10A NCAC 09 .0701 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 6/24/2025 Number Present: 76 Completed Date: 6/24/2025 Age: From 0 To 5 Total Minutes: 140 Time In: 02:00 PM Time Out: 04:20 PM 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 April 15, 2025, and prior to today’s visit, the eighteen-month compliance history score was 93% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct by Sandra Shaw, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on September 20, 2024. Fire Classification of Satisfactory was completed on October 16, 2024. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-six (76) children and twelve (12) teachers were present. Groups of children were observed resting, eating snack and participating in free-choice activities. All bathrooms were stocked with toilet paper, wipes, paper towels, and soap. Routine care and handwashing practices were observed. A teacher was observed assisting children with using the bathroom in Space #4. One child had an accident during naptime. The teacher helped the child change into clean clothes and placed the soiled clothes in a bag to be sent to the laundry room. A diaper change was observed in Space #7a and all diapering procedures were followed. Two recently hired staff members’ files were reviewed. One staff member did not have a medical report on file. One staff member did not have a TB test or screening on file. I monitored for the Administrative Action which included the Cover Letter and the Corrective Action Plan. The Administrative Action was posted in the facility, on the wall in the lobby entrance area. At the completion of the visit, the Visit Summary was reviewed with S. Shaw. The following violations were observed: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (T.R.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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 member (T.R.) did not have TB test or screening results on file. .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on July 08, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Technical Assistance: Staff Records Two violations were cited today, because there were a variety of required items missing from a staff member’s file. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also lists timeframes for other required documents. This helps to determine if all items are on file and available for review. In addition, make sure that you have the most recent Staff File Checklist for Centers. The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. Forms can be located by visiting https://ncchildcare.ncdhhs.gov. The form can be found by selecting Provider tab then selecting Provider Documents and Forms. The staff member will not be permitted to return to work until she obtains a medical report and TB test results. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and 10A NCAC 09 .2408 for more information regarding this rule requirement. Administrative Action Type: Written Warning The facility was issued an Administrative Action - Written Warning dated March 19, 2025. The administrator stated that she received the Administrative Action in the mail on March 24, 2025. During today’s visit, I observed the Administrative Action posted on the wall in the facility’s lobby entrance. We reviewed the progress of the Correction Action Plan within the Administrative Action. The Administrative Action- Written Warning must remain available for review by parents and DCDEE Representatives throughout the effective time period of three (3) months. The following stipulations were discussed: Corrective Action Plan 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, Child Care Rule 10A NCAC 09 .0806(e), regarding toileting, clothing and linens. Progress: During the Initial Administrative Action visit that was completed on April 02, 2025, all child care requirements were observed in compliance. During the Administrative Action Follow-Up visit on May 14, 2025, all child care requirements were observed in compliance. During today’s visit, two violations were cited regarding staff files. 2. Within two (2) weeks after this Notice is received, Sandra Shaw, administrator, shall contact Tiffany Reed, Child Care Consultant, PO Box 9939, Fayetteville, NC 28311, telephone number 910-605-2367, email tiffany.L.reed@dhhs.nc.gov, to arrange for training that addresses strategies for ensuring good hygiene while providing assistance to children in the bathroom. Progress: The administrator called me on March 25, 2025 to arrange for a training regarding diapering and toileting requirements. Training was scheduled for April 24, 2025, at 6:00PM. On April 24, 2025, I conducted a training regarding diapering and toileting requirements. Twenty (20) staff members, including the administrator, attended the training. The following topics were reviewed and discussed: child care rules regarding diapering and toileting, sanitation rules regarding diapering and toileting, requirements for diapering and toileting areas, diapering routines, diaper changing procedures, applying medications, potty training routines, preschool and school age bathroom routines, ensuring good hygiene while assisting children in the bathroom, bathroom routines for children with special needs, cleaning and disinfecting diapering and toileting surfaces, and cleaning up after potty accidents. 3. Within two (2) weeks after the training in Stipulation #2 is completed, Ms. Shaw shall develop or revise current policies and procedures regarding toileting. The written policies and procedures must include a method for assisting children of all ages in the bathroom when necessary to ensure good hygiene. The written policies and procedures shall include but not be limited to, the following: • Assisting children with unfastening clothing before they use the bathroom • Assisting children with fastening clothing after they use the bathroom • Assisting children with wiping after they use the bathroom • Assisting children with changing clothing after soiling their clothes • Procedures for cleaning up toileting accidents The policies and procedures shall be submitted to Ms. Reed for review. Ms. Reed shall notify Ms. Shaw, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: When the diapering and toileting training concluded on April 24, 2025, the administrator gave me a copy of the facility’s current diapering/toileting policy with notes for proposed updates. On April 30, 2025, I reviewed and approved the proposed changes to the facility’s diapering/toileting policies. I sent the administrator an email stating that the policies have been approved and should be immediately implemented. During the Administrative Action Follow-Up visit on May 14, 2025, the implemented policies and procedures were observed. During today’s visit, the implemented policies and procedures were observed. 