Early Start Child Care AND Learning Center

GS110-91 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 4/16/2026 Number Present: 9 Completed Date: 4/16/2026 Age: From 1 To 4 Total Minutes: 290 Time In: 08:40 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance with Rated License Assessment, including Health and Safety Training. The previous Annual Compliance Visit was completed, and prior to May 1, 2025, day’s visit, and prior today’s visit the eighteen-month compliance history score was 90%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued September 9, 2024, The License was based on the program earning seven (7) points in education standards, two(2) points in program standards, and one quality point by choosing to meet an educational option with the child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Yasmeen Robbins, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 3/27/2026. Fire Classification of Approved Daytime Only completed 6/9/2025. Ms. Robbins was present while I observed the indoor and outdoor areas. Children were observed participating in free choice play. The children were observed playing with wooden blocks, sorting toys, and reading books. Lunch served today was pizza rolls, peaches, corn, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Robbins. The following violation was observed. Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. During the review of children's files. One child's file did not have a medical exam within 30 days of admission. Enrollment date 9/2025 GS110-91(1) 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 30, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@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 Technical Assistance: A violation was cited for a child’s medical report not being on file within 30 days of enrollment. General Statue 110-91(1). We discussed the strategies: Ensure that you are using the checklist from the DCDEE website, under providers forms. Using this form will allow you to check off document received from parents and will allow you to know what you are missing from a child’s file. Annual Compliance / Rated License Assessment: On 1/06/2026 – A routine unannounced visit was conducted. The New Pathways to the stars (New QRIS) was discussed with the Administrator. The facility chose to complete Pathway #2 Classroom and Instructional Quality and documents for the chosen pathway were left with the operator: • Application for Assessment for a Rated License for Centers – The facility meets enhanced staff/child ratio. It was received during today’s visit. • Family and Community Engagement Standards (Child Care Centers) – Family and Community Engagement Foundational Practices and three additional options: C-1, EL-3, and EO-1. It was received during today’s visit. • Facility Continuous Quality Improvement (CQI) Plan – Goal/Plan was established; reason for goal, timeframe to achieve goal, and steps to achieve goal were documented and available submitted during today’s visit. • Individual Continuous Quality Improvement (CQI) Professional Development (PD) Plan (Child Care Center) – Individual PD plans were on file and available for review today. Goals were identified for each employee, time frame to achieve the goal, and steps to achieve the goal were documented on each plan. • Staff Information and Education – Education was verified in DCDEE WORKS. The lead teachers, administrator, program coordinator, and group leader are qualified at the Education Star Level of 5. The facility’s highest Education Star Level eligibility is a 5-star rating; however, the administrator has requested that the facility remain at a 4-star level. • The Creative Curriculum-formative assessment- The facility is using Lillio Learning for Infants, Toddlers, and Preschool. For school-age the curriculum is 4-H. They are using Teaching Strategies formulative assessment. • Coaching and training opportunities for the administrator and Lead Teacher were completed and reviewed during today’s visit. The facility’s compliance history score is at 90% from 10/17/2024 to 4/16/2026. Based on information gathered and documented received, the facility is eligible for a five (5)-star license. The administrator has elected to remain at a four (4)-star license. The completed packet will be submitted for review and processing. A new license will be mailed directly to the facility and must be posted upon receipt. The previous license must be returned upon receipt of the new license, as it remains the property of the State of North Carolina. Consultation: You stated that you would like to remain as four-star facility. Your current enrollment will not allow you to reduce staff/child ratios at this time. You may reapply to increase your star rating at any time. Reminders: 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. The Child Care Health Consultant provides support in the following areas, but not limited to oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For additional information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/aboutcchc/ Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the DCDEE website (https://ncchildcare.ncdhhs.gov/) for updated requirements, forms, and other pertinent information. Please feel free to contact me at Sandra.Johnson@dhhs.nc.gov or (910) 408-8985 or Rhonda Blackmon, Licensing Supervisor at rhonda.blackmon@dhhs.nc.gov (910) 709-4168 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 4/16/2026 Number Present: 9 Completed Date: 4/16/2026 Age: From 1 To 4 Total Minutes: 290 Time In: 08:40 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance with Rated License Assessment, including Health and Safety Training. The previous Annual Compliance Visit was completed, and prior to May 1, 2025, day’s visit, and prior today’s visit the eighteen-month compliance history score was 90%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued September 9, 2024, The License was based on the program earning seven (7) points in education standards, two(2) points in program standards, and one quality point by choosing to meet an educational option with the child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Yasmeen Robbins, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 3/27/2026. Fire Classification of Approved Daytime Only completed 6/9/2025. Ms. Robbins was present while I observed the indoor and outdoor areas. Children were observed participating in free choice play. The children were observed playing with wooden blocks, sorting toys, and reading books. Lunch served today was pizza rolls, peaches, corn, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Robbins. The following violation was observed. Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. During the review of children's files. One child's file did not have a medical exam within 30 days of admission. Enrollment date 9/2025 GS110-91(1) 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 30, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@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 Technical Assistance: A violation was cited for a child’s medical report not being on file within 30 days of enrollment. General Statue 110-91(1). We discussed the strategies: Ensure that you are using the checklist from the DCDEE website, under providers forms. Using this form will allow you to check off document received from parents and will allow you to know what you are missing from a child’s file. Annual Compliance / Rated License Assessment: On 1/06/2026 – A routine unannounced visit was conducted. The New Pathways to the stars (New QRIS) was discussed with the Administrator. The facility chose to complete Pathway #2 Classroom and Instructional Quality and documents for the chosen pathway were left with the operator: • Application for Assessment for a Rated License for Centers – The facility meets enhanced staff/child ratio. It was received during today’s visit. • Family and Community Engagement Standards (Child Care Centers) – Family and Community Engagement Foundational Practices and three additional options: C-1, EL-3, and EO-1. It was received during today’s visit. • Facility Continuous Quality Improvement (CQI) Plan – Goal/Plan was established; reason for goal, timeframe to achieve goal, and steps to achieve goal were documented and available submitted during today’s visit. • Individual Continuous Quality Improvement (CQI) Professional Development (PD) Plan (Child Care Center) – Individual PD plans were on file and available for review today. Goals were identified for each employee, time frame to achieve the goal, and steps to achieve the goal were documented on each plan. • Staff Information and Education – Education was verified in DCDEE WORKS. The lead teachers, administrator, program coordinator, and group leader are qualified at the Education Star Level of 5. The facility’s highest Education Star Level eligibility is a 5-star rating; however, the administrator has requested that the facility remain at a 4-star level. • The Creative Curriculum-formative assessment- The facility is using Lillio Learning for Infants, Toddlers, and Preschool. For school-age the curriculum is 4-H. They are using Teaching Strategies formulative assessment. • Coaching and training opportunities for the administrator and Lead Teacher were completed and reviewed during today’s visit. The facility’s compliance history score is at 90% from 10/17/2024 to 4/16/2026. Based on information gathered and documented received, the facility is eligible for a five (5)-star license. The administrator has elected to remain at a four (4)-star license. The completed packet will be submitted for review and processing. A new license will be mailed directly to the facility and must be posted upon receipt. The previous license must be returned upon receipt of the new license, as it remains the property of the State of North Carolina. Consultation: You stated that you would like to remain as four-star facility. Your current enrollment will not allow you to reduce staff/child ratios at this time. You may reapply to increase your star rating at any time. Reminders: 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. The Child Care Health Consultant provides support in the following areas, but not limited to oral health, illness, infectious disease, emergency preparedness, health related areas, nutrition, environmental health, and physical activity. For additional information areas, visit the website, https://healthychildcare.unc.edu/child-care-health-consultants/aboutcchc/ Child Care Health Consultant: The Cumberland County Department of Public Health current Child Care Health Consultant is Nicole Richardson. Her contact number is: 910-678-7706 and her email address: nrrichardson@cumberlandcountync.gov Visit the DCDEE website (https://ncchildcare.ncdhhs.gov/) for updated requirements, forms, and other pertinent information. Please feel free to contact me at Sandra.Johnson@dhhs.nc.gov or (910) 408-8985 or Rhonda Blackmon, Licensing Supervisor at rhonda.blackmon@dhhs.nc.gov (910) 709-4168 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 .0713 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 1/6/2026 Number Present: 10 Completed Date: 1/6/2026 Age: From 1 To 4 Total Minutes: 250 Time In: 08:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed, and prior to May 1, 2025, day’s visit, the eighteen-month compliance history score was 87%, 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 September 9, 2024, The License was based on the program earning seven (7) points in education standards, two(2) points in program standards, and one quality point by choosing to meet an educational option with the child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 7/22/2025. Fire Classification of Approved Daytime Only completed 6/9/2025. Upon entering the facility, I was greeted by a staff member who had come from the kitchen, where she was preparing morning snack. Ms. Muwwakkil was standing in the hallway with ten children with the youngest child being 1 year of age and the oldest child being 4yrs of age. The children were sitting in the hallway participating in the toileting routine. An observation was completed in space #1, from 9:10a.m. to 9:25a.m., The children were observed participating in large groups. The children were observed sing, participating in music and movement, and reviewing their letters, number, shapes, and concepts. The teacher and children were engaged in conversations about their holiday vacation and what activities they will be participating in today. An observation was completed in space #2, from 9:25am to 9:45am. The children were observed participating in free choice play. They were observed looking at books while the teacher sat with them and reviewed the story with them. They were observed playing with manipulative toys and the teacher assisted them when needed. The children were engaged with the teacher. They would look at her and listen to what she was saying. During today’s visit the previous staff and training worksheets were monitored for compliance with CPR & First Aid Training, CBC, and IT’S SIDS training. Also, three new staff member files were monitored and two of the new staff had not signed the Shaken Baby Head Trauma Policy prior to caring for children. One new staff member has not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire date. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil and Ms. Robbins. The following violations were observed. Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. The group of children the Administrator was caring for in the hallway had one child who was one year of age, one child who was two years of age, six children who were 3 years of age and two children who were four years of age. This was corrected when the teacher who was fixing morning snack returned to the hallway and took the children who were one and two years of age back to their classroom. 10A NCAC 09 .0713(a)(6) 1756 Enhanced staff/child ratios and group sizes were not met. Upon enter the facility the Administrator was standing in the hallway caring for 10 children with the youngest child be one year of age and the oldest child being four years of age. This was corrected when the other teacher who was preparing morning snack stood with her after I entered the facility. 10A NCAC 09 .2818 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff did not sign the Shaken Baby Syndrome and Abusive Head Trauma Policy before caring for children. This was corrected during the visit by both sign the Policy during the visit. .0608(d)(1-4) 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. One new staff has not completed Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. Hire date was 8/20/2025. .1102(g) 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 January 20,2026, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@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 Technical Assistance: A violation was cited for Recognizing and Responding to Suspicions of Child Maltreatment training not being completed within the five-year mark for Health and Safety training. Refer to NC Child Care Rule 10 A NCAC 09 1103(b). We discussed the strategies: Start a checklist on all employees. You as the administrator need to document and give staff timelines for completing all training. Based on today’s classrooms observation, I discussed with Ms. Muwwakkil and Ms. Robbins the positive interactions and various learning opportunities provided to the children throughout the visit. I encouraged Ms. Muwwakkil and Ms. Robbins to share with the teachers to be flexible in the posted schedule based on the children’s interest and attention span. I encouraged Ms. Muwwakkil and Ms. Robbins to share with the teachers to continue the positive interactions and conversations between them and the children and to keep encouraging conversation with the children. QRIS During today’s visit the following information was reviewed and forms left for the Pathways to the Stars. (New QRIS), Education Standards for all positions of each staff member, Staff Information and Education Worksheet, CQI Plan, Family and Community Engagement Standards, Self Study, the Oris Pathways #1, and #2, Program Assessment document, and Classroom and instructional Quality for Centers, and Application for Assessment for a Rated License, and Rated License Assessment Request Review. Ms. Muwwakkil and Ms. Robbins and l reviewed all documents. She stated that she is looking to complete pathway #2 for the facility. I shared with Ms. Muwwakkil and Ms. Robbins that if they would like help with Pathway 2, she could reach out to me or apply for the Partnership for Children and request additional assistants. We discussed ensuring that all staff have submitted information for their Works account. I shared with her that she can reach out to me through email or via phone with any additional questions. 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 Activity Schedules and Plans. Your program has a copy of the publication. 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. Reminders: 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 Visit the DCDEE website at https://ncchildcare.ncdhhs.gov for updated requirements, forms, and other pertinent information. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 1/6/2026 Number Present: 10 Completed Date: 1/6/2026 Age: From 1 To 4 Total Minutes: 250 Time In: 08:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed, and prior to May 1, 2025, day’s visit, the eighteen-month compliance history score was 87%, 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 September 9, 2024, The License was based on the program earning seven (7) points in education standards, two(2) points in program standards, and one quality point by choosing to meet an educational option with the child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 7/22/2025. Fire Classification of Approved Daytime Only completed 6/9/2025. Upon entering the facility, I was greeted by a staff member who had come from the kitchen, where she was preparing morning snack. Ms. Muwwakkil was standing in the hallway with ten children with the youngest child being 1 year of age and the oldest child being 4yrs of age. The children were sitting in the hallway participating in the toileting routine. An observation was completed in space #1, from 9:10a.m. to 9:25a.m., The children were observed participating in large groups. The children were observed sing, participating in music and movement, and reviewing their letters, number, shapes, and concepts. The teacher and children were engaged in conversations about their holiday vacation and what activities they will be participating in today. An observation was completed in space #2, from 9:25am to 9:45am. The children were observed participating in free choice play. They were observed looking at books while the teacher sat with them and reviewed the story with them. They were observed playing with manipulative toys and the teacher assisted them when needed. The children were engaged with the teacher. They would look at her and listen to what she was saying. During today’s visit the previous staff and training worksheets were monitored for compliance with CPR & First Aid Training, CBC, and IT’S SIDS training. Also, three new staff member files were monitored and two of the new staff had not signed the Shaken Baby Head Trauma Policy prior to caring for children. One new staff member has not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire date. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil and Ms. Robbins. The following violations were observed. Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. The group of children the Administrator was caring for in the hallway had one child who was one year of age, one child who was two years of age, six children who were 3 years of age and two children who were four years of age. This was corrected when the teacher who was fixing morning snack returned to the hallway and took the children who were one and two years of age back to their classroom. 10A NCAC 09 .0713(a)(6) 1756 Enhanced staff/child ratios and group sizes were not met. Upon enter the facility the Administrator was standing in the hallway caring for 10 children with the youngest child be one year of age and the oldest child being four years of age. This was corrected when the other teacher who was preparing morning snack stood with her after I entered the facility. 10A NCAC 09 .2818 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff did not sign the Shaken Baby Syndrome and Abusive Head Trauma Policy before caring for children. This was corrected during the visit by both sign the Policy during the visit. .0608(d)(1-4) 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. One new staff has not completed Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. Hire date was 8/20/2025. .1102(g) 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 January 20,2026, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@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 Technical Assistance: A violation was cited for Recognizing and Responding to Suspicions of Child Maltreatment training not being completed within the five-year mark for Health and Safety training. Refer to NC Child Care Rule 10 A NCAC 09 1103(b). We discussed the strategies: Start a checklist on all employees. You as the administrator need to document and give staff timelines for completing all training. Based on today’s classrooms observation, I discussed with Ms. Muwwakkil and Ms. Robbins the positive interactions and various learning opportunities provided to the children throughout the visit. I encouraged Ms. Muwwakkil and Ms. Robbins to share with the teachers to be flexible in the posted schedule based on the children’s interest and attention span. I encouraged Ms. Muwwakkil and Ms. Robbins to share with the teachers to continue the positive interactions and conversations between them and the children and to keep encouraging conversation with the children. QRIS During today’s visit the following information was reviewed and forms left for the Pathways to the Stars. (New QRIS), Education Standards for all positions of each staff member, Staff Information and Education Worksheet, CQI Plan, Family and Community Engagement Standards, Self Study, the Oris Pathways #1, and #2, Program Assessment document, and Classroom and instructional Quality for Centers, and Application for Assessment for a Rated License, and Rated License Assessment Request Review. Ms. Muwwakkil and Ms. Robbins and l reviewed all documents. She stated that she is looking to complete pathway #2 for the facility. I shared with Ms. Muwwakkil and Ms. Robbins that if they would like help with Pathway 2, she could reach out to me or apply for the Partnership for Children and request additional assistants. We discussed ensuring that all staff have submitted information for their Works account. I shared with her that she can reach out to me through email or via phone with any additional questions. 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 Activity Schedules and Plans. Your program has a copy of the publication. 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. Reminders: 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 Visit the DCDEE website at https://ncchildcare.ncdhhs.gov for updated requirements, forms, and other pertinent information. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 1/6/2026 Number Present: 10 Completed Date: 1/6/2026 Age: From 1 To 4 Total Minutes: 250 Time In: 08:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed, and prior to May 1, 2025, day’s visit, the eighteen-month compliance history score was 87%, 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 September 9, 2024, The License was based on the program earning seven (7) points in education standards, two(2) points in program standards, and one quality point by choosing to meet an educational option with the child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 7/22/2025. Fire Classification of Approved Daytime Only completed 6/9/2025. Upon entering the facility, I was greeted by a staff member who had come from the kitchen, where she was preparing morning snack. Ms. Muwwakkil was standing in the hallway with ten children with the youngest child being 1 year of age and the oldest child being 4yrs of age. The children were sitting in the hallway participating in the toileting routine. An observation was completed in space #1, from 9:10a.m. to 9:25a.m., The children were observed participating in large groups. The children were observed sing, participating in music and movement, and reviewing their letters, number, shapes, and concepts. The teacher and children were engaged in conversations about their holiday vacation and what activities they will be participating in today. An observation was completed in space #2, from 9:25am to 9:45am. The children were observed participating in free choice play. They were observed looking at books while the teacher sat with them and reviewed the story with them. They were observed playing with manipulative toys and the teacher assisted them when needed. The children were engaged with the teacher. They would look at her and listen to what she was saying. During today’s visit the previous staff and training worksheets were monitored for compliance with CPR & First Aid Training, CBC, and IT’S SIDS training. Also, three new staff member files were monitored and two of the new staff had not signed the Shaken Baby Head Trauma Policy prior to caring for children. One new staff member has not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire date. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil and Ms. Robbins. The following violations were observed. Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. The group of children the Administrator was caring for in the hallway had one child who was one year of age, one child who was two years of age, six children who were 3 years of age and two children who were four years of age. This was corrected when the teacher who was fixing morning snack returned to the hallway and took the children who were one and two years of age back to their classroom. 10A NCAC 09 .0713(a)(6) 1756 Enhanced staff/child ratios and group sizes were not met. Upon enter the facility the Administrator was standing in the hallway caring for 10 children with the youngest child be one year of age and the oldest child being four years of age. This was corrected when the other teacher who was preparing morning snack stood with her after I entered the facility. 