentation was in compliance. Program files, including the EPR Plan, was reviewed. An updated fire inspection was not scheduled and obtained within twelve months of the previous inspection. Transportation requirements were monitored, including insurance and registration. One of the vehicles did not contain a first aid kit. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection has not been scheduled and obtained within 12 months of the previous inspection. The most recent fire inspection was completed on August 25, 2022. 10A NCAC 09 .0304(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. A first aid kit was not located in a vehicle used to transport children (LP# PBX-9944). The assistant director found a first aid kit and placed it in the vehicle during today's visit. 10A NCAC 09 .1003(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Twelve inches of sand was not measured around stationary playground equipment. A slide had a critical height that measured at 5'2"(surfacing depth measured at 2 inches). A monkey bar climber had a critical height that measured 6'0" (surfacing depth measured at three inches). .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Joseph Flood, Administrator, did not complete health and safety training within five years of the previous training (Completed 7/20/2017;Expired 7/20/2022). .1103(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 September 26, 2023, 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 Outdoor Learning Environment A violation was cited today for the depth of resilient surfacing not measuring at least 6 inches. According to Child Care Rule .0605(k)(1-4), the depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand. Equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials. Equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand. Equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand. When sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Health and Safety Trainings A violation was cited today for a staff member not retaking the required health and safety trainings within five years of the previous training completion dates. According to Child Care Rule .1103(b), health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Fire Inspection A violation was cited today for an expired fire inspection. According to Child Care Rule .0304(a), each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Transportation A violation was cited today for a first aid kit not being located in a vehicle used to transport children. According to Child Care Rule .1003(c), a first aid kit shall be located in each vehicle used to transport children. The first aid kit shall be mounted or secured if kept in the passenger compartment. Reminders July 2023 Child Care Rule Changes The DCDEE is excited to share information about the July 2023 child care rule changes. The NC Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. July 2023 New Child Care Rule Rollout A New Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. 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 .1102 · Violation

Name of Operation: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 33 Completed Date: 9/12/2023 Age: From 4 To 12 Total Minutes: 225 Time In: 02:30 PM Time Out: 06:15 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, including Health and Safety Training, and the NC Pre-K program using Child Care Rules Section .3000, pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on September 15, 2022, 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 Five-Star License issued January 30, 2020. The license was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 Tiffany Armfield, Assistant Director. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 25, 2023. Fire Classification of Approved for Day Time Care Only was completed on August 25, 2022. Joseph Flood, Administrator, and T. Armfield, Assistant Director, were present while I observed the indoor and outdoor areas. Thirty-three (33) children and three (3) teachers were present. Between 3:00pm and 3:30pm, children arrived to the facility. As children arrived to the facility, they put their belongings in their assigned cubbies and washed their hands. Children were served Chex Mix and milk for snack. After snack, the children used the bathroom and washed their hands before transitioning to free-choice activities and outdoor play. The groups of children alternated between outdoor play and free-choice activities indoors. Children had access to fine motor, gross motor, dramatic-play, science, math, literacy and art materials. In the outdoor play area, sand was used as surfacing material. The depth of the sand did not measure at twelve inches around and under pieces of stationary equipment with a critical height that measured over five feet. Five staff files were reviewed. One staff member did not retake the required health and safety trainings within five years of the previous health and safety training completion dates. Six children’s records were reviewed, and all documentation was in compliance. Program files, including the EPR Plan, was reviewed. An updated fire inspection was not scheduled and obtained within twelve months of the previous inspection. Transportation requirements were monitored, including insurance and registration. One of the vehicles did not contain a first aid kit. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection has not been scheduled and obtained within 12 months of the previous inspection. The most recent fire inspection was completed on August 25, 2022. 10A NCAC 09 .0304(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. A first aid kit was not located in a vehicle used to transport children (LP# PBX-9944). The assistant director found a first aid kit and placed it in the vehicle during today's visit. 10A NCAC 09 .1003(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Twelve inches of sand was not measured around stationary playground equipment. A slide had a critical height that measured at 5'2"(surfacing depth measured at 2 inches). A monkey bar climber had a critical height that measured 6'0" (surfacing depth measured at three inches). .