10A NCAC 09 .2818 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff did not sign the Shaken Baby Syndrome and Abusive Head Trauma Policy before caring for children. This was corrected during the visit by both sign the Policy during the visit. .0608(d)(1-4) 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. One new staff has not completed Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. Hire date was 8/20/2025. .1102(g) 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 January 20,2026, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@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 Technical Assistance: A violation was cited for Recognizing and Responding to Suspicions of Child Maltreatment training not being completed within the five-year mark for Health and Safety training. Refer to NC Child Care Rule 10 A NCAC 09 1103(b). We discussed the strategies: Start a checklist on all employees. You as the administrator need to document and give staff timelines for completing all training. Based on today’s classrooms observation, I discussed with Ms. Muwwakkil and Ms. Robbins the positive interactions and various learning opportunities provided to the children throughout the visit. I encouraged Ms. Muwwakkil and Ms. Robbins to share with the teachers to be flexible in the posted schedule based on the children’s interest and attention span. I encouraged Ms. Muwwakkil and Ms. Robbins to share with the teachers to continue the positive interactions and conversations between them and the children and to keep encouraging conversation with the children. QRIS During today’s visit the following information was reviewed and forms left for the Pathways to the Stars. (New QRIS), Education Standards for all positions of each staff member, Staff Information and Education Worksheet, CQI Plan, Family and Community Engagement Standards, Self Study, the Oris Pathways #1, and #2, Program Assessment document, and Classroom and instructional Quality for Centers, and Application for Assessment for a Rated License, and Rated License Assessment Request Review. Ms. Muwwakkil and Ms. Robbins and l reviewed all documents. She stated that she is looking to complete pathway #2 for the facility. I shared with Ms. Muwwakkil and Ms. Robbins that if they would like help with Pathway 2, she could reach out to me or apply for the Partnership for Children and request additional assistants. We discussed ensuring that all staff have submitted information for their Works account. I shared with her that she can reach out to me through email or via phone with any additional questions. 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 Activity Schedules and Plans. Your program has a copy of the publication. 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. Reminders: 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 Visit the DCDEE website at https://ncchildcare.ncdhhs.gov for updated requirements, forms, and other pertinent information. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 5/1/2025 Number Present: 14 Completed Date: 5/1/2025 Age: From 1 To 5 Total Minutes: 325 Time In: 09:05 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 pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed, and prior to May 6, 2024, day’s visit, the eighteen-month compliance history score was 86%, 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 September 9, 2024, The License was based on the program earning seven (7) points in education standards, two(2) points in program standards, and one quality point by choosing to meet an educational option with the child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 8/22/2024. Fire Classification of Approved Daytime Only completed 6/11/2024. Ms. Muwwakkill was present while I observed the indoor and outdoor areas. Children were observed participating in free choice play. The children were observed participating in creative art. They made leaf and rock colleges. Some children were seen outdoors playing on slides, climbing on small play structures. Lunch served today was fish sticks, peas, fresh oranges, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkill. The following violations were observed. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space #1, there was no activity plan posted. In space #2, the current activity plan was dated for 4/22-25/2025 GS 110-91(12); .0508(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member did not complete First Aid training before expiration date. 2/2025 .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One Staff member did not complete CPR training on or before the expiration date. 2/2025 .1102(d) 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 did not complete Recognizing and Responding as part of the Health and Safety training every five years. The training was last taken on 2/6/2020. .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 May 15, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@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 Technical Assistance: A violation was cited for Recognizing and Responding to Suspicions of Child Maltreatment training not being completed within the five-year mark for Health and Safety training. Refer to NC Child Care Rule 10 A NCAC 09 1103(b). We discussed the strategies: Start a checklist on all employees. You as the administrator need to document and give staff timelines for completing all training. A violation was cited for not completing CPR training on or before expiration date. Refer to child care rule 10A NCAC 09 .1102 (d). We discussed several strategies. Make sure you monitor the staff file to see when the certifications expire. Document on a calendar prior to when documents are due. A violation was cited for First Aid Training. One staff member has not completed First Aid training on or before the expiration date. Refer to child care rule 10A NCAC 09 .1102(c). We discussed several strategies. Make sure you monitor the staff file to see when the certifications expire. Document on a calendar prior to when documents are due. Reminders: 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 Visit the DCDEE website at https://ncchildcare.ncdhhs.gov for updated requirements, forms, and other pertinent information. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 5/1/2025 Number Present: 14 Completed Date: 5/1/2025 Age: From 1 To 5 Total Minutes: 325 Time In: 09:05 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 pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed, and prior to May 6, 2024, day’s visit, the eighteen-month compliance history score was 86%, 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 September 9, 2024, The License was based on the program earning seven (7) points in education standards, two(2) points in program standards, and one quality point by choosing to meet an educational option with the child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 8/22/2024. Fire Classification of Approved Daytime Only completed 6/11/2024. Ms. Muwwakkill was present while I observed the indoor and outdoor areas. Children were observed participating in free choice play. The children were observed participating in creative art. They made leaf and rock colleges. Some children were seen outdoors playing on slides, climbing on small play structures. Lunch served today was fish sticks, peas, fresh oranges, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkill. The following violations were observed. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space #1, there was no activity plan posted. In space #2, the current activity plan was dated for 4/22-25/2025 GS 110-91(12); .0508(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member did not complete First Aid training before expiration date. 2/2025 .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One Staff member did not complete CPR training on or before the expiration date. 2/2025 .1102(d) 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 did not complete Recognizing and Responding as part of the Health and Safety training every five years. The training was last taken on 2/6/2020. .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 May 15, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@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 Technical Assistance: A violation was cited for Recognizing and Responding to Suspicions of Child Maltreatment training not being completed within the five-year mark for Health and Safety training. Refer to NC Child Care Rule 10 A NCAC 09 1103(b). We discussed the strategies: Start a checklist on all employees. You as the administrator need to document and give staff timelines for completing all training. A violation was cited for not completing CPR training on or before expiration date. Refer to child care rule 10A NCAC 09 .1102 (d). We discussed several strategies. Make sure you monitor the staff file to see when the certifications expire. Document on a calendar prior to when documents are due. A violation was cited for First Aid Training. One staff member has not completed First Aid training on or before the expiration date. Refer to child care rule 10A NCAC 09 .1102(c). We discussed several strategies. Make sure you monitor the staff file to see when the certifications expire. Document on a calendar prior to when documents are due. Reminders: 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 Visit the DCDEE website at https://ncchildcare.ncdhhs.gov for updated requirements, forms, and other pertinent information. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 5/1/2025 Number Present: 14 Completed Date: 5/1/2025 Age: From 1 To 5 Total Minutes: 325 Time In: 09:05 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 pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed, and prior to May 6, 2024, day’s visit, the eighteen-month compliance history score was 86%, 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 September 9, 2024, The License was based on the program earning seven (7) points in education standards, two(2) points in program standards, and one quality point by choosing to meet an educational option with the child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 8/22/2024. Fire Classification of Approved Daytime Only completed 6/11/2024. Ms. Muwwakkill was present while I observed the indoor and outdoor areas. Children were observed participating in free choice play. The children were observed participating in creative art. They made leaf and rock colleges. Some children were seen outdoors playing on slides, climbing on small play structures. Lunch served today was fish sticks, peas, fresh oranges, and milk. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkill. The following violations were observed. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space #1, there was no activity plan posted. In space #2, the current activity plan was dated for 4/22-25/2025 GS 110-91(12); .0508(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member did not complete First Aid training before expiration date. 2/2025 .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One Staff member did not complete CPR training on or before the expiration date. 2/2025 .1102(d) 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 did not complete Recognizing and Responding as part of the Health and Safety training every five years. The training was last taken on 2/6/2020. .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 May 15, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@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 Technical Assistance: A violation was cited for Recognizing and Responding to Suspicions of Child Maltreatment training not being completed within the five-year mark for Health and Safety training. Refer to NC Child Care Rule 10 A NCAC 09 1103(b). We discussed the strategies: Start a checklist on all employees. You as the administrator need to document and give staff timelines for completing all training. A violation was cited for not completing CPR training on or before expiration date. Refer to child care rule 10A NCAC 09 .1102 (d). We discussed several strategies. Make sure you monitor the staff file to see when the certifications expire. Document on a calendar prior to when documents are due. A violation was cited for First Aid Training. One staff member has not completed First Aid training on or before the expiration date. Refer to child care rule 10A NCAC 09 .1102(c). We discussed several strategies. Make sure you monitor the staff file to see when the certifications expire. Document on a calendar prior to when documents are due. Reminders: 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 Visit the DCDEE website at https://ncchildcare.ncdhhs.gov for updated requirements, forms, and other pertinent information. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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 .2204 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 8/21/2024 Number Present: 16 Completed Date: 8/21/2024 Age: From 1 To 6 Total Minutes: 130 Time In: 12:05 PM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a unannounced follow-up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 86% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an education option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Yasmeen Robbins, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification, Superior completed August 22, 2023 Fire Classification of Approved completed June 14, 2024 Upon entering the facility, I was greeted by Ms. Robbins, I observed the indoor and outdoor areas. The children in space #1, #2, and #3, were observed resting on their individual cots. Snack served today will be orange slices, crackers, and milk. One new staff file was monitored, and the staff and training worksheet is attached. The staff and training worksheet from previous visits were monitored to ensure all required information was current. At the completion of the visit, the Visit Summary was reviewed with Ms. Robbins. The following violations were observed. Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff TB test was more than 12 months old upon hire date of 8/14/2024. TB test was dated for 2/22/2023. This a repeat violation. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One new staff medical statement was more than 12 months old upon hire date of 8/14/2024. The medical was dated 2/22/2023. .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on September 4, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 During today’s visit we discussed that a Proposed Administrative Action has been recommended due an Environmental Health Specialist from Cumberland County Environmental Health Department conducted an Environmental Lead Investigation on March 9, 2024, and March 14, 2024, and for May 16, 2024, Lead hazards were identified. Based on Child Care Rule Section 10A NCAC 09 .2204, an Administrative Action is warranted to allow adequate time to demonstrate your ability to achieve and maintain compliance. Ms. Robbin stated that she had received the Proposed Action and that she was submitting the information as to why the action should not be taken. She also stated that she has already schedule for the same company who came out in March of 2024 to come August 29, 2024, to complete the work. She has also contacted Shineka Small, REHS, Cumberland County Health Department to come out on August 29, 2024, after the work is completed. Then Brenda Bass, will come out and complete the testing on August 30, 2024, and submit the test and results should be in by the end of the day on August 30, 2024. TA: A violation was cited for staff not having TB test on file that was not more than 12 months old prior to employment. Refer to NC Child Care Rule NCAC 09 .0701(a). We discussed the following strategy: Ensure that you are using the checklist that is located on the DCDEE website for new staff. Ensure you are putting dates and checking forms closely as to when documents are received and the dates items were completed. Reminders: The Cumberland County Partnership for Children is sponsoring the “Let’s Get Connected” The School Aged Connection. The in-person event focuses on creating a safe and inclusive community for sharing and learning new concepts. This learning event is for directors and school-age staff only (newly hired and/or seasoned Group Leaders). Training topics to be covered are: growth and development, classroom management, learning environments, building relationships, safety and wellness, positive behaviors, activity planning, and sanitation. For more information on how to register, contact Mary Anders, Lead Coach, at manders@ccpfc.org or (910)826-3018. 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 Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 8/21/2024 Number Present: 16 Completed Date: 8/21/2024 Age: From 1 To 6 Total Minutes: 130 Time In: 12:05 PM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a unannounced follow-up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 86% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an education option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Yasmeen Robbins, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification, Superior completed August 22, 2023 Fire Classification of Approved completed June 14, 2024 Upon entering the facility, I was greeted by Ms. Robbins, I observed the indoor and outdoor areas. The children in space #1, #2, and #3, were observed resting on their individual cots. Snack served today will be orange slices, crackers, and milk. One new staff file was monitored, and the staff and training worksheet is attached. The staff and training worksheet from previous visits were monitored to ensure all required information was current. At the completion of the visit, the Visit Summary was reviewed with Ms. Robbins. The following violations were observed. Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff TB test was more than 12 months old upon hire date of 8/14/2024. TB test was dated for 2/22/2023. This a repeat violation. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One new staff medical statement was more than 12 months old upon hire date of 8/14/2024. The medical was dated 2/22/2023. .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on September 4, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 During today’s visit we discussed that a Proposed Administrative Action has been recommended due an Environmental Health Specialist from Cumberland County Environmental Health Department conducted an Environmental Lead Investigation on March 9, 2024, and March 14, 2024, and for May 16, 2024, Lead hazards were identified. Based on Child Care Rule Section 10A NCAC 09 .2204, an Administrative Action is warranted to allow adequate time to demonstrate your ability to achieve and maintain compliance. Ms. Robbin stated that she had received the Proposed Action and that she was submitting the information as to why the action should not be taken. She also stated that she has already schedule for the same company who came out in March of 2024 to come August 29, 2024, to complete the work. She has also contacted Shineka Small, REHS, Cumberland County Health Department to come out on August 29, 2024, after the work is completed. Then Brenda Bass, will come out and complete the testing on August 30, 2024, and submit the test and results should be in by the end of the day on August 30, 2024. TA: A violation was cited for staff not having TB test on file that was not more than 12 months old prior to employment. Refer to NC Child Care Rule NCAC 09 .0701(a). We discussed the following strategy: Ensure that you are using the checklist that is located on the DCDEE website for new staff. Ensure you are putting dates and checking forms closely as to when documents are received and the dates items were completed. Reminders: The Cumberland County Partnership for Children is sponsoring the “Let’s Get Connected” The School Aged Connection. The in-person event focuses on creating a safe and inclusive community for sharing and learning new concepts. This learning event is for directors and school-age staff only (newly hired and/or seasoned Group Leaders). Training topics to be covered are: growth and development, classroom management, learning environments, building relationships, safety and wellness, positive behaviors, activity planning, and sanitation. For more information on how to register, contact Mary Anders, Lead Coach, at manders@ccpfc.org or (910)826-3018. 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 Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 8/6/2024 Number Present: 12 Completed Date: 8/6/2024 Age: From 1 To 6 Total Minutes: 105 Time In: 08:45 AM Time Out: 10:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a unannounced follow-up visit. The previous Annual Compliance Visit was completed May 6, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 87% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an education option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as Active-Not Current. Current Inspections are as follows: Sanitation Classification, Superior completed 8/22/2023. Fire Classification of Approved for daytime and nighttime care completed 6/11/2024 Upon entering the facility, I was greeted by a teacher from space #2, I observed the indoor and outdoor areas. The children in space #1, were observed having a morning snack. In space #2, there were no children present. In space #3, children were observed playing in free choice activities. Morning snack served was cereal and milk. One new staff file was monitored, and the staff and training worksheet was completed and is attached. One violation was cited. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed: Violation Number Comment Rule 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. The owner, Early Start Child Care and Learning Center Inc. was active-not current effective April 15, 2024 for failing to comply with requirements set forth by North Carolina Secretary of State. GS 110-91 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff did not have a TB test screening on file on or before the first day of work. Start date 7/15/2024. .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on August 20, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 TA: A violation was cited for the facility’s status in the Secretary of State’s Website for having an “active-not current” for a delinquent annual report not being submitted by April 15, 2024. Ms. Muwwakkil stated that Ms. Robinson had submitted payment. Refer to rule GS 110-91. Your facility may receive an Administrative Action, to allow time to correct the violation. A violation was cited for a TB test not being on file for one staff member. Refer to 10A NCAC 09 .0701(a). We discussed the following strategy: Ensure you are using the check list provided on the DCDEE website to note dates that documents are received. Reminders: 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. Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavioral challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 8/6/2024 Number Present: 12 Completed Date: 8/6/2024 Age: From 1 To 6 Total Minutes: 105 Time In: 08:45 AM Time Out: 10:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a unannounced follow-up visit. The previous Annual Compliance Visit was completed May 6, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 87% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an education option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as Active-Not Current. Current Inspections are as follows: Sanitation Classification, Superior completed 8/22/2023. Fire Classification of Approved for daytime and nighttime care completed 6/11/2024 Upon entering the facility, I was greeted by a teacher from space #2, I observed the indoor and outdoor areas. The children in space #1, were observed having a morning snack. In space #2, there were no children present. In space #3, children were observed playing in free choice activities. Morning snack served was cereal and milk. One new staff file was monitored, and the staff and training worksheet was completed and is attached. One violation was cited. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed: Violation Number Comment Rule 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. The owner, Early Start Child Care and Learning Center Inc. was active-not current effective April 15, 2024 for failing to comply with requirements set forth by North Carolina Secretary of State. GS 110-91 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff did not have a TB test screening on file on or before the first day of work. Start date 7/15/2024. .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on August 20, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 TA: A violation was cited for the facility’s status in the Secretary of State’s Website for having an “active-not current” for a delinquent annual report not being submitted by April 15, 2024. Ms. Muwwakkil stated that Ms. Robinson had submitted payment. Refer to rule GS 110-91. Your facility may receive an Administrative Action, to allow time to correct the violation. A violation was cited for a TB test not being on file for one staff member. Refer to 10A NCAC 09 .0701(a). We discussed the following strategy: Ensure you are using the check list provided on the DCDEE website to note dates that documents are received. Reminders: 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. Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavioral challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 8/6/2024 Number Present: 12 Completed Date: 8/6/2024 Age: From 1 To 6 Total Minutes: 105 Time In: 08:45 AM Time Out: 10:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a unannounced follow-up visit. The previous Annual Compliance Visit was completed May 6, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 87% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an education option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as Active-Not Current. Current Inspections are as follows: Sanitation Classification, Superior completed 8/22/2023. Fire Classification of Approved for daytime and nighttime care completed 6/11/2024 Upon entering the facility, I was greeted by a teacher from space #2, I observed the indoor and outdoor areas. The children in space #1, were observed having a morning snack. In space #2, there were no children present. In space #3, children were observed playing in free choice activities. Morning snack served was cereal and milk. One new staff file was monitored, and the staff and training worksheet was completed and is attached. One violation was cited. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed: Violation Number Comment Rule 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. The owner, Early Start Child Care and Learning Center Inc. was active-not current effective April 15, 2024 for failing to comply with requirements set forth by North Carolina Secretary of State. GS 110-91 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff did not have a TB test screening on file on or before the first day of work. Start date 7/15/2024. .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on August 20, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 TA: A violation was cited for the facility’s status in the Secretary of State’s Website for having an “active-not current” for a delinquent annual report not being submitted by April 15, 2024. Ms. Muwwakkil stated that Ms. Robinson had submitted payment. Refer to rule GS 110-91. Your facility may receive an Administrative Action, to allow time to correct the violation. A violation was cited for a TB test not being on file for one staff member. Refer to 10A NCAC 09 .0701(a). We discussed the following strategy: Ensure you are using the check list provided on the DCDEE website to note dates that documents are received. Reminders: 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. Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavioral challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: 0624-192L Visit Date: 6/25/2024 Number Present: 20 Completed Date: 6/25/2024 Age: From 1 To 10 Total Minutes: 385 Time In: 09:05 AM Time Out: 03:30 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 May 6, 20234, and Prior to today’s visit, the eighteen-month compliance history score was at 88%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet a Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified on the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Approved with four demerits completed August 22, 2023. Fire Classification of Satisfactory, approved for daytime and night care, June 11, 2024 There is a concern that the outdoor environment (playground) is unsafe. There is a concern a staff person communicates with the children by hollering and scolding. Ms. Muwwakkil was called to the facility and arrived at the facility at 9:15. I observed the indoor and outdoor areas. Upon my arrival, there were 19 children present. The children in space #1, the children were sitting at two child size tables completing art activity. In space #2, the children were observed participating in outdoor play. The children were playing on small structures. In space #3, the children were participating in bathroom routines and preparing to go outdoors. Lunch served today was pears, raviolis, sweet peas, and milk. The allegations listed above were discussed with the administrator, via phone, the program coordinator, and four additional staff members. During interviews conducted, it was stated that several staff members do talk to the children with a loud tone and that children’s blankets are taken when children are not resting on their cots. The outdoor area was monitored for any unsafe concerns. The administrator stated that the outdoor area had already been treated for ants and that the vines in the back are due to be cut back away from the fenced area. There were no ants or any choking hazards in the outdoor area. Based on the information gathered, interviews conducted, and my observations during today’s visit, there was sufficient information to confirm the allegations of violation of child care requirements for children not being communicated to in a nurturing and caring manner. Based on the information gathered, interviews conducted, and my observations during today’s visit, there wasn’t sufficient information to confirm the allegations of violation of child care requirements so the allegations that the outdoor environment is unsafe is unsubstantiated. Three staff files were monitored during today’s visit and violations cited. See staff and training worksheet attached. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The kitchen door was unlocked and unattended. It was corrected when the staff was informed about the procedure, and remained locked through out the visit unless staff was present in the kitchen. 10A NCAC 09 .0601(a) 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. The electrical outlets in space #1, #3, and the administrator office space had several outlets did not have a covering over them. 10A NCAC 09 .0604(c) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. It was stated during the visit that staff do have a harsh tone at times and do take blankets form the children at rest time. G.S. 110-91(10) 907 Discipline was related to food, rest or toileting. It was stated that children's blankets are taken away from children when they will not rest on their cots. This was corrected today because the children were given their blankest at rest time. .1803(a)(4-6) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new staff has not completed at least 16 hrs. of orientation within the fires 6 weeks of hire. Hire date 1/11/2024. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One new staff member has not completed the first two weeks of training in required topic areas. Hire date 1/11/2024 .1101(a)(b) 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. One staff member who was hired 1/11/2024 has not completed Recognizing and Responding to Suspicions of Child Maltreatment training in the required 90 days. .1102(g) 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 July 9, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28301 sandra.johnson@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 Technical Assistant: A violation was cited regarding child not being attend to nurturing and caring way. Refer to child care rule G.S. 110-91(10). We discussed role modeling for staff. When modeling what we would like for the children to do. So, when wanting children to rest, you will have to take time to share why it’s important to rest and comfort the child by rubbing the child on their back for a few minutes. Children need to know and feel that the are in a safe environment. Be reminded that all exits, and exterior exits must remain unlocked while children are in care. This means that any doorway and gate exits is required to have a one action locking device on the exit. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: 0624-192L Visit Date: 6/25/2024 Number Present: 20 Completed Date: 6/25/2024 Age: From 1 To 10 Total Minutes: 385 Time In: 09:05 AM Time Out: 03:30 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 May 6, 20234, and Prior to today’s visit, the eighteen-month compliance history score was at 88%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet a Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified on the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Approved with four demerits completed August 22, 2023. Fire Classification of Satisfactory, approved for daytime and night care, June 11, 2024 There is a concern that the outdoor environment (playground) is unsafe. There is a concern a staff person communicates with the children by hollering and scolding. Ms. Muwwakkil was called to the facility and arrived at the facility at 9:15. I observed the indoor and outdoor areas. Upon my arrival, there were 19 children present. The children in space #1, the children were sitting at two child size tables completing art activity. In space #2, the children were observed participating in outdoor play. The children were playing on small structures. In space #3, the children were participating in bathroom routines and preparing to go outdoors. Lunch served today was pears, raviolis, sweet peas, and milk. The allegations listed above were discussed with the administrator, via phone, the program coordinator, and four additional staff members. During interviews conducted, it was stated that several staff members do talk to the children with a loud tone and that children’s blankets are taken when children are not resting on their cots. The outdoor area was monitored for any unsafe concerns. The administrator stated that the outdoor area had already been treated for ants and that the vines in the back are due to be cut back away from the fenced area. There were no ants or any choking hazards in the outdoor area. Based on the information gathered, interviews conducted, and my observations during today’s visit, there was sufficient information to confirm the allegations of violation of child care requirements for children not being communicated to in a nurturing and caring manner. Based on the information gathered, interviews conducted, and my observations during today’s visit, there wasn’t sufficient information to confirm the allegations of violation of child care requirements so the allegations that the outdoor environment is unsafe is unsubstantiated. Three staff files were monitored during today’s visit and violations cited. See staff and training worksheet attached. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The kitchen door was unlocked and unattended. It was corrected when the staff was informed about the procedure, and remained locked through out the visit unless staff was present in the kitchen. 10A NCAC 09 .0601(a) 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. The electrical outlets in space #1, #3, and the administrator office space had several outlets did not have a covering over them. 10A NCAC 09 .0604(c) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. It was stated during the visit that staff do have a harsh tone at times and do take blankets form the children at rest time. G.S. 110-91(10) 907 Discipline was related to food, rest or toileting. It was stated that children's blankets are taken away from children when they will not rest on their cots. This was corrected today because the children were given their blankest at rest time. .1803(a)(4-6) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new staff has not completed at least 16 hrs. of orientation within the fires 6 weeks of hire. Hire date 1/11/2024. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One new staff member has not completed the first two weeks of training in required topic areas. Hire date 1/11/2024 .1101(a)(b) 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. One staff member who was hired 1/11/2024 has not completed Recognizing and Responding to Suspicions of Child Maltreatment training in the required 90 days. .1102(g) 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 July 9, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28301 sandra.johnson@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 Technical Assistant: A violation was cited regarding child not being attend to nurturing and caring way. Refer to child care rule G.S. 110-91(10). We discussed role modeling for staff. When modeling what we would like for the children to do. So, when wanting children to rest, you will have to take time to share why it’s important to rest and comfort the child by rubbing the child on their back for a few minutes. Children need to know and feel that the are in a safe environment. Be reminded that all exits, and exterior exits must remain unlocked while children are in care. This means that any doorway and gate exits is required to have a one action locking device on the exit. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 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. 110-91 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: 0624-192L Visit Date: 6/25/2024 Number Present: 20 Completed Date: 6/25/2024 Age: From 1 To 10 Total Minutes: 385 Time In: 09:05 AM Time Out: 03:30 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 May 6, 20234, and Prior to today’s visit, the eighteen-month compliance history score was at 88%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet a Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified on the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Approved with four demerits completed August 22, 2023. Fire Classification of Satisfactory, approved for daytime and night care, June 11, 2024 There is a concern that the outdoor environment (playground) is unsafe. There is a concern a staff person communicates with the children by hollering and scolding. Ms. Muwwakkil was called to the facility and arrived at the facility at 9:15. I observed the indoor and outdoor areas. Upon my arrival, there were 19 children present. The children in space #1, the children were sitting at two child size tables completing art activity. In space #2, the children were observed participating in outdoor play. The children were playing on small structures. In space #3, the children were participating in bathroom routines and preparing to go outdoors. Lunch served today was pears, raviolis, sweet peas, and milk. The allegations listed above were discussed with the administrator, via phone, the program coordinator, and four additional staff members. During interviews conducted, it was stated that several staff members do talk to the children with a loud tone and that children’s blankets are taken when children are not resting on their cots. The outdoor area was monitored for any unsafe concerns. The administrator stated that the outdoor area had already been treated for ants and that the vines in the back are due to be cut back away from the fenced area. There were no ants or any choking hazards in the outdoor area. Based on the information gathered, interviews conducted, and my observations during today’s visit, there was sufficient information to confirm the allegations of violation of child care requirements for children not being communicated to in a nurturing and caring manner. Based on the information gathered, interviews conducted, and my observations during today’s visit, there wasn’t sufficient information to confirm the allegations of violation of child care requirements so the allegations that the outdoor environment is unsafe is unsubstantiated. Three staff files were monitored during today’s visit and violations cited. See staff and training worksheet attached. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The kitchen door was unlocked and unattended. It was corrected when the staff was informed about the procedure, and remained locked through out the visit unless staff was present in the kitchen. 10A NCAC 09 .0601(a) 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. The electrical outlets in space #1, #3, and the administrator office space had several outlets did not have a covering over them. 10A NCAC 09 .0604(c) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. It was stated during the visit that staff do have a harsh tone at times and do take blankets form the children at rest time. G.S. 110-91(10) 907 Discipline was related to food, rest or toileting. It was stated that children's blankets are taken away from children when they will not rest on their cots. This was corrected today because the children were given their blankest at rest time. .1803(a)(4-6) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new staff has not completed at least 16 hrs. of orientation within the fires 6 weeks of hire. Hire date 1/11/2024. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One new staff member has not completed the first two weeks of training in required topic areas. Hire date 1/11/2024 .1101(a)(b) 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. One staff member who was hired 1/11/2024 has not completed Recognizing and Responding to Suspicions of Child Maltreatment training in the required 90 days. .1102(g) 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 July 9, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28301 sandra.johnson@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 Technical Assistant: A violation was cited regarding child not being attend to nurturing and caring way. Refer to child care rule G.S. 110-91(10). We discussed role modeling for staff. When modeling what we would like for the children to do. So, when wanting children to rest, you will have to take time to share why it’s important to rest and comfort the child by rubbing the child on their back for a few minutes. Children need to know and feel that the are in a safe environment. Be reminded that all exits, and exterior exits must remain unlocked while children are in care. This means that any doorway and gate exits is required to have a one action locking device on the exit. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: 0624-192L Visit Date: 6/25/2024 Number Present: 20 Completed Date: 6/25/2024 Age: From 1 To 10 Total Minutes: 385 Time In: 09:05 AM Time Out: 03:30 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 May 6, 20234, and Prior to today’s visit, the eighteen-month compliance history score was at 88%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet a Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified on the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Approved with four demerits completed August 22, 2023. Fire Classification of Satisfactory, approved for daytime and night care, June 11, 2024 There is a concern that the outdoor environment (playground) is unsafe. There is a concern a staff person communicates with the children by hollering and scolding. Ms. Muwwakkil was called to the facility and arrived at the facility at 9:15. I observed the indoor and outdoor areas. Upon my arrival, there were 19 children present. The children in space #1, the children were sitting at two child size tables completing art activity. In space #2, the children were observed participating in outdoor play. The children were playing on small structures. In space #3, the children were participating in bathroom routines and preparing to go outdoors. Lunch served today was pears, raviolis, sweet peas, and milk. The allegations listed above were discussed with the administrator, via phone, the program coordinator, and four additional staff members. During interviews conducted, it was stated that several staff members do talk to the children with a loud tone and that children’s blankets are taken when children are not resting on their cots. The outdoor area was monitored for any unsafe concerns. The administrator stated that the outdoor area had already been treated for ants and that the vines in the back are due to be cut back away from the fenced area. There were no ants or any choking hazards in the outdoor area. Based on the information gathered, interviews conducted, and my observations during today’s visit, there was sufficient information to confirm the allegations of violation of child care requirements for children not being communicated to in a nurturing and caring manner. Based on the information gathered, interviews conducted, and my observations during today’s visit, there wasn’t sufficient information to confirm the allegations of violation of child care requirements so the allegations that the outdoor environment is unsafe is unsubstantiated. Three staff files were monitored during today’s visit and violations cited. See staff and training worksheet attached. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The kitchen door was unlocked and unattended. It was corrected when the staff was informed about the procedure, and remained locked through out the visit unless staff was present in the kitchen. 10A NCAC 09 .0601(a) 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. The electrical outlets in space #1, #3, and the administrator office space had several outlets did not have a covering over them. 10A NCAC 09 .0604(c) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. It was stated during the visit that staff do have a harsh tone at times and do take blankets form the children at rest time. G.S. 110-91(10) 907 Discipline was related to food, rest or toileting. It was stated that children's blankets are taken away from children when they will not rest on their cots. This was corrected today because the children were given their blankest at rest time. .1803(a)(4-6) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new staff has not completed at least 16 hrs. of orientation within the fires 6 weeks of hire. Hire date 1/11/2024. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One new staff member has not completed the first two weeks of training in required topic areas. Hire date 1/11/2024 .1101(a)(b) 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. One staff member who was hired 1/11/2024 has not completed Recognizing and Responding to Suspicions of Child Maltreatment training in the required 90 days. .1102(g) 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 July 9, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28301 sandra.johnson@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 Technical Assistant: A violation was cited regarding child not being attend to nurturing and caring way. Refer to child care rule G.S. 110-91(10). We discussed role modeling for staff. When modeling what we would like for the children to do. So, when wanting children to rest, you will have to take time to share why it’s important to rest and comfort the child by rubbing the child on their back for a few minutes. Children need to know and feel that the are in a safe environment. Be reminded that all exits, and exterior exits must remain unlocked while children are in care. This means that any doorway and gate exits is required to have a one action locking device on the exit. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 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 .0508 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 5/6/2024 Number Present: 12 Completed Date: 5/6/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to annual compliance visit to included an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89% which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four -Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed August 22, 2023. Fire Classification of Approved completed June 27, 2023. I was greeted by Ms. Rodriguez; I monitored the indoor and outdoor areas. Ms. Muwwakkil arrived at 9:10a.m. The children in space #1, #2, and #3, were participating in bathroom routines after having breakfast. After bathroom routines the children transitioned to free choice activities. Children were creating flowers with their hands. They used different color construction paper and were able to pick from several colors of paint for their flowers. This was a small group activity that the teacher assisted the children with. Children were also observed playing with stacking blocks, puzzles, dress up clothes, and reading books. Breakfast served was cheese toast, and milk. Lunch served today was pizza rolls, mixed vegetables, fresh apples, and milk. During today’s visit I monitored five staff files, see attached staff and training worksheet. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #2, the current activity plan that was posted was dated 4/29-5/3/2024. During the visit the teacher posted a current activity plan. GS 110-91(12); .0508(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. EMC Plan was not reviewed with one staff annually. The staff did not have a signed statement on file. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff did not have a signed annual health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff did not have an updated emergency information form on file. .0701(a) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. One staff did not complete on-going training hours since last annual compliance visit 5/9/2023. During the visit the teacher submitted her transcript showing the classes that she completed for fall semester. The teacher is working towards BA in Early Childhood Education. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff file did not have a signed annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. While monitoring three children's file, one child's file did not have a health assessment on file for review. The child's start date 7/2023. GS110-91(1) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. EPR plan was not updated annually for updated of changes and current information. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff did not have documentation of review of the EPR plan on file. .0607(f) 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. One staff did not complete health and safety trainings within five years of completing previous health and safety trainings on 6/16/2017 .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 violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 20, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 TA: A violation was cited for a medical report being on file for one child. Refer to rule GS 110-91(1). We discussed the following strategy: Ensure you are using the check list provided on the DCDEE website to note dates that documents are received. A violation was cited for a current activity plan not being posted. Refer to child care rule 10A NCAC 09 .0508(a). We discussed the following strategy: Ensure that staff complete and post an activity plan for each age group and made visible for parent to see. Administrative Action – Written Warning (WW) The administrative action, cover letter, Corrective Action Plan, and the Provisional License. dated February 22, 2024, must be posted for three (3) months, also until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). During today’s visit The Notice of Administrative Action, cover letter, and Corrective Action Plan was posted in a location visible to parents and visitors at the entrance of the child care facility. The corrective action plan will need to submit to me by March 8, 2024. An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture/care of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • Sanitation Rule 15A NCAC 18A .2804(a) regarding safe food Facility was incompliance regarding supervision, nurture/care of children, and regarding safe food on 2/28/2024, 4/10/2024, and 5/6/2024. 2.Within two (2) weeks after this Notice is received, Yasmeen Robbin, administrator, shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When more than one group of children is combined • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one area to another • When children are transitioned from one caregiver to another • Personal phone use by staff • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sandra Johnson, Child Care Consultant, PO Box 64401, Fayetteville, NC 28306, telephone number 910-408-8985, sandra.johnson@dhhs.nc.gov, for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. All documentation shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding adequate supervision by 3 /8/,2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 3.Within two (2) weeks after this Notice is received, Ms. Robbin shall contact Southwestern Child Development @ Southwestern Child Development Commission, Inc (learningstream.com) and register for the course “Conflict Competence for Leaders” or a related course. If choosing a related course, the course must be a topic related to effective communication skills and relationships with staff and families. The course must be completed within thirty (30) days after registering. Within one (1) week following the training, Ms. Robbin shall submit a written summary to Ms. Johnson that includes, but not limited to, information learned from the course and how the information will be incorporated in the day-to-day operation. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins submitted the summary for the Conflict Competence for Leaders training 3/5/2024. 4.Within two (2) weeks after this Notice is received, Ms. Robbin shall develop a written plan that describes, in detail, the steps the facility will take to ensure expired food items are promptly removed and not served to children. The written plan shall include, but not be limited to, the following: • Who will be responsible for monitoring dates of food items that are purchased • How will the dates be monitored • How will food be discarded when food is expired • How food will be stored The written plan shall be submitted to Ms. Johnson for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved plan shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding Expired Safe Food by March 8, 2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 5.Within two (2) weeks after approval is received for Items #2 and #4, a staff meeting shall be conducted to review the approved written plans. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory staff meeting. Documentation of the meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the minutes shall be submitted to Ms. Johnson within three (3) days after the meeting is conducted. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins completed a mandatory staff meeting on 3/14/2024 and submitted attendance roster with names and signature of each staff member and required information on 3/20/2024. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 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 .0514 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 5/6/2024 Number Present: 12 Completed Date: 5/6/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to annual compliance visit to included an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89% which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four -Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed August 22, 2023. Fire Classification of Approved completed June 27, 2023. I was greeted by Ms. Rodriguez; I monitored the indoor and outdoor areas. Ms. Muwwakkil arrived at 9:10a.m. The children in space #1, #2, and #3, were participating in bathroom routines after having breakfast. After bathroom routines the children transitioned to free choice activities. Children were creating flowers with their hands. They used different color construction paper and were able to pick from several colors of paint for their flowers. This was a small group activity that the teacher assisted the children with. Children were also observed playing with stacking blocks, puzzles, dress up clothes, and reading books. Breakfast served was cheese toast, and milk. Lunch served today was pizza rolls, mixed vegetables, fresh apples, and milk. During today’s visit I monitored five staff files, see attached staff and training worksheet. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #2, the current activity plan that was posted was dated 4/29-5/3/2024. During the visit the teacher posted a current activity plan. GS 110-91(12); .0508(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. EMC Plan was not reviewed with one staff annually. The staff did not have a signed statement on file. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff did not have a signed annual health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff did not have an updated emergency information form on file. .0701(a) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. One staff did not complete on-going training hours since last annual compliance visit 5/9/2023. During the visit the teacher submitted her transcript showing the classes that she completed for fall semester. The teacher is working towards BA in Early Childhood Education. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff file did not have a signed annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. While monitoring three children's file, one child's file did not have a health assessment on file for review. The child's start date 7/2023. GS110-91(1) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. EPR plan was not updated annually for updated of changes and current information. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff did not have documentation of review of the EPR plan on file. .0607(f) 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. One staff did not complete health and safety trainings within five years of completing previous health and safety trainings on 6/16/2017 .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 violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 20, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 TA: A violation was cited for a medical report being on file for one child. Refer to rule GS 110-91(1). We discussed the following strategy: Ensure you are using the check list provided on the DCDEE website to note dates that documents are received. A violation was cited for a current activity plan not being posted. Refer to child care rule 10A NCAC 09 .0508(a). We discussed the following strategy: Ensure that staff complete and post an activity plan for each age group and made visible for parent to see. Administrative Action – Written Warning (WW) The administrative action, cover letter, Corrective Action Plan, and the Provisional License. dated February 22, 2024, must be posted for three (3) months, also until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). During today’s visit The Notice of Administrative Action, cover letter, and Corrective Action Plan was posted in a location visible to parents and visitors at the entrance of the child care facility. The corrective action plan will need to submit to me by March 8, 2024. An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture/care of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • Sanitation Rule 15A NCAC 18A .2804(a) regarding safe food Facility was incompliance regarding supervision, nurture/care of children, and regarding safe food on 2/28/2024, 4/10/2024, and 5/6/2024. 2.Within two (2) weeks after this Notice is received, Yasmeen Robbin, administrator, shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When more than one group of children is combined • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one area to another • When children are transitioned from one caregiver to another • Personal phone use by staff • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sandra Johnson, Child Care Consultant, PO Box 64401, Fayetteville, NC 28306, telephone number 910-408-8985, sandra.johnson@dhhs.nc.gov, for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. All documentation shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding adequate supervision by 3 /8/,2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 3.Within two (2) weeks after this Notice is received, Ms. Robbin shall contact Southwestern Child Development @ Southwestern Child Development Commission, Inc (learningstream.com) and register for the course “Conflict Competence for Leaders” or a related course. If choosing a related course, the course must be a topic related to effective communication skills and relationships with staff and families. The course must be completed within thirty (30) days after registering. Within one (1) week following the training, Ms. Robbin shall submit a written summary to Ms. Johnson that includes, but not limited to, information learned from the course and how the information will be incorporated in the day-to-day operation. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins submitted the summary for the Conflict Competence for Leaders training 3/5/2024. 4.Within two (2) weeks after this Notice is received, Ms. Robbin shall develop a written plan that describes, in detail, the steps the facility will take to ensure expired food items are promptly removed and not served to children. The written plan shall include, but not be limited to, the following: • Who will be responsible for monitoring dates of food items that are purchased • How will the dates be monitored • How will food be discarded when food is expired • How food will be stored The written plan shall be submitted to Ms. Johnson for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved plan shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding Expired Safe Food by March 8, 2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 5.Within two (2) weeks after approval is received for Items #2 and #4, a staff meeting shall be conducted to review the approved written plans. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory staff meeting. Documentation of the meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the minutes shall be submitted to Ms. Johnson within three (3) days after the meeting is conducted. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins completed a mandatory staff meeting on 3/14/2024 and submitted attendance roster with names and signature of each staff member and required information on 3/20/2024. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 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 .0802 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 5/6/2024 Number Present: 12 Completed Date: 5/6/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to annual compliance visit to included an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89% which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four -Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed August 22, 2023. Fire Classification of Approved completed June 27, 2023. I was greeted by Ms. Rodriguez; I monitored the indoor and outdoor areas. Ms. Muwwakkil arrived at 9:10a.m. The children in space #1, #2, and #3, were participating in bathroom routines after having breakfast. After bathroom routines the children transitioned to free choice activities. Children were creating flowers with their hands. They used different color construction paper and were able to pick from several colors of paint for their flowers. This was a small group activity that the teacher assisted the children with. Children were also observed playing with stacking blocks, puzzles, dress up clothes, and reading books. Breakfast served was cheese toast, and milk. Lunch served today was pizza rolls, mixed vegetables, fresh apples, and milk. During today’s visit I monitored five staff files, see attached staff and training worksheet. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #2, the current activity plan that was posted was dated 4/29-5/3/2024. During the visit the teacher posted a current activity plan. GS 110-91(12); .0508(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. EMC Plan was not reviewed with one staff annually. The staff did not have a signed statement on file. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff did not have a signed annual health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff did not have an updated emergency information form on file. .0701(a) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. One staff did not complete on-going training hours since last annual compliance visit 5/9/2023. During the visit the teacher submitted her transcript showing the classes that she completed for fall semester. The teacher is working towards BA in Early Childhood Education. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff file did not have a signed annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. While monitoring three children's file, one child's file did not have a health assessment on file for review. The child's start date 7/2023. GS110-91(1) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. EPR plan was not updated annually for updated of changes and current information. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff did not have documentation of review of the EPR plan on file. .0607(f) 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. One staff did not complete health and safety trainings within five years of completing previous health and safety trainings on 6/16/2017 .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 violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 20, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 TA: A violation was cited for a medical report being on file for one child. Refer to rule GS 110-91(1). We discussed the following strategy: Ensure you are using the check list provided on the DCDEE website to note dates that documents are received. A violation was cited for a current activity plan not being posted. Refer to child care rule 10A NCAC 09 .0508(a). We discussed the following strategy: Ensure that staff complete and post an activity plan for each age group and made visible for parent to see. Administrative Action – Written Warning (WW) The administrative action, cover letter, Corrective Action Plan, and the Provisional License. dated February 22, 2024, must be posted for three (3) months, also until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). During today’s visit The Notice of Administrative Action, cover letter, and Corrective Action Plan was posted in a location visible to parents and visitors at the entrance of the child care facility. The corrective action plan will need to submit to me by March 8, 2024. An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture/care of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • Sanitation Rule 15A NCAC 18A .2804(a) regarding safe food Facility was incompliance regarding supervision, nurture/care of children, and regarding safe food on 2/28/2024, 4/10/2024, and 5/6/2024. 2.Within two (2) weeks after this Notice is received, Yasmeen Robbin, administrator, shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When more than one group of children is combined • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one area to another • When children are transitioned from one caregiver to another • Personal phone use by staff • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sandra Johnson, Child Care Consultant, PO Box 64401, Fayetteville, NC 28306, telephone number 910-408-8985, sandra.johnson@dhhs.nc.gov, for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. All documentation shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding adequate supervision by 3 /8/,2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 3.Within two (2) weeks after this Notice is received, Ms. Robbin shall contact Southwestern Child Development @ Southwestern Child Development Commission, Inc (learningstream.com) and register for the course “Conflict Competence for Leaders” or a related course. If choosing a related course, the course must be a topic related to effective communication skills and relationships with staff and families. The course must be completed within thirty (30) days after registering. Within one (1) week following the training, Ms. Robbin shall submit a written summary to Ms. Johnson that includes, but not limited to, information learned from the course and how the information will be incorporated in the day-to-day operation. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins submitted the summary for the Conflict Competence for Leaders training 3/5/2024. 4.Within two (2) weeks after this Notice is received, Ms. Robbin shall develop a written plan that describes, in detail, the steps the facility will take to ensure expired food items are promptly removed and not served to children. The written plan shall include, but not be limited to, the following: • Who will be responsible for monitoring dates of food items that are purchased • How will the dates be monitored • How will food be discarded when food is expired • How food will be stored The written plan shall be submitted to Ms. Johnson for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved plan shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding Expired Safe Food by March 8, 2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 5.Within two (2) weeks after approval is received for Items #2 and #4, a staff meeting shall be conducted to review the approved written plans. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory staff meeting. Documentation of the meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the minutes shall be submitted to Ms. Johnson within three (3) days after the meeting is conducted. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins completed a mandatory staff meeting on 3/14/2024 and submitted attendance roster with names and signature of each staff member and required information on 3/20/2024. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 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 .1801 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 5/6/2024 Number Present: 12 Completed Date: 5/6/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to annual compliance visit to included an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89% which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four -Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed August 22, 2023. Fire Classification of Approved completed June 27, 2023. I was greeted by Ms. Rodriguez; I monitored the indoor and outdoor areas. Ms. Muwwakkil arrived at 9:10a.m. The children in space #1, #2, and #3, were participating in bathroom routines after having breakfast. After bathroom routines the children transitioned to free choice activities. Children were creating flowers with their hands. They used different color construction paper and were able to pick from several colors of paint for their flowers. This was a small group activity that the teacher assisted the children with. Children were also observed playing with stacking blocks, puzzles, dress up clothes, and reading books. Breakfast served was cheese toast, and milk. Lunch served today was pizza rolls, mixed vegetables, fresh apples, and milk. During today’s visit I monitored five staff files, see attached staff and training worksheet. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #2, the current activity plan that was posted was dated 4/29-5/3/2024. During the visit the teacher posted a current activity plan. GS 110-91(12); .0508(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. EMC Plan was not reviewed with one staff annually. The staff did not have a signed statement on file. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff did not have a signed annual health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff did not have an updated emergency information form on file. .0701(a) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. One staff did not complete on-going training hours since last annual compliance visit 5/9/2023. During the visit the teacher submitted her transcript showing the classes that she completed for fall semester. The teacher is working towards BA in Early Childhood Education. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff file did not have a signed annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. While monitoring three children's file, one child's file did not have a health assessment on file for review. The child's start date 7/2023. GS110-91(1) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. EPR plan was not updated annually for updated of changes and current information. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff did not have documentation of review of the EPR plan on file. .0607(f) 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. One staff did not complete health and safety trainings within five years of completing previous health and safety trainings on 6/16/2017 .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 violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 20, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 TA: A violation was cited for a medical report being on file for one child. Refer to rule GS 110-91(1). We discussed the following strategy: Ensure you are using the check list provided on the DCDEE website to note dates that documents are received. A violation was cited for a current activity plan not being posted. Refer to child care rule 10A NCAC 09 .0508(a). We discussed the following strategy: Ensure that staff complete and post an activity plan for each age group and made visible for parent to see. Administrative Action – Written Warning (WW) The administrative action, cover letter, Corrective Action Plan, and the Provisional License. dated February 22, 2024, must be posted for three (3) months, also until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). During today’s visit The Notice of Administrative Action, cover letter, and Corrective Action Plan was posted in a location visible to parents and visitors at the entrance of the child care facility. The corrective action plan will need to submit to me by March 8, 2024. An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture/care of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • Sanitation Rule 15A NCAC 18A .2804(a) regarding safe food Facility was incompliance regarding supervision, nurture/care of children, and regarding safe food on 2/28/2024, 4/10/2024, and 5/6/2024. 2.Within two (2) weeks after this Notice is received, Yasmeen Robbin, administrator, shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When more than one group of children is combined • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one area to another • When children are transitioned from one caregiver to another • Personal phone use by staff • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sandra Johnson, Child Care Consultant, PO Box 64401, Fayetteville, NC 28306, telephone number 910-408-8985, sandra.johnson@dhhs.nc.gov, for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. All documentation shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding adequate supervision by 3 /8/,2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 3.Within two (2) weeks after this Notice is received, Ms. Robbin shall contact Southwestern Child Development @ Southwestern Child Development Commission, Inc (learningstream.com) and register for the course “Conflict Competence for Leaders” or a related course. If choosing a related course, the course must be a topic related to effective communication skills and relationships with staff and families. The course must be completed within thirty (30) days after registering. Within one (1) week following the training, Ms. Robbin shall submit a written summary to Ms. Johnson that includes, but not limited to, information learned from the course and how the information will be incorporated in the day-to-day operation. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins submitted the summary for the Conflict Competence for Leaders training 3/5/2024. 4.Within two (2) weeks after this Notice is received, Ms. Robbin shall develop a written plan that describes, in detail, the steps the facility will take to ensure expired food items are promptly removed and not served to children. The written plan shall include, but not be limited to, the following: • Who will be responsible for monitoring dates of food items that are purchased • How will the dates be monitored • How will food be discarded when food is expired • How food will be stored The written plan shall be submitted to Ms. Johnson for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved plan shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding Expired Safe Food by March 8, 2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 5.Within two (2) weeks after approval is received for Items #2 and #4, a staff meeting shall be conducted to review the approved written plans. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory staff meeting. Documentation of the meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the minutes shall be submitted to Ms. Johnson within three (3) days after the meeting is conducted. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins completed a mandatory staff meeting on 3/14/2024 and submitted attendance roster with names and signature of each staff member and required information on 3/20/2024. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 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 .2201 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 5/6/2024 Number Present: 12 Completed Date: 5/6/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to annual compliance visit to included an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89% which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four -Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed August 22, 2023. Fire Classification of Approved completed June 27, 2023. I was greeted by Ms. Rodriguez; I monitored the indoor and outdoor areas. Ms. Muwwakkil arrived at 9:10a.m. The children in space #1, #2, and #3, were participating in bathroom routines after having breakfast. After bathroom routines the children transitioned to free choice activities. Children were creating flowers with their hands. They used different color construction paper and were able to pick from several colors of paint for their flowers. This was a small group activity that the teacher assisted the children with. Children were also observed playing with stacking blocks, puzzles, dress up clothes, and reading books. Breakfast served was cheese toast, and milk. Lunch served today was pizza rolls, mixed vegetables, fresh apples, and milk. During today’s visit I monitored five staff files, see attached staff and training worksheet. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #2, the current activity plan that was posted was dated 4/29-5/3/2024. During the visit the teacher posted a current activity plan. GS 110-91(12); .0508(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. EMC Plan was not reviewed with one staff annually. The staff did not have a signed statement on file. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff did not have a signed annual health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff did not have an updated emergency information form on file. .0701(a) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. One staff did not complete on-going training hours since last annual compliance visit 5/9/2023. During the visit the teacher submitted her transcript showing the classes that she completed for fall semester. The teacher is working towards BA in Early Childhood Education. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff file did not have a signed annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. While monitoring three children's file, one child's file did not have a health assessment on file for review. The child's start date 7/2023. GS110-91(1) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. EPR plan was not updated annually for updated of changes and current information. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff did not have documentation of review of the EPR plan on file. .0607(f) 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. One staff did not complete health and safety trainings within five years of completing previous health and safety trainings on 6/16/2017 .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 violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 20, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 TA: A violation was cited for a medical report being on file for one child. Refer to rule GS 110-91(1). We discussed the following strategy: Ensure you are using the check list provided on the DCDEE website to note dates that documents are received. A violation was cited for a current activity plan not being posted. Refer to child care rule 10A NCAC 09 .0508(a). We discussed the following strategy: Ensure that staff complete and post an activity plan for each age group and made visible for parent to see. Administrative Action – Written Warning (WW) The administrative action, cover letter, Corrective Action Plan, and the Provisional License. dated February 22, 2024, must be posted for three (3) months, also until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). During today’s visit The Notice of Administrative Action, cover letter, and Corrective Action Plan was posted in a location visible to parents and visitors at the entrance of the child care facility. The corrective action plan will need to submit to me by March 8, 2024. An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture/care of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • Sanitation Rule 15A NCAC 18A .2804(a) regarding safe food Facility was incompliance regarding supervision, nurture/care of children, and regarding safe food on 2/28/2024, 4/10/2024, and 5/6/2024. 2.Within two (2) weeks after this Notice is received, Yasmeen Robbin, administrator, shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When more than one group of children is combined • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one area to another • When children are transitioned from one caregiver to another • Personal phone use by staff • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sandra Johnson, Child Care Consultant, PO Box 64401, Fayetteville, NC 28306, telephone number 910-408-8985, sandra.johnson@dhhs.nc.gov, for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. All documentation shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding adequate supervision by 3 /8/,2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 3.Within two (2) weeks after this Notice is received, Ms. Robbin shall contact Southwestern Child Development @ Southwestern Child Development Commission, Inc (learningstream.com) and register for the course “Conflict Competence for Leaders” or a related course. If choosing a related course, the course must be a topic related to effective communication skills and relationships with staff and families. The course must be completed within thirty (30) days after registering. Within one (1) week following the training, Ms. Robbin shall submit a written summary to Ms. Johnson that includes, but not limited to, information learned from the course and how the information will be incorporated in the day-to-day operation. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins submitted the summary for the Conflict Competence for Leaders training 3/5/2024. 4.Within two (2) weeks after this Notice is received, Ms. Robbin shall develop a written plan that describes, in detail, the steps the facility will take to ensure expired food items are promptly removed and not served to children. The written plan shall include, but not be limited to, the following: • Who will be responsible for monitoring dates of food items that are purchased • How will the dates be monitored • How will food be discarded when food is expired • How food will be stored The written plan shall be submitted to Ms. Johnson for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved plan shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding Expired Safe Food by March 8, 2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 5.Within two (2) weeks after approval is received for Items #2 and #4, a staff meeting shall be conducted to review the approved written plans. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory staff meeting. Documentation of the meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the minutes shall be submitted to Ms. Johnson within three (3) days after the meeting is conducted. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins completed a mandatory staff meeting on 3/14/2024 and submitted attendance roster with names and signature of each staff member and required information on 3/20/2024. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 5/6/2024 Number Present: 12 Completed Date: 5/6/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to annual compliance visit to included an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89% which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four -Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed August 22, 2023. Fire Classification of Approved completed June 27, 2023. I was greeted by Ms. Rodriguez; I monitored the indoor and outdoor areas. Ms. Muwwakkil arrived at 9:10a.m. The children in space #1, #2, and #3, were participating in bathroom routines after having breakfast. After bathroom routines the children transitioned to free choice activities. Children were creating flowers with their hands. They used different color construction paper and were able to pick from several colors of paint for their flowers. This was a small group activity that the teacher assisted the children with. Children were also observed playing with stacking blocks, puzzles, dress up clothes, and reading books. Breakfast served was cheese toast, and milk. Lunch served today was pizza rolls, mixed vegetables, fresh apples, and milk. During today’s visit I monitored five staff files, see attached staff and training worksheet. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #2, the current activity plan that was posted was dated 4/29-5/3/2024. During the visit the teacher posted a current activity plan. GS 110-91(12); .0508(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. EMC Plan was not reviewed with one staff annually. The staff did not have a signed statement on file. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff did not have a signed annual health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff did not have an updated emergency information form on file. .0701(a) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. One staff did not complete on-going training hours since last annual compliance visit 5/9/2023. During the visit the teacher submitted her transcript showing the classes that she completed for fall semester. The teacher is working towards BA in Early Childhood Education. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff file did not have a signed annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. While monitoring three children's file, one child's file did not have a health assessment on file for review. The child's start date 7/2023. GS110-91(1) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. EPR plan was not updated annually for updated of changes and current information. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff did not have documentation of review of the EPR plan on file. .0607(f) 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. One staff did not complete health and safety trainings within five years of completing previous health and safety trainings on 6/16/2017 .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 violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 20, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 TA: A violation was cited for a medical report being on file for one child. Refer to rule GS 110-91(1). We discussed the following strategy: Ensure you are using the check list provided on the DCDEE website to note dates that documents are received. A violation was cited for a current activity plan not being posted. Refer to child care rule 10A NCAC 09 .0508(a). We discussed the following strategy: Ensure that staff complete and post an activity plan for each age group and made visible for parent to see. Administrative Action – Written Warning (WW) The administrative action, cover letter, Corrective Action Plan, and the Provisional License. dated February 22, 2024, must be posted for three (3) months, also until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). During today’s visit The Notice of Administrative Action, cover letter, and Corrective Action Plan was posted in a location visible to parents and visitors at the entrance of the child care facility. The corrective action plan will need to submit to me by March 8, 2024. An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture/care of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • Sanitation Rule 15A NCAC 18A .2804(a) regarding safe food Facility was incompliance regarding supervision, nurture/care of children, and regarding safe food on 2/28/2024, 4/10/2024, and 5/6/2024. 2.Within two (2) weeks after this Notice is received, Yasmeen Robbin, administrator, shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When more than one group of children is combined • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one area to another • When children are transitioned from one caregiver to another • Personal phone use by staff • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sandra Johnson, Child Care Consultant, PO Box 64401, Fayetteville, NC 28306, telephone number 910-408-8985, sandra.johnson@dhhs.nc.gov, for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. All documentation shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding adequate supervision by 3 /8/,2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 3.Within two (2) weeks after this Notice is received, Ms. Robbin shall contact Southwestern Child Development @ Southwestern Child Development Commission, Inc (learningstream.com) and register for the course “Conflict Competence for Leaders” or a related course. If choosing a related course, the course must be a topic related to effective communication skills and relationships with staff and families. The course must be completed within thirty (30) days after registering. Within one (1) week following the training, Ms. Robbin shall submit a written summary to Ms. Johnson that includes, but not limited to, information learned from the course and how the information will be incorporated in the day-to-day operation. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins submitted the summary for the Conflict Competence for Leaders training 3/5/2024. 4.Within two (2) weeks after this Notice is received, Ms. Robbin shall develop a written plan that describes, in detail, the steps the facility will take to ensure expired food items are promptly removed and not served to children. The written plan shall include, but not be limited to, the following: • Who will be responsible for monitoring dates of food items that are purchased • How will the dates be monitored • How will food be discarded when food is expired • How food will be stored The written plan shall be submitted to Ms. Johnson for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved plan shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding Expired Safe Food by March 8, 2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 5.Within two (2) weeks after approval is received for Items #2 and #4, a staff meeting shall be conducted to review the approved written plans. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory staff meeting. Documentation of the meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the minutes shall be submitted to Ms. Johnson within three (3) days after the meeting is conducted. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins completed a mandatory staff meeting on 3/14/2024 and submitted attendance roster with names and signature of each staff member and required information on 3/20/2024. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 5/6/2024 Number Present: 12 Completed Date: 5/6/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to annual compliance visit to included an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89% which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four -Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed August 22, 2023. Fire Classification of Approved completed June 27, 2023. I was greeted by Ms. Rodriguez; I monitored the indoor and outdoor areas. Ms. Muwwakkil arrived at 9:10a.m. The children in space #1, #2, and #3, were participating in bathroom routines after having breakfast. After bathroom routines the children transitioned to free choice activities. Children were creating flowers with their hands. They used different color construction paper and were able to pick from several colors of paint for their flowers. This was a small group activity that the teacher assisted the children with. Children were also observed playing with stacking blocks, puzzles, dress up clothes, and reading books. Breakfast served was cheese toast, and milk. Lunch served today was pizza rolls, mixed vegetables, fresh apples, and milk. During today’s visit I monitored five staff files, see attached staff and training worksheet. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #2, the current activity plan that was posted was dated 4/29-5/3/2024. During the visit the teacher posted a current activity plan. GS 110-91(12); .0508(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. EMC Plan was not reviewed with one staff annually. The staff did not have a signed statement on file. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff did not have a signed annual health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff did not have an updated emergency information form on file. .0701(a) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. One staff did not complete on-going training hours since last annual compliance visit 5/9/2023. During the visit the teacher submitted her transcript showing the classes that she completed for fall semester. The teacher is working towards BA in Early Childhood Education. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff file did not have a signed annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. While monitoring three children's file, one child's file did not have a health assessment on file for review. The child's start date 7/2023. GS110-91(1) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. EPR plan was not updated annually for updated of changes and current information. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff did not have documentation of review of the EPR plan on file. .0607(f) 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. One staff did not complete health and safety trainings within five years of completing previous health and safety trainings on 6/16/2017 .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 violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 20, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 TA: A violation was cited for a medical report being on file for one child. Refer to rule GS 110-91(1). We discussed the following strategy: Ensure you are using the check list provided on the DCDEE website to note dates that documents are received. A violation was cited for a current activity plan not being posted. Refer to child care rule 10A NCAC 09 .0508(a). We discussed the following strategy: Ensure that staff complete and post an activity plan for each age group and made visible for parent to see. Administrative Action – Written Warning (WW) The administrative action, cover letter, Corrective Action Plan, and the Provisional License. dated February 22, 2024, must be posted for three (3) months, also until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). During today’s visit The Notice of Administrative Action, cover letter, and Corrective Action Plan was posted in a location visible to parents and visitors at the entrance of the child care facility. The corrective action plan will need to submit to me by March 8, 2024. An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture/care of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • Sanitation Rule 15A NCAC 18A .2804(a) regarding safe food Facility was incompliance regarding supervision, nurture/care of children, and regarding safe food on 2/28/2024, 4/10/2024, and 5/6/2024. 2.Within two (2) weeks after this Notice is received, Yasmeen Robbin, administrator, shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When more than one group of children is combined • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one area to another • When children are transitioned from one caregiver to another • Personal phone use by staff • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sandra Johnson, Child Care Consultant, PO Box 64401, Fayetteville, NC 28306, telephone number 910-408-8985, sandra.johnson@dhhs.nc.gov, for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. All documentation shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding adequate supervision by 3 /8/,2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 3.Within two (2) weeks after this Notice is received, Ms. Robbin shall contact Southwestern Child Development @ Southwestern Child Development Commission, Inc (learningstream.com) and register for the course “Conflict Competence for Leaders” or a related course. If choosing a related course, the course must be a topic related to effective communication skills and relationships with staff and families. The course must be completed within thirty (30) days after registering. Within one (1) week following the training, Ms. Robbin shall submit a written summary to Ms. Johnson that includes, but not limited to, information learned from the course and how the information will be incorporated in the day-to-day operation. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins submitted the summary for the Conflict Competence for Leaders training 3/5/2024. 4.Within two (2) weeks after this Notice is received, Ms. Robbin shall develop a written plan that describes, in detail, the steps the facility will take to ensure expired food items are promptly removed and not served to children. The written plan shall include, but not be limited to, the following: • Who will be responsible for monitoring dates of food items that are purchased • How will the dates be monitored • How will food be discarded when food is expired • How food will be stored The written plan shall be submitted to Ms. Johnson for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved plan shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding Expired Safe Food by March 8, 2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 5.Within two (2) weeks after approval is received for Items #2 and #4, a staff meeting shall be conducted to review the approved written plans. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory staff meeting. Documentation of the meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the minutes shall be submitted to Ms. Johnson within three (3) days after the meeting is conducted. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins completed a mandatory staff meeting on 3/14/2024 and submitted attendance roster with names and signature of each staff member and required information on 3/20/2024. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 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

GS110-91 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 5/6/2024 Number Present: 12 Completed Date: 5/6/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to annual compliance visit to included an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89% which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four -Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed August 22, 2023. Fire Classification of Approved completed June 27, 2023. I was greeted by Ms. Rodriguez; I monitored the indoor and outdoor areas. Ms. Muwwakkil arrived at 9:10a.m. The children in space #1, #2, and #3, were participating in bathroom routines after having breakfast. After bathroom routines the children transitioned to free choice activities. Children were creating flowers with their hands. They used different color construction paper and were able to pick from several colors of paint for their flowers. This was a small group activity that the teacher assisted the children with. Children were also observed playing with stacking blocks, puzzles, dress up clothes, and reading books. Breakfast served was cheese toast, and milk. Lunch served today was pizza rolls, mixed vegetables, fresh apples, and milk. During today’s visit I monitored five staff files, see attached staff and training worksheet. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #2, the current activity plan that was posted was dated 4/29-5/3/2024. During the visit the teacher posted a current activity plan. GS 110-91(12); .0508(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. EMC Plan was not reviewed with one staff annually. The staff did not have a signed statement on file. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff did not have a signed annual health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff did not have an updated emergency information form on file. .0701(a) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. One staff did not complete on-going training hours since last annual compliance visit 5/9/2023. During the visit the teacher submitted her transcript showing the classes that she completed for fall semester. The teacher is working towards BA in Early Childhood Education. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff file did not have a signed annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. While monitoring three children's file, one child's file did not have a health assessment on file for review. The child's start date 7/2023. GS110-91(1) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. EPR plan was not updated annually for updated of changes and current information. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff did not have documentation of review of the EPR plan on file. .0607(f) 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. One staff did not complete health and safety trainings within five years of completing previous health and safety trainings on 6/16/2017 .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 violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 20, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 TA: A violation was cited for a medical report being on file for one child. Refer to rule GS 110-91(1). We discussed the following strategy: Ensure you are using the check list provided on the DCDEE website to note dates that documents are received. A violation was cited for a current activity plan not being posted. Refer to child care rule 10A NCAC 09 .0508(a). We discussed the following strategy: Ensure that staff complete and post an activity plan for each age group and made visible for parent to see. Administrative Action – Written Warning (WW) The administrative action, cover letter, Corrective Action Plan, and the Provisional License. dated February 22, 2024, must be posted for three (3) months, also until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). During today’s visit The Notice of Administrative Action, cover letter, and Corrective Action Plan was posted in a location visible to parents and visitors at the entrance of the child care facility. The corrective action plan will need to submit to me by March 8, 2024. An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture/care of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • Sanitation Rule 15A NCAC 18A .2804(a) regarding safe food Facility was incompliance regarding supervision, nurture/care of children, and regarding safe food on 2/28/2024, 4/10/2024, and 5/6/2024. 2.Within two (2) weeks after this Notice is received, Yasmeen Robbin, administrator, shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When more than one group of children is combined • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one area to another • When children are transitioned from one caregiver to another • Personal phone use by staff • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sandra Johnson, Child Care Consultant, PO Box 64401, Fayetteville, NC 28306, telephone number 910-408-8985, sandra.johnson@dhhs.nc.gov, for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. All documentation shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding adequate supervision by 3 /8/,2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 3.Within two (2) weeks after this Notice is received, Ms. Robbin shall contact Southwestern Child Development @ Southwestern Child Development Commission, Inc (learningstream.com) and register for the course “Conflict Competence for Leaders” or a related course. If choosing a related course, the course must be a topic related to effective communication skills and relationships with staff and families. The course must be completed within thirty (30) days after registering. Within one (1) week following the training, Ms. Robbin shall submit a written summary to Ms. Johnson that includes, but not limited to, information learned from the course and how the information will be incorporated in the day-to-day operation. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins submitted the summary for the Conflict Competence for Leaders training 3/5/2024. 