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Joseph Flood, Administrator, did not complete health and safety training within five years of the previous training (Completed 7/20/2017;Expired 7/20/2022). .1103(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 September 26, 2023, 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 Outdoor Learning Environment A violation was cited today for the depth of resilient surfacing not measuring at least 6 inches. According to Child Care Rule .0605(k)(1-4), the depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand. Equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials. Equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand. Equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand. When sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Health and Safety Trainings A violation was cited today for a staff member not retaking the required health and safety trainings within five years of the previous training completion dates. According to Child Care Rule .1103(b), health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Fire Inspection A violation was cited today for an expired fire inspection. According to Child Care Rule .0304(a), each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Transportation A violation was cited today for a first aid kit not being located in a vehicle used to transport children. According to Child Care Rule .1003(c), a first aid kit shall be located in each vehicle used to transport children. The first aid kit shall be mounted or secured if kept in the passenger compartment. Reminders July 2023 Child Care Rule Changes The DCDEE is excited to share information about the July 2023 child care rule changes. The NC Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. July 2023 New Child Care Rule Rollout A New Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. 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: CREATIVE ENHANCEMENT AFTERSCHOOL CARE Facility ID: 26002007 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 33 Completed Date: 9/12/2023 Age: From 4 To 12 Total Minutes: 225 Time In: 02:30 PM Time Out: 06:15 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, including Health and Safety Training, and the NC Pre-K program using Child Care Rules Section .3000, pertinent to an Annual Compliance visit. The previous Annual Compliance visit was completed on September 15, 2022, 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 Five-Star License issued January 30, 2020. The license was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet the 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 Tiffany Armfield, Assistant Director. Current Inspections are as follows: Sanitation Classification of Superior was completed on April 25, 2023. Fire Classification of Approved for Day Time Care Only was completed on August 25, 2022. Joseph Flood, Administrator, and T. Armfield, Assistant Director, were present while I observed the indoor and outdoor areas. Thirty-three (33) children and three (3) teachers were present. Between 3:00pm and 3:30pm, children arrived to the facility. As children arrived to the facility, they put their belongings in their assigned cubbies and washed their hands. Children were served Chex Mix and milk for snack. After snack, the children used the bathroom and washed their hands before transitioning to free-choice activities and outdoor play. The groups of children alternated between outdoor play and free-choice activities indoors. Children had access to fine motor, gross motor, dramatic-play, science, math, literacy and art materials. In the outdoor play area, sand was used as surfacing material. The depth of the sand did not measure at twelve inches around and under pieces of stationary equipment with a critical height that measured over five feet. Five staff files were reviewed. One staff member did not retake the required health and safety trainings within five years of the previous health and safety training completion dates. Six children’s records were reviewed, and all documentation was in compliance. Program files, including the EPR Plan, was reviewed. An updated fire inspection was not scheduled and obtained within twelve months of the previous inspection. Transportation requirements were monitored, including insurance and registration. One of the vehicles did not contain a first aid kit. At the completion of the visit, the Visit Summary was reviewed with T. Armfield. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection has not been scheduled and obtained within 12 months of the previous inspection. The most recent fire inspection was completed on August 25, 2022. 10A NCAC 09 .0304(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. A first aid kit was not located in a vehicle used to transport children (LP# PBX-9944). The assistant director found a first aid kit and placed it in the vehicle during today's visit. 10A NCAC 09 .1003(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Twelve inches of sand was not measured around stationary playground equipment. A slide had a critical height that measured at 5'2"(surfacing depth measured at 2 inches). A monkey bar climber had a critical height that measured 6'0" (surfacing depth measured at three inches). .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Joseph Flood, Administrator, did not complete health and safety training within five years of the previous training (Completed 7/20/2017;Expired 7/20/2022). .1103(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 September 26, 2023, 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 Outdoor Learning Environment A violation was cited today for the depth of resilient surfacing not measuring at least 6 inches. According to Child Care Rule .0605(k)(1-4), the depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand. Equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials. Equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand. Equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand. When sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Health and Safety Trainings A violation was cited today for a staff member not retaking the required health and safety trainings within five years of the previous training completion dates. According to Child Care Rule .1103(b), health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. Fire Inspection A violation was cited today for an expired fire inspection. According to Child Care Rule .0304(a), each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Transportation A violation was cited today for a first aid kit not being located in a vehicle used to transport children. According to Child Care Rule .1003(c), a first aid kit shall be located in each vehicle used to transport children. The first aid kit shall be mounted or secured if kept in the passenger compartment. Reminders July 2023 Child Care Rule Changes The DCDEE is excited to share information about the July 2023 child care rule changes. The NC Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. July 2023 New Child Care Rule Rollout A New Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. 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