4.Within two (2) weeks after this Notice is received, Ms. Robbin shall develop a written plan that describes, in detail, the steps the facility will take to ensure expired food items are promptly removed and not served to children. The written plan shall include, but not be limited to, the following: • Who will be responsible for monitoring dates of food items that are purchased • How will the dates be monitored • How will food be discarded when food is expired • How food will be stored The written plan shall be submitted to Ms. Johnson for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved plan shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding Expired Safe Food by March 8, 2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 5.Within two (2) weeks after approval is received for Items #2 and #4, a staff meeting shall be conducted to review the approved written plans. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory staff meeting. Documentation of the meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the minutes shall be submitted to Ms. Johnson within three (3) days after the meeting is conducted. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins completed a mandatory staff meeting on 3/14/2024 and submitted attendance roster with names and signature of each staff member and required information on 3/20/2024. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 5/6/2024 Number Present: 12 Completed Date: 5/6/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to annual compliance visit to included an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 89% which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four -Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed August 22, 2023. Fire Classification of Approved completed June 27, 2023. I was greeted by Ms. Rodriguez; I monitored the indoor and outdoor areas. Ms. Muwwakkil arrived at 9:10a.m. The children in space #1, #2, and #3, were participating in bathroom routines after having breakfast. After bathroom routines the children transitioned to free choice activities. Children were creating flowers with their hands. They used different color construction paper and were able to pick from several colors of paint for their flowers. This was a small group activity that the teacher assisted the children with. Children were also observed playing with stacking blocks, puzzles, dress up clothes, and reading books. Breakfast served was cheese toast, and milk. Lunch served today was pizza rolls, mixed vegetables, fresh apples, and milk. During today’s visit I monitored five staff files, see attached staff and training worksheet. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #2, the current activity plan that was posted was dated 4/29-5/3/2024. During the visit the teacher posted a current activity plan. GS 110-91(12); .0508(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. EMC Plan was not reviewed with one staff annually. The staff did not have a signed statement on file. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff did not have a signed annual health questionnaire on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff did not have an updated emergency information form on file. .0701(a) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. One staff did not complete on-going training hours since last annual compliance visit 5/9/2023. During the visit the teacher submitted her transcript showing the classes that she completed for fall semester. The teacher is working towards BA in Early Childhood Education. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff file did not have a signed annual staff evaluation on file for review. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. While monitoring three children's file, one child's file did not have a health assessment on file for review. The child's start date 7/2023. GS110-91(1) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. EPR plan was not updated annually for updated of changes and current information. .0607(e) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff did not have documentation of review of the EPR plan on file. .0607(f) 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. One staff did not complete health and safety trainings within five years of completing previous health and safety trainings on 6/16/2017 .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 violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on May 20, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 TA: A violation was cited for a medical report being on file for one child. Refer to rule GS 110-91(1). We discussed the following strategy: Ensure you are using the check list provided on the DCDEE website to note dates that documents are received. A violation was cited for a current activity plan not being posted. Refer to child care rule 10A NCAC 09 .0508(a). We discussed the following strategy: Ensure that staff complete and post an activity plan for each age group and made visible for parent to see. Administrative Action – Written Warning (WW) The administrative action, cover letter, Corrective Action Plan, and the Provisional License. dated February 22, 2024, must be posted for three (3) months, also until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). During today’s visit The Notice of Administrative Action, cover letter, and Corrective Action Plan was posted in a location visible to parents and visitors at the entrance of the child care facility. The corrective action plan will need to submit to me by March 8, 2024. An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture/care of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • Sanitation Rule 15A NCAC 18A .2804(a) regarding safe food Facility was incompliance regarding supervision, nurture/care of children, and regarding safe food on 2/28/2024, 4/10/2024, and 5/6/2024. 2.Within two (2) weeks after this Notice is received, Yasmeen Robbin, administrator, shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When more than one group of children is combined • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one area to another • When children are transitioned from one caregiver to another • Personal phone use by staff • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sandra Johnson, Child Care Consultant, PO Box 64401, Fayetteville, NC 28306, telephone number 910-408-8985, sandra.johnson@dhhs.nc.gov, for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. All documentation shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding adequate supervision by 3 /8/,2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 3.Within two (2) weeks after this Notice is received, Ms. Robbin shall contact Southwestern Child Development @ Southwestern Child Development Commission, Inc (learningstream.com) and register for the course “Conflict Competence for Leaders” or a related course. If choosing a related course, the course must be a topic related to effective communication skills and relationships with staff and families. The course must be completed within thirty (30) days after registering. Within one (1) week following the training, Ms. Robbin shall submit a written summary to Ms. Johnson that includes, but not limited to, information learned from the course and how the information will be incorporated in the day-to-day operation. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins submitted the summary for the Conflict Competence for Leaders training 3/5/2024. 4.Within two (2) weeks after this Notice is received, Ms. Robbin shall develop a written plan that describes, in detail, the steps the facility will take to ensure expired food items are promptly removed and not served to children. The written plan shall include, but not be limited to, the following: • Who will be responsible for monitoring dates of food items that are purchased • How will the dates be monitored • How will food be discarded when food is expired • How food will be stored The written plan shall be submitted to Ms. Johnson for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved plan shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding Expired Safe Food by March 8, 2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 5.Within two (2) weeks after approval is received for Items #2 and #4, a staff meeting shall be conducted to review the approved written plans. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory staff meeting. Documentation of the meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the minutes shall be submitted to Ms. Johnson within three (3) days after the meeting is conducted. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins completed a mandatory staff meeting on 3/14/2024 and submitted attendance roster with names and signature of each staff member and required information on 3/20/2024. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 13 Completed Date: 4/10/2024 Age: From 1 To 5 Total Minutes: 165 Time In: 09:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 88% which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four -Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by, Yasmeen Robbins, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed August 22, 2023. Fire Classification of Approved completed June 27, 2023. I was greeted by Ms. Quita, Lead Teacher, I monitored the indoor and outdoor areas. Ms. Robbins, and Ms. Muwwakkil, arrived at 9:10a.m. The children in space #1, #2, and #3, were participating in bathroom routines and preparing for large group time. The children were observed singing songs, talking about the theme for the week, and reviewing their letters, colors, shapes, numbers. Lunch served today will be fish sticks, mix vegetables, diced mangos, and milk. During today’s visit I monitored four new staff files please see attached staff and training worksheet. At the completion of the visit, the Visit Summary was reviewed with Yasmeen Robbins. The following violation was observed: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member had a medical report on file that was more than 12 months. The date on medical report was 10/26/2022. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 24, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 TA: A violation was cited for medical report being more that 12 months old. Refer to child care rule 10A NCAC 09 .0701(a). We discussed the following strategy: Ensure you are monitoring the all dates on required documents for hires. Administrative Action – Written Warning (WW) The administrative action, cover letter, Corrective Action Plan, and the Provisional License. dated February 22, 2024, must be posted for three (3) months, also until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). During today’s visit The Notice of Administrative Action, cover letter, and Corrective Action Plan was posted in a location visible to parents and visitors at the entrance of the child care facility. The corrective action plan will need to submit to me by March 8, 2024. An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture/care of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • Sanitation Rule 15A NCAC 18A .2804(a) regarding safe food Facility was incompliance regarding supervision, nurture/care of children, and regarding safe food on 2/28/2024, 4/10/2024. 2.Within two (2) weeks after this Notice is received, Yasmeen Robbin, administrator, shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When more than one group of children is combined • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one area to another • When children are transitioned from one caregiver to another • Personal phone use by staff • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sandra Johnson, Child Care Consultant, PO Box 64401, Fayetteville, NC 28306, telephone number 910-408-8985, sandra.johnson@dhhs.nc.gov, for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. All documentation shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding adequate supervision by 3 /8/,2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 3.Within two (2) weeks after this Notice is received, Ms. Robbin shall contact Southwestern Child Development @ Southwestern Child Development Commission, Inc (learningstream.com) and register for the course “Conflict Competence for Leaders” or a related course. If choosing a related course, the course must be a topic related to effective communication skills and relationships with staff and families. The course must be completed within thirty (30) days after registering. Within one (1) week following the training, Ms. Robbin shall submit a written summary to Ms. Johnson that includes, but not limited to, information learned from the course and how the information will be incorporated in the day-to-day operation. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins submitted the summary for the Conflict Competence for Leaders training 3/5/2024. 4.Within two (2) weeks after this Notice is received, Ms. Robbin shall develop a written plan that describes, in detail, the steps the facility will take to ensure expired food items are promptly removed and not served to children. The written plan shall include, but not be limited to, the following: • Who will be responsible for monitoring dates of food items that are purchased • How will the dates be monitored • How will food be discarded when food is expired • How food will be stored The written plan shall be submitted to Ms. Johnson for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved plan shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding Expired Safe Food by March 8, ,2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 5.Within two (2) weeks after approval is received for Items #2 and #4, a staff meeting shall be conducted to review the approved written plans. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory staff meeting. Documentation of the meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the minutes shall be submitted to Ms. Johnson within three (3) days after the meeting is conducted. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins completed a mandatory staff meeting on 3/14/2024 and submitted attendance roster with names and signature of each staff member and required information on 3/20/2024. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 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 .1801 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 13 Completed Date: 4/10/2024 Age: From 1 To 5 Total Minutes: 165 Time In: 09:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 88% which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four -Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by, Yasmeen Robbins, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed August 22, 2023. Fire Classification of Approved completed June 27, 2023. I was greeted by Ms. Quita, Lead Teacher, I monitored the indoor and outdoor areas. Ms. Robbins, and Ms. Muwwakkil, arrived at 9:10a.m. The children in space #1, #2, and #3, were participating in bathroom routines and preparing for large group time. The children were observed singing songs, talking about the theme for the week, and reviewing their letters, colors, shapes, numbers. Lunch served today will be fish sticks, mix vegetables, diced mangos, and milk. During today’s visit I monitored four new staff files please see attached staff and training worksheet. At the completion of the visit, the Visit Summary was reviewed with Yasmeen Robbins. The following violation was observed: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member had a medical report on file that was more than 12 months. The date on medical report was 10/26/2022. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 24, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 TA: A violation was cited for medical report being more that 12 months old. Refer to child care rule 10A NCAC 09 .0701(a). We discussed the following strategy: Ensure you are monitoring the all dates on required documents for hires. Administrative Action – Written Warning (WW) The administrative action, cover letter, Corrective Action Plan, and the Provisional License. dated February 22, 2024, must be posted for three (3) months, also until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). During today’s visit The Notice of Administrative Action, cover letter, and Corrective Action Plan was posted in a location visible to parents and visitors at the entrance of the child care facility. The corrective action plan will need to submit to me by March 8, 2024. An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture/care of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • Sanitation Rule 15A NCAC 18A .2804(a) regarding safe food Facility was incompliance regarding supervision, nurture/care of children, and regarding safe food on 2/28/2024, 4/10/2024. 2.Within two (2) weeks after this Notice is received, Yasmeen Robbin, administrator, shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When more than one group of children is combined • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one area to another • When children are transitioned from one caregiver to another • Personal phone use by staff • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sandra Johnson, Child Care Consultant, PO Box 64401, Fayetteville, NC 28306, telephone number 910-408-8985, sandra.johnson@dhhs.nc.gov, for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. All documentation shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding adequate supervision by 3 /8/,2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 3.Within two (2) weeks after this Notice is received, Ms. Robbin shall contact Southwestern Child Development @ Southwestern Child Development Commission, Inc (learningstream.com) and register for the course “Conflict Competence for Leaders” or a related course. If choosing a related course, the course must be a topic related to effective communication skills and relationships with staff and families. The course must be completed within thirty (30) days after registering. Within one (1) week following the training, Ms. Robbin shall submit a written summary to Ms. Johnson that includes, but not limited to, information learned from the course and how the information will be incorporated in the day-to-day operation. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins submitted the summary for the Conflict Competence for Leaders training 3/5/2024. 4.Within two (2) weeks after this Notice is received, Ms. Robbin shall develop a written plan that describes, in detail, the steps the facility will take to ensure expired food items are promptly removed and not served to children. The written plan shall include, but not be limited to, the following: • Who will be responsible for monitoring dates of food items that are purchased • How will the dates be monitored • How will food be discarded when food is expired • How food will be stored The written plan shall be submitted to Ms. Johnson for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved plan shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding Expired Safe Food by March 8, ,2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 5.Within two (2) weeks after approval is received for Items #2 and #4, a staff meeting shall be conducted to review the approved written plans. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory staff meeting. Documentation of the meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the minutes shall be submitted to Ms. Johnson within three (3) days after the meeting is conducted. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins completed a mandatory staff meeting on 3/14/2024 and submitted attendance roster with names and signature of each staff member and required information on 3/20/2024. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 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 .2201 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 13 Completed Date: 4/10/2024 Age: From 1 To 5 Total Minutes: 165 Time In: 09:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 88% which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four -Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by, Yasmeen Robbins, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed August 22, 2023. Fire Classification of Approved completed June 27, 2023. I was greeted by Ms. Quita, Lead Teacher, I monitored the indoor and outdoor areas. Ms. Robbins, and Ms. Muwwakkil, arrived at 9:10a.m. The children in space #1, #2, and #3, were participating in bathroom routines and preparing for large group time. The children were observed singing songs, talking about the theme for the week, and reviewing their letters, colors, shapes, numbers. Lunch served today will be fish sticks, mix vegetables, diced mangos, and milk. During today’s visit I monitored four new staff files please see attached staff and training worksheet. At the completion of the visit, the Visit Summary was reviewed with Yasmeen Robbins. The following violation was observed: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member had a medical report on file that was more than 12 months. The date on medical report was 10/26/2022. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 24, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 TA: A violation was cited for medical report being more that 12 months old. Refer to child care rule 10A NCAC 09 .0701(a). We discussed the following strategy: Ensure you are monitoring the all dates on required documents for hires. Administrative Action – Written Warning (WW) The administrative action, cover letter, Corrective Action Plan, and the Provisional License. dated February 22, 2024, must be posted for three (3) months, also until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). During today’s visit The Notice of Administrative Action, cover letter, and Corrective Action Plan was posted in a location visible to parents and visitors at the entrance of the child care facility. The corrective action plan will need to submit to me by March 8, 2024. An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture/care of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • Sanitation Rule 15A NCAC 18A .2804(a) regarding safe food Facility was incompliance regarding supervision, nurture/care of children, and regarding safe food on 2/28/2024, 4/10/2024. 2.Within two (2) weeks after this Notice is received, Yasmeen Robbin, administrator, shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When more than one group of children is combined • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one area to another • When children are transitioned from one caregiver to another • Personal phone use by staff • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sandra Johnson, Child Care Consultant, PO Box 64401, Fayetteville, NC 28306, telephone number 910-408-8985, sandra.johnson@dhhs.nc.gov, for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. All documentation shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding adequate supervision by 3 /8/,2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 3.Within two (2) weeks after this Notice is received, Ms. Robbin shall contact Southwestern Child Development @ Southwestern Child Development Commission, Inc (learningstream.com) and register for the course “Conflict Competence for Leaders” or a related course. If choosing a related course, the course must be a topic related to effective communication skills and relationships with staff and families. The course must be completed within thirty (30) days after registering. Within one (1) week following the training, Ms. Robbin shall submit a written summary to Ms. Johnson that includes, but not limited to, information learned from the course and how the information will be incorporated in the day-to-day operation. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins submitted the summary for the Conflict Competence for Leaders training 3/5/2024. 4.Within two (2) weeks after this Notice is received, Ms. Robbin shall develop a written plan that describes, in detail, the steps the facility will take to ensure expired food items are promptly removed and not served to children. The written plan shall include, but not be limited to, the following: • Who will be responsible for monitoring dates of food items that are purchased • How will the dates be monitored • How will food be discarded when food is expired • How food will be stored The written plan shall be submitted to Ms. Johnson for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved plan shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding Expired Safe Food by March 8, ,2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 5.Within two (2) weeks after approval is received for Items #2 and #4, a staff meeting shall be conducted to review the approved written plans. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory staff meeting. Documentation of the meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the minutes shall be submitted to Ms. Johnson within three (3) days after the meeting is conducted. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins completed a mandatory staff meeting on 3/14/2024 and submitted attendance roster with names and signature of each staff member and required information on 3/20/2024. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 13 Completed Date: 4/10/2024 Age: From 1 To 5 Total Minutes: 165 Time In: 09:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an Administrative Action Follow-Up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 88% which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four -Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by, Yasmeen Robbins, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed August 22, 2023. Fire Classification of Approved completed June 27, 2023. I was greeted by Ms. Quita, Lead Teacher, I monitored the indoor and outdoor areas. Ms. Robbins, and Ms. Muwwakkil, arrived at 9:10a.m. The children in space #1, #2, and #3, were participating in bathroom routines and preparing for large group time. The children were observed singing songs, talking about the theme for the week, and reviewing their letters, colors, shapes, numbers. Lunch served today will be fish sticks, mix vegetables, diced mangos, and milk. During today’s visit I monitored four new staff files please see attached staff and training worksheet. At the completion of the visit, the Visit Summary was reviewed with Yasmeen Robbins. The following violation was observed: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member had a medical report on file that was more than 12 months. The date on medical report was 10/26/2022. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 24, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.johnson@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 TA: A violation was cited for medical report being more that 12 months old. Refer to child care rule 10A NCAC 09 .0701(a). We discussed the following strategy: Ensure you are monitoring the all dates on required documents for hires. Administrative Action – Written Warning (WW) The administrative action, cover letter, Corrective Action Plan, and the Provisional License. dated February 22, 2024, must be posted for three (3) months, also until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. The Notice of Administrative Action, cover letter, and Corrective Action Plan must be posted in a location visible to parents and visitors near the entrance of the child care facility as required by Child Care Rule 10A NCAC 09 .2201(i). During today’s visit The Notice of Administrative Action, cover letter, and Corrective Action Plan was posted in a location visible to parents and visitors at the entrance of the child care facility. The corrective action plan will need to submit to me by March 8, 2024. An unannounced visit will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Corrective Action Plan. Documentation to support compliance with the Corrective Action Plan is required. Failure to comply with the terms of the Corrective Action Plan may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. 1.The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture/care of children • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision of children • Sanitation Rule 15A NCAC 18A .2804(a) regarding safe food Facility was incompliance regarding supervision, nurture/care of children, and regarding safe food on 2/28/2024, 4/10/2024. 2.Within two (2) weeks after this Notice is received, Yasmeen Robbin, administrator, shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not limited to, the following: • When children are arriving and departing from the facility each day • When children are toileting • When children are outside, but not in a fenced area • When children are on the playground • When more than one group of children is combined • When children are preparing for and eating meals • When children are napping/resting • When children are transitioned from one area to another • When children are transitioned from one caregiver to another • Personal phone use by staff • Procedures for supervisory staff members to visit each classroom and monitor staff members’ implementation of the supervision plan • Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The written plan shall be submitted to Sandra Johnson, Child Care Consultant, PO Box 64401, Fayetteville, NC 28306, telephone number 910-408-8985, sandra.johnson@dhhs.nc.gov, for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. All documentation shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding adequate supervision by 3 /8/,2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 3.Within two (2) weeks after this Notice is received, Ms. Robbin shall contact Southwestern Child Development @ Southwestern Child Development Commission, Inc (learningstream.com) and register for the course “Conflict Competence for Leaders” or a related course. If choosing a related course, the course must be a topic related to effective communication skills and relationships with staff and families. The course must be completed within thirty (30) days after registering. Within one (1) week following the training, Ms. Robbin shall submit a written summary to Ms. Johnson that includes, but not limited to, information learned from the course and how the information will be incorporated in the day-to-day operation. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins submitted the summary for the Conflict Competence for Leaders training 3/5/2024. 4.Within two (2) weeks after this Notice is received, Ms. Robbin shall develop a written plan that describes, in detail, the steps the facility will take to ensure expired food items are promptly removed and not served to children. The written plan shall include, but not be limited to, the following: • Who will be responsible for monitoring dates of food items that are purchased • How will the dates be monitored • How will food be discarded when food is expired • How food will be stored The written plan shall be submitted to Ms. Johnson for approval. Ms. Johnson shall notify Ms. Robbin, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved plan shall be maintained in facility files for review by a representative of the Division of Child Development upon request. Y. Robbins must submit a written plan for achieving compliance regarding Expired Safe Food by March 8, ,2024, for approval. The written plan was received on 3/4/2024 and approved on 3/8/2024. 5.Within two (2) weeks after approval is received for Items #2 and #4, a staff meeting shall be conducted to review the approved written plans. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory staff meeting. Documentation of the meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. A copy of the minutes shall be submitted to Ms. Johnson within three (3) days after the meeting is conducted. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Y. Robbins completed a mandatory staff meeting on 3/14/2024 and submitted attendance roster with names and signature of each staff member and required information on 3/20/2024. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 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 .2200 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 2/15/2024 Number Present: 13 Completed Date: 2/15/2024 Age: From 1 To 5 Total Minutes: 190 Time In: 08:35 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a unannounced follow-up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 88% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an education option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Yasmeen Robbins, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification, Superior completed August 22, 2023 Fire Classification of Approved completed June 27, 2023 Upon entering the facility, I was greeted by Ms. Muwwakkil, I observed the indoor and outdoor areas. The children in space #1 & #2 were observed cleaning up after having a morning snack. The children were observed participating in bathroom routines and transiting back to their classroom to participate in free choice activities. The children were observed painting, playing with blocks, and large Legos. The A.M. snack was pancakes and milk. Lunch served today was meat balls, mixed vegetables, mandarin organs, bread, and milk. One new staff file was monitored, and the staff and training worksheet was completed one violation was found. The staff and training worksheet from previous visits were monitored to ensure all required information was current. At the completion of the visit, the Visit Summary was reviewed with Ms. Robbins. The following violation was observed: Violation Number Comment Rule 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One new staff file was monitored. There was no orientation form or any other documents that show the required six clock hours of training was completed. The administrator stated that she had completed but had not documented the form. This was corrected during today's visit by the administrator documenting the orientation form. .1101(a)(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. No compliance letter is due. The violation was corrected during today’s visit. During today’s visit we discussed that an Administrative Action has been recommended due the substantiation of the concerns during a compliant visit and violation cited during the visit. Based on Child Care Rule Section 10A NCAC 09 .2200, an Administrative Action is warranted to allow adequate time to demonstrate your ability to achieve and maintain compliance. I also discussed that the Administrative Action is still being processed by DCDEE. TA: A violation was cited for the first two weeks of orientation not being document upon training. Refer to NC Child Care Rule NCAC 09 .1101(a) (b). We discussed the following strategy: Ensure that when training staff that you document the form as you are completing the trainings. Reminders: 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 Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavioral challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 2/15/2024 Number Present: 13 Completed Date: 2/15/2024 Age: From 1 To 5 Total Minutes: 190 Time In: 08:35 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a unannounced follow-up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 88% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an education option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Yasmeen Robbins, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification, Superior completed August 22, 2023 Fire Classification of Approved completed June 27, 2023 Upon entering the facility, I was greeted by Ms. Muwwakkil, I observed the indoor and outdoor areas. The children in space #1 & #2 were observed cleaning up after having a morning snack. The children were observed participating in bathroom routines and transiting back to their classroom to participate in free choice activities. The children were observed painting, playing with blocks, and large Legos. The A.M. snack was pancakes and milk. Lunch served today was meat balls, mixed vegetables, mandarin organs, bread, and milk. One new staff file was monitored, and the staff and training worksheet was completed one violation was found. The staff and training worksheet from previous visits were monitored to ensure all required information was current. At the completion of the visit, the Visit Summary was reviewed with Ms. Robbins. The following violation was observed: Violation Number Comment Rule 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One new staff file was monitored. There was no orientation form or any other documents that show the required six clock hours of training was completed. The administrator stated that she had completed but had not documented the form. This was corrected during today's visit by the administrator documenting the orientation form. .1101(a)(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. No compliance letter is due. The violation was corrected during today’s visit. During today’s visit we discussed that an Administrative Action has been recommended due the substantiation of the concerns during a compliant visit and violation cited during the visit. Based on Child Care Rule Section 10A NCAC 09 .2200, an Administrative Action is warranted to allow adequate time to demonstrate your ability to achieve and maintain compliance. I also discussed that the Administrative Action is still being processed by DCDEE. TA: A violation was cited for the first two weeks of orientation not being document upon training. Refer to NC Child Care Rule NCAC 09 .1101(a) (b). We discussed the following strategy: Ensure that when training staff that you document the form as you are completing the trainings. Reminders: 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 Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavioral challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: 0124-111L Visit Date: 1/17/2024 Number Present: 18 Completed Date: 1/17/2024 Age: From 1 To 5 Total Minutes: 310 Time In: 09:05 AM Time Out: 02:15 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 May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 92% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an education option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgiana Muwwakkil, Operator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification, Superior completed August 22, 2023 Fire Classification of Approved completed June 27, 2023 There is a concern that staff are not interacting with children in a nurturing and caring manner. There is a concern that children are not being adequately supervised. There is a concern that food is being served past the expiration date. Upon entering the facility, I was greeted by Lead Teacher in space#1, I observed the indoors and outdoors areas. The children in space #2, and #3, were observed playing in free choice play. Children were seen playing with blocks, pots, and pans, play food, and dolls. In space #1, the children were observed participating in bathroom routines before transitioning back to their classroom. The children returned to their classroom and participated in large group time. Ms. Muwwakkil arrived at the facility at 9:20a.m. Lunch served today was peanut butter and jelly sandwiches, corn, fresh cut oranges, and milk. The allegations were discussed with Ms. Muwwakkil and three staff members were interviewed, observations conducted, and files monitored. During the discussion, it was confirmed by the operator and one staff member that a child was left at the backdoor where they enter in from the playground area. It was stated the child was left alone for no more than two mins. It was also stated by a staff member that a disagreement had occurred between a staff member and the operator, voices were raised and that it was during operating hours while children were in care. During the observation of food items several items were found expired. Based on the information gathered and observations made, the allegation of violation of child care requirements pertaining to concerns regarding staff not interacting with children in a nurturing and caring manner is substantiated. Based on the information gathered and observations made, the allegation of violation of child care requirements pertaining to concerns regarding that children are not being adequately supervised is substantiated. Based on the information gathered and observations made, the allegation of violation of child care requirements pertaining to concerns regarding that food is being served past the expiration date is substantiated. Two new staff files were monitored and the staff and training worksheet was completed One violation was found. The staff and training worksheet from annual compliance visit completed on 5/9/2023 was monitored during the visit and two violations were found. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Two staff members confirmed that a child was left outside for approximately two minutes. This was corrected during this visit based on my observation and a plan implemented by administration requiring staff members take clips boards outside and doing name to face recognition during transitions between indoors and outdoors. .1801(a)(1-5) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. An infant bottle of milk was stored in the refrigerator in the kitchen and was dated 1/22/2024. This was corrected during the visit when the staff discarded the milk and placed the bottle in the child’s bag. 15A NCAC 18A .2804(d) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. During interviews and review of video, it was confirmed two staff had a disagreement resulting in raised voices and inappropriate language. Children were not in the space however, staff in the space with children confirmed the altercation was heard. G.S. 110-91(10) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff did not have current First Aid Certification on file. One expired 6/2023 and the other expired 12/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff did not have current CPR Certification on file. Once expired 6/2023 and the other expired 12/2023. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two new staff did not have Shaken Baby Syndrome and Abusive Head Trauma policy on file prior to working with children. This was corrected by the operator reviewing and providing the document to the staff members and having them to sign the acknowledgment today. This is a repeat violation from visit completed on 11/2/2023 .0608(d)(1-4) 9999 Food was not kept free from spoilage, filth, or other contamination and was therefore, not safe for human consumption. In the kitchen, there were four loaves of bread with expiration date 1/11/2024, a can of peaches with expiration date 1/1/2022, peanut butter with expiration date 6/7/2023, a box of Go Gurt with expiration date 1/15/2024, and a carton of eggs with expiration date 11/21/2023. This was corrected during the visit. The operator stated the foods were not used in food service to children. Additionally, the foods were discarded during the visit and the operator stated she planned to check the refrigerator and foods stored weekly to ensure all were not expired. This a violation of Sanitation Rule 15A NCAC 18A .2804(a.) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on January 31, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@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 TA: Adequate Supervision: During today's visit a violation was cited for children not being adequately supervised. To ensure a health and safety environment refer to child care rule reference 10A NCAC .09 1801(a)(1-5). We discussed several strategies to help maintain compliance with adequate supervision regarding a child being left outdoors in the play area. Ensure staff are counting children throughout their day. Ensure staff do a name to face check several times throughout the day. A violation was cited regarding child not being attend to nurturing and caring way. Refer to child care rule G.S. 110-91(10). We discussed role modeling as operator and staff. When model what we would like for the children to do. So, when having a disagreement with a staff member you would want to have that conversation in an office away from the children. You must show professionalism in front of children. Child need to know and feel that the are in a safe environment. A violation was cited for not completing CPR and not having it on file for two staff. It is required that all staff have CPR training in person. Refer to child care rule 10A NCAC 09 .1102 (d). We discussed several strategies. Make sure you are monitoring the staff file to see when certification expire. Document on a calendar prior to when documents due. A violation was cited for two staff members not having First Aid training on file for review. Refer to child care rule 10A NCAC 09 .1102(c). We discussed several strategies. Make sure you are monitoring the staff file to see when the certification expire. Document on a calendar prior to when documents due. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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. 110-91 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: 0124-111L Visit Date: 1/17/2024 Number Present: 18 Completed Date: 1/17/2024 Age: From 1 To 5 Total Minutes: 310 Time In: 09:05 AM Time Out: 02:15 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 May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 92% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an education option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgiana Muwwakkil, Operator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification, Superior completed August 22, 2023 Fire Classification of Approved completed June 27, 2023 There is a concern that staff are not interacting with children in a nurturing and caring manner. There is a concern that children are not being adequately supervised. There is a concern that food is being served past the expiration date. Upon entering the facility, I was greeted by Lead Teacher in space#1, I observed the indoors and outdoors areas. The children in space #2, and #3, were observed playing in free choice play. Children were seen playing with blocks, pots, and pans, play food, and dolls. In space #1, the children were observed participating in bathroom routines before transitioning back to their classroom. The children returned to their classroom and participated in large group time. Ms. Muwwakkil arrived at the facility at 9:20a.m. Lunch served today was peanut butter and jelly sandwiches, corn, fresh cut oranges, and milk. The allegations were discussed with Ms. Muwwakkil and three staff members were interviewed, observations conducted, and files monitored. During the discussion, it was confirmed by the operator and one staff member that a child was left at the backdoor where they enter in from the playground area. It was stated the child was left alone for no more than two mins. It was also stated by a staff member that a disagreement had occurred between a staff member and the operator, voices were raised and that it was during operating hours while children were in care. During the observation of food items several items were found expired. Based on the information gathered and observations made, the allegation of violation of child care requirements pertaining to concerns regarding staff not interacting with children in a nurturing and caring manner is substantiated. Based on the information gathered and observations made, the allegation of violation of child care requirements pertaining to concerns regarding that children are not being adequately supervised is substantiated. Based on the information gathered and observations made, the allegation of violation of child care requirements pertaining to concerns regarding that food is being served past the expiration date is substantiated. Two new staff files were monitored and the staff and training worksheet was completed One violation was found. The staff and training worksheet from annual compliance visit completed on 5/9/2023 was monitored during the visit and two violations were found. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Two staff members confirmed that a child was left outside for approximately two minutes. This was corrected during this visit based on my observation and a plan implemented by administration requiring staff members take clips boards outside and doing name to face recognition during transitions between indoors and outdoors. .1801(a)(1-5) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. An infant bottle of milk was stored in the refrigerator in the kitchen and was dated 1/22/2024. This was corrected during the visit when the staff discarded the milk and placed the bottle in the child’s bag. 15A NCAC 18A .2804(d) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. During interviews and review of video, it was confirmed two staff had a disagreement resulting in raised voices and inappropriate language. Children were not in the space however, staff in the space with children confirmed the altercation was heard. G.S. 110-91(10) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff did not have current First Aid Certification on file. One expired 6/2023 and the other expired 12/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff did not have current CPR Certification on file. Once expired 6/2023 and the other expired 12/2023. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two new staff did not have Shaken Baby Syndrome and Abusive Head Trauma policy on file prior to working with children. This was corrected by the operator reviewing and providing the document to the staff members and having them to sign the acknowledgment today. This is a repeat violation from visit completed on 11/2/2023 .0608(d)(1-4) 9999 Food was not kept free from spoilage, filth, or other contamination and was therefore, not safe for human consumption. In the kitchen, there were four loaves of bread with expiration date 1/11/2024, a can of peaches with expiration date 1/1/2022, peanut butter with expiration date 6/7/2023, a box of Go Gurt with expiration date 1/15/2024, and a carton of eggs with expiration date 11/21/2023. This was corrected during the visit. The operator stated the foods were not used in food service to children. Additionally, the foods were discarded during the visit and the operator stated she planned to check the refrigerator and foods stored weekly to ensure all were not expired. This a violation of Sanitation Rule 15A NCAC 18A .2804(a.) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on January 31, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@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 TA: Adequate Supervision: During today's visit a violation was cited for children not being adequately supervised. To ensure a health and safety environment refer to child care rule reference 10A NCAC .09 1801(a)(1-5). We discussed several strategies to help maintain compliance with adequate supervision regarding a child being left outdoors in the play area. Ensure staff are counting children throughout their day. Ensure staff do a name to face check several times throughout the day. A violation was cited regarding child not being attend to nurturing and caring way. Refer to child care rule G.S. 110-91(10). We discussed role modeling as operator and staff. When model what we would like for the children to do. So, when having a disagreement with a staff member you would want to have that conversation in an office away from the children. You must show professionalism in front of children. Child need to know and feel that the are in a safe environment. A violation was cited for not completing CPR and not having it on file for two staff. It is required that all staff have CPR training in person. Refer to child care rule 10A NCAC 09 .1102 (d). We discussed several strategies. Make sure you are monitoring the staff file to see when certification expire. Document on a calendar prior to when documents due. A violation was cited for two staff members not having First Aid training on file for review. Refer to child care rule 10A NCAC 09 .1102(c). We discussed several strategies. Make sure you are monitoring the staff file to see when the certification expire. Document on a calendar prior to when documents due. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: 0124-111L Visit Date: 1/17/2024 Number Present: 18 Completed Date: 1/17/2024 Age: From 1 To 5 Total Minutes: 310 Time In: 09:05 AM Time Out: 02:15 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 May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 92% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an education option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgiana Muwwakkil, Operator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification, Superior completed August 22, 2023 Fire Classification of Approved completed June 27, 2023 There is a concern that staff are not interacting with children in a nurturing and caring manner. There is a concern that children are not being adequately supervised. There is a concern that food is being served past the expiration date. Upon entering the facility, I was greeted by Lead Teacher in space#1, I observed the indoors and outdoors areas. The children in space #2, and #3, were observed playing in free choice play. Children were seen playing with blocks, pots, and pans, play food, and dolls. In space #1, the children were observed participating in bathroom routines before transitioning back to their classroom. The children returned to their classroom and participated in large group time. Ms. Muwwakkil arrived at the facility at 9:20a.m. Lunch served today was peanut butter and jelly sandwiches, corn, fresh cut oranges, and milk. The allegations were discussed with Ms. Muwwakkil and three staff members were interviewed, observations conducted, and files monitored. During the discussion, it was confirmed by the operator and one staff member that a child was left at the backdoor where they enter in from the playground area. It was stated the child was left alone for no more than two mins. It was also stated by a staff member that a disagreement had occurred between a staff member and the operator, voices were raised and that it was during operating hours while children were in care. During the observation of food items several items were found expired. Based on the information gathered and observations made, the allegation of violation of child care requirements pertaining to concerns regarding staff not interacting with children in a nurturing and caring manner is substantiated. Based on the information gathered and observations made, the allegation of violation of child care requirements pertaining to concerns regarding that children are not being adequately supervised is substantiated. Based on the information gathered and observations made, the allegation of violation of child care requirements pertaining to concerns regarding that food is being served past the expiration date is substantiated. Two new staff files were monitored and the staff and training worksheet was completed One violation was found. The staff and training worksheet from annual compliance visit completed on 5/9/2023 was monitored during the visit and two violations were found. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Two staff members confirmed that a child was left outside for approximately two minutes. This was corrected during this visit based on my observation and a plan implemented by administration requiring staff members take clips boards outside and doing name to face recognition during transitions between indoors and outdoors. .1801(a)(1-5) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. An infant bottle of milk was stored in the refrigerator in the kitchen and was dated 1/22/2024. This was corrected during the visit when the staff discarded the milk and placed the bottle in the child’s bag. 15A NCAC 18A .2804(d) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. During interviews and review of video, it was confirmed two staff had a disagreement resulting in raised voices and inappropriate language. Children were not in the space however, staff in the space with children confirmed the altercation was heard. G.S. 110-91(10) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff did not have current First Aid Certification on file. One expired 6/2023 and the other expired 12/2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff did not have current CPR Certification on file. Once expired 6/2023 and the other expired 12/2023. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two new staff did not have Shaken Baby Syndrome and Abusive Head Trauma policy on file prior to working with children. This was corrected by the operator reviewing and providing the document to the staff members and having them to sign the acknowledgment today. This is a repeat violation from visit completed on 11/2/2023 .0608(d)(1-4) 9999 Food was not kept free from spoilage, filth, or other contamination and was therefore, not safe for human consumption. In the kitchen, there were four loaves of bread with expiration date 1/11/2024, a can of peaches with expiration date 1/1/2022, peanut butter with expiration date 6/7/2023, a box of Go Gurt with expiration date 1/15/2024, and a carton of eggs with expiration date 11/21/2023. This was corrected during the visit. The operator stated the foods were not used in food service to children. Additionally, the foods were discarded during the visit and the operator stated she planned to check the refrigerator and foods stored weekly to ensure all were not expired. This a violation of Sanitation Rule 15A NCAC 18A .2804(a.) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on January 31, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@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 TA: Adequate Supervision: During today's visit a violation was cited for children not being adequately supervised. To ensure a health and safety environment refer to child care rule reference 10A NCAC .09 1801(a)(1-5). We discussed several strategies to help maintain compliance with adequate supervision regarding a child being left outdoors in the play area. Ensure staff are counting children throughout their day. Ensure staff do a name to face check several times throughout the day. A violation was cited regarding child not being attend to nurturing and caring way. Refer to child care rule G.S. 110-91(10). We discussed role modeling as operator and staff. When model what we would like for the children to do. So, when having a disagreement with a staff member you would want to have that conversation in an office away from the children. You must show professionalism in front of children. Child need to know and feel that the are in a safe environment. A violation was cited for not completing CPR and not having it on file for two staff. It is required that all staff have CPR training in person. Refer to child care rule 10A NCAC 09 .1102 (d). We discussed several strategies. Make sure you are monitoring the staff file to see when certification expire. Document on a calendar prior to when documents due. A violation was cited for two staff members not having First Aid training on file for review. Refer to child care rule 10A NCAC 09 .1102(c). We discussed several strategies. Make sure you are monitoring the staff file to see when the certification expire. Document on a calendar prior to when documents due. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 11/13/2023 Number Present: 18 Completed Date: 11/13/2023 Age: From 1 To 4 Total Minutes: 165 Time In: 09:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements pertinent to an unannounced follow-up visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 92% which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four -Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgianna Muwwakkil, Program Coordinator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed August 22, 2023. Fire Classification of Approved completed June 27, 2023. Ms. Muwwakkil was present while I observed the indoor and outdoor areas. The children in space #1, #,2 and #3, were observed participating in free choice play. Lunch served today will was bologna sandwiches, with white bread, green beans, oranges, and milk. During a routine unannounced visit on 11/2/2023, the facility was cited violation # 1067, Orientation not being completed within the first two weeks of employment, #1874, for Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy not being reviewed and sign by staff before working with children five years of age, and #1947 an individual on provisional criminal background check status was not supervised while working with children. #1974 was corrected during the visit completed on 11/2/2023. During today’s visit the facility was in compliance and violations corrected with child care requirements regarding violation #1874, Two staff members had received and sign acknowledgement page on 11/2/2023, and one staff no longer works at the facility as of 11/7/2023. Violaton#1067, the staff that required the first two weeks of orientation no longer works for the facility. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed. Violation Number Comment Rule 538 Baby bottles were not stored to protect from contamination. In space #2, there were two bottles sitting out on a sink for over an hour. The provider remove the bottle and discarded the milk. 15A NCAC 18A .2804(d) 1887 Each infant was not served only bottles labeled with their individual name. In space #2, the labels on the bottles were dated for 11/6/2023. The provider removed the labels and placed bottles in the child's cubby to return to the parent. .0902(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. TA: A violation cited for bottles not being stored correctly. Refer to child care rule 15A NCAC 18A .2806(f). We discussed the following strategies. Ensure that parents know the policy and procedures when transitioning children into space #2. Ensure that the parents know that their child will receive milk that is provided by the facility and that it will be given to the children in a cup. Reminders: Challenging Behaviors: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavioral challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 21 Completed Date: 11/2/2023 Age: From 1 To 4 Total Minutes: 290 Time In: 09:40 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 92% which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Yasmeen Robbin, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed August 22, 2023. Fire Classification of Approved completed June 27, 2023. Georgianna Muwwakkil, Program Coordinator, was present while I observed the indoor and outdoor areas. Ms. Robbin arrived at 9:20 a.m. children were observed playing with blocks, snowflake connectors, reading books, and playing dress up. Lunch served today was sweet peas, peaches, chicken nuggets, and milk. In space 2, an observation was conducted from 10:05a.m. to 10:15a.m., the children were observed dancing and singing songs as they move about the space. One teacher was observed changing the children’s diapers. The children were then able to make a choice to keep playing freely or to come to a table and complete a drawing of trees and leaves and all the colors that they saw outdoors. The teachers were very engaged in the children’s play and allowed the children to make choices. The children were smiling, clapping, and hugging each other while they were dancing and singing songs like “If you’re Happy and you know it”, and singing their ABC’S. The children in space #1, & #3, were observed in the outdoor environment from 10:20a.m. to 10:35a.m. One teacher walked about the space outdoors, playing and talking to the children reminding them that they have to be safe when running about the space with their friends. While the other teacher stood back and watched the children. At the completion of the visit, the Visit Summary was reviewed with Ms. Robbin via phone and Georgianna Muwwakkil. The following violations were observed. Violation Number Comment Rule 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff member did not complete the first two weeks of orientation. The start date for the staff was 9/26/2023 .1101(a)(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Three new staff who are signed to provide care for children did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file before working with children. .0608(d)(1-4) 1947 An individual on a provisional criminal background check status was not supervised by a staff person who was determined to be qualified. One staff member who is on a provisional criminal background check was working with a group of children by her self. This was corrected by having another staff member who was determined qualified work with the staff member who is on a provisional. G.S. 110-90.2(b) & .2703(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on November 16, 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 me. Name Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.Johnson@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 TA: Criminal Background Checks (CBC) for Provisional: This is a reminder that staff member, Alexis Mundy, is working with a Provisional CBC and must be monitored by a qualified staff member (CBC). Her provisional will expire on 11/9/2023. Make sure you are following all childcare requirements that pertain to a provisional CBC. Based on today’s classroom observation, I discussed with Ms. Robbin the positive interactions and various learning opportunities that were provided to the children throughout the visit. However, there was one space that may need a little help with activities that need to be provided for the children when participating in outdoor play. I encouraged Ms. Robbin to share with the teachers to continue the positive interaction with the children to support children by communicating with children throughout their day. Language Support: A language-rich environment: helping children learn to communicate by themselves and communicate their needs is important because it helps them gain the foundational skills on which all later language is built. Some strategies are: • Talking to children in complete and descriptive sentences, narrating what you’re doing and what’s happening in their environment. • Talking to children with the intention of getting them to voice a response, repeating what your say, and asking them questions. • Telling children what you “heard” when they use facial expressions, gestures, words, or sounds to communicate; showing infants how conversations work by pausing and making eye contact when you talk to them. Completing some of these things when working with children will help with behaviors, and the children development. Reminders: Challenging Behaviors: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavioral challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. 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. A new July 2023 New Rule/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. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 21 Completed Date: 11/2/2023 Age: From 1 To 4 Total Minutes: 290 Time In: 09:40 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a routine unannounced visit. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 92% which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an Educational Option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Yasmeen Robbin, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed August 22, 2023. Fire Classification of Approved completed June 27, 2023. Georgianna Muwwakkil, Program Coordinator, was present while I observed the indoor and outdoor areas. Ms. Robbin arrived at 9:20 a.m. children were observed playing with blocks, snowflake connectors, reading books, and playing dress up. Lunch served today was sweet peas, peaches, chicken nuggets, and milk. In space 2, an observation was conducted from 10:05a.m. to 10:15a.m., the children were observed dancing and singing songs as they move about the space. One teacher was observed changing the children’s diapers. The children were then able to make a choice to keep playing freely or to come to a table and complete a drawing of trees and leaves and all the colors that they saw outdoors. The teachers were very engaged in the children’s play and allowed the children to make choices. The children were smiling, clapping, and hugging each other while they were dancing and singing songs like “If you’re Happy and you know it”, and singing their ABC’S. The children in space #1, & #3, were observed in the outdoor environment from 10:20a.m. to 10:35a.m. One teacher walked about the space outdoors, playing and talking to the children reminding them that they have to be safe when running about the space with their friends. While the other teacher stood back and watched the children. At the completion of the visit, the Visit Summary was reviewed with Ms. Robbin via phone and Georgianna Muwwakkil. The following violations were observed. Violation Number Comment Rule 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff member did not complete the first two weeks of orientation. The start date for the staff was 9/26/2023 .1101(a)(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Three new staff who are signed to provide care for children did not have the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file before working with children. .0608(d)(1-4) 1947 An individual on a provisional criminal background check status was not supervised by a staff person who was determined to be qualified. One staff member who is on a provisional criminal background check was working with a group of children by her self. This was corrected by having another staff member who was determined qualified work with the staff member who is on a provisional. G.S. 110-90.2(b) & .2703(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on November 16, 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 me. Name Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 Sandra.Johnson@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 TA: Criminal Background Checks (CBC) for Provisional: This is a reminder that staff member, Alexis Mundy, is working with a Provisional CBC and must be monitored by a qualified staff member (CBC). Her provisional will expire on 11/9/2023. Make sure you are following all childcare requirements that pertain to a provisional CBC. Based on today’s classroom observation, I discussed with Ms. Robbin the positive interactions and various learning opportunities that were provided to the children throughout the visit. However, there was one space that may need a little help with activities that need to be provided for the children when participating in outdoor play. I encouraged Ms. Robbin to share with the teachers to continue the positive interaction with the children to support children by communicating with children throughout their day. Language Support: A language-rich environment: helping children learn to communicate by themselves and communicate their needs is important because it helps them gain the foundational skills on which all later language is built. Some strategies are: • Talking to children in complete and descriptive sentences, narrating what you’re doing and what’s happening in their environment. • Talking to children with the intention of getting them to voice a response, repeating what your say, and asking them questions. • Telling children what you “heard” when they use facial expressions, gestures, words, or sounds to communicate; showing infants how conversations work by pausing and making eye contact when you talk to them. Completing some of these things when working with children will help with behaviors, and the children development. Reminders: Challenging Behaviors: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavioral challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. 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. A new July 2023 New Rule/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. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: sandra.johnson@dhhs.nc.gov or 910-408-8985 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: 0923-038L Visit Date: 9/11/2023 Number Present: 15 Completed Date: 9/11/2023 Age: From 1 To 4 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 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 allegation regarding violations of child care requirements. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 92% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an education option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgiana Muwwakkil, Operator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification, Superior completed August 22, 2023 Fire Classification of Approved completed June 27, 2023 There are concerns that inappropriate discipline was used. Upon entering the facility, I was greeted by Ms. Muwwakkil, she was present while I observed the indoor and outdoor areas. Upon entering the facility there were fifteen (15) children in care. The children in space #1, were participating in large group. They were doing a review of numbers, colors, shapes, and Alphabets. The children in space #2 were participating in free choice play. The children were observed playing with small plastic blocks and looking at picture books. The teacher sat with the children and talked about the pictures the children were looking at. Lunch served today was chicken nuggets, carrots, fruit cocktail, slice bread, and milk. The allegations were discussed with the administrator via phone and Ms. Muwwakkil. Staff were interviewed, observations conducted, and files monitored. Based on the information gathered, interviews conducted, and my observations during today’s visit, there wasn’t sufficient information to confirm the allegations of violation of child care requirements so the allegations for inappropriate discipline being used, was unsubstantiated. Two new staff files were monitored during today’s visit and four violations were found. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The monthly fire drill was completed on 8/28/2023, but was not recorded on the Fire Drill Log Sheet. During today's visit the provider recorded the information on the form. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff did not have medical report on file prior to employment. Start day was 9/8/2023 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff did not have the health questionnaire on file on first day of working. The staff completed health questionnaire during today's visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff had not competed emergency information form before first day of work. During today's visit the form was completed and placed in staff file. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. During today's visit the Shelter-in-place or lockdown drills, were not rescored on the log sheet. The last on completed was 3/13/2023. The operator stated that a drill was completed 8/28/2023. During today's visit the provider recorded the information on the log sheet. .0604(u);.0302(d)(8) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff did not have the signed acknowledgement form for Shaken Baby Syndrome and Abusive Head Trauma Policy. During today's visit the policy was reviewed with staff and the acknowledgement form was signed and place is staff file. .0608(d)(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 25, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@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 TA: Medical Statement: One new staff member medical statement was not on file prior to employment. Refer Child Care Rule 10A NCAC 09 .0701(a). Ensure you are monitoring all documents for dates and receiving all documents as the required time frame. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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: EARLY START CHILD CARE AND LEARNING CENTER Facility ID: 26001920 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: 0923-038L Visit Date: 9/11/2023 Number Present: 15 Completed Date: 9/11/2023 Age: From 1 To 4 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 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 allegation regarding violations of child care requirements. The previous Annual Compliance Visit was completed May 9, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 92% which is above the 75%, required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued June 2, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an education option: The child care administrator has at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. The information on record with DCDEE was verified as correct by Georgiana Muwwakkil, Operator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification, Superior completed August 22, 2023 Fire Classification of Approved completed June 27, 2023 There are concerns that inappropriate discipline was used. Upon entering the facility, I was greeted by Ms. Muwwakkil, she was present while I observed the indoor and outdoor areas. Upon entering the facility there were fifteen (15) children in care. The children in space #1, were participating in large group. They were doing a review of numbers, colors, shapes, and Alphabets. The children in space #2 were participating in free choice play. The children were observed playing with small plastic blocks and looking at picture books. The teacher sat with the children and talked about the pictures the children were looking at. Lunch served today was chicken nuggets, carrots, fruit cocktail, slice bread, and milk. The allegations were discussed with the administrator via phone and Ms. Muwwakkil. Staff were interviewed, observations conducted, and files monitored. Based on the information gathered, interviews conducted, and my observations during today’s visit, there wasn’t sufficient information to confirm the allegations of violation of child care requirements so the allegations for inappropriate discipline being used, was unsubstantiated. Two new staff files were monitored during today’s visit and four violations were found. At the completion of the visit, the Visit Summary was reviewed with Ms. Muwwakkil. The following violations were observed: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The monthly fire drill was completed on 8/28/2023, but was not recorded on the Fire Drill Log Sheet. During today's visit the provider recorded the information on the form. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff did not have medical report on file prior to employment. Start day was 9/8/2023 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff did not have the health questionnaire on file on first day of working. The staff completed health questionnaire during today's visit. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff had not competed emergency information form before first day of work. During today's visit the form was completed and placed in staff file. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. During today's visit the Shelter-in-place or lockdown drills, were not rescored on the log sheet. The last on completed was 3/13/2023. The operator stated that a drill was completed 8/28/2023. During today's visit the provider recorded the information on the log sheet. .0604(u);.0302(d)(8) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff did not have the signed acknowledgement form for Shaken Baby Syndrome and Abusive Head Trauma Policy. During today's visit the policy was reviewed with staff and the acknowledgement form was signed and place is staff file. .0608(d)(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 25, 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: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@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 TA: Medical Statement: One new staff member medical statement was not on file prior to employment. Refer Child Care Rule 10A NCAC 09 .0701(a). Ensure you are monitoring all documents for dates and receiving all documents as the required time frame. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 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