4. Within two (2) weeks after the training in Stipulation #2 is completed, Ms. Shaw shall develop or revise current job descriptions regarding toileting. The job descriptions should include a method for assisting children of all ages in the bathroom when necessary to ensure good hygiene. The job descriptions shall include, but not be limited to: • Assisting toddlers with using the bathroom to ensure good hygiene • Assisting preschoolers with using the bathroom to ensure good hygiene • Assisting school-age children with using the bathroom to ensure good hygiene • Assisting children with special needs with using the bathroom to ensure good hygiene Once completed, the job descriptions shall be immediately reviewed with staff. An acknowledgement, stating that the updated job description was reviewed, shall be signed by each staff member. Copies of the job descriptions and signed acknowledgements shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: During an Administrative Action Follow-Up visit on May 14, 2025, updated job descriptions were reviewed and approved. On May 15, 2025, I received an email from the administrator stating that the updated job description had been signed by all of the teachers. During today’s visit, I reviewed the signed job descriptions in the staff files. Unannounced visits will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Written Warning. Documentation to support compliance with the Written Warning is required. Failure to comply with the terms of the Written Warning may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Please let me know if you have any questions or concerns regarding what is required of you for the Administrative Action – Written Warning. Facility Specific TA/Reminders: If you have questions, please contact me at: (910) 605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0704 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 6/24/2025 Number Present: 76 Completed Date: 6/24/2025 Age: From 0 To 5 Total Minutes: 140 Time In: 02:00 PM Time Out: 04:20 PM 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 April 15, 2025, and prior to today’s visit, the eighteen-month compliance history score was 93% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct by Sandra Shaw, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on September 20, 2024. Fire Classification of Satisfactory was completed on October 16, 2024. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-six (76) children and twelve (12) teachers were present. Groups of children were observed resting, eating snack and participating in free-choice activities. All bathrooms were stocked with toilet paper, wipes, paper towels, and soap. Routine care and handwashing practices were observed. A teacher was observed assisting children with using the bathroom in Space #4. One child had an accident during naptime. The teacher helped the child change into clean clothes and placed the soiled clothes in a bag to be sent to the laundry room. A diaper change was observed in Space #7a and all diapering procedures were followed. Two recently hired staff members’ files were reviewed. One staff member did not have a medical report on file. One staff member did not have a TB test or screening on file. I monitored for the Administrative Action which included the Cover Letter and the Corrective Action Plan. The Administrative Action was posted in the facility, on the wall in the lobby entrance area. At the completion of the visit, the Visit Summary was reviewed with S. Shaw. The following violations were observed: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (T.R.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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 member (T.R.) did not have TB test or screening results on file. .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on July 08, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Technical Assistance: Staff Records Two violations were cited today, because there were a variety of required items missing from a staff member’s file. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also lists timeframes for other required documents. This helps to determine if all items are on file and available for review. In addition, make sure that you have the most recent Staff File Checklist for Centers. The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. Forms can be located by visiting https://ncchildcare.ncdhhs.gov. The form can be found by selecting Provider tab then selecting Provider Documents and Forms. The staff member will not be permitted to return to work until she obtains a medical report and TB test results. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and 10A NCAC 09 .2408 for more information regarding this rule requirement. Administrative Action Type: Written Warning The facility was issued an Administrative Action - Written Warning dated March 19, 2025. The administrator stated that she received the Administrative Action in the mail on March 24, 2025. During today’s visit, I observed the Administrative Action posted on the wall in the facility’s lobby entrance. We reviewed the progress of the Correction Action Plan within the Administrative Action. The Administrative Action- Written Warning must remain available for review by parents and DCDEE Representatives throughout the effective time period of three (3) months. The following stipulations were discussed: Corrective Action Plan 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, Child Care Rule 10A NCAC 09 .0806(e), regarding toileting, clothing and linens. Progress: During the Initial Administrative Action visit that was completed on April 02, 2025, all child care requirements were observed in compliance. During the Administrative Action Follow-Up visit on May 14, 2025, all child care requirements were observed in compliance. During today’s visit, two violations were cited regarding staff files. 2. Within two (2) weeks after this Notice is received, Sandra Shaw, administrator, shall contact Tiffany Reed, Child Care Consultant, PO Box 9939, Fayetteville, NC 28311, telephone number 910-605-2367, email tiffany.L.reed@dhhs.nc.gov, to arrange for training that addresses strategies for ensuring good hygiene while providing assistance to children in the bathroom. Progress: The administrator called me on March 25, 2025 to arrange for a training regarding diapering and toileting requirements. Training was scheduled for April 24, 2025, at 6:00PM. On April 24, 2025, I conducted a training regarding diapering and toileting requirements. Twenty (20) staff members, including the administrator, attended the training. The following topics were reviewed and discussed: child care rules regarding diapering and toileting, sanitation rules regarding diapering and toileting, requirements for diapering and toileting areas, diapering routines, diaper changing procedures, applying medications, potty training routines, preschool and school age bathroom routines, ensuring good hygiene while assisting children in the bathroom, bathroom routines for children with special needs, cleaning and disinfecting diapering and toileting surfaces, and cleaning up after potty accidents. 3. Within two (2) weeks after the training in Stipulation #2 is completed, Ms. Shaw shall develop or revise current policies and procedures regarding toileting. The written policies and procedures must include a method for assisting children of all ages in the bathroom when necessary to ensure good hygiene. The written policies and procedures shall include but not be limited to, the following: • Assisting children with unfastening clothing before they use the bathroom • Assisting children with fastening clothing after they use the bathroom • Assisting children with wiping after they use the bathroom • Assisting children with changing clothing after soiling their clothes • Procedures for cleaning up toileting accidents The policies and procedures shall be submitted to Ms. Reed for review. Ms. Reed shall notify Ms. Shaw, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: When the diapering and toileting training concluded on April 24, 2025, the administrator gave me a copy of the facility’s current diapering/toileting policy with notes for proposed updates. On April 30, 2025, I reviewed and approved the proposed changes to the facility’s diapering/toileting policies. I sent the administrator an email stating that the policies have been approved and should be immediately implemented. During the Administrative Action Follow-Up visit on May 14, 2025, the implemented policies and procedures were observed. During today’s visit, the implemented policies and procedures were observed. 4. Within two (2) weeks after the training in Stipulation #2 is completed, Ms. Shaw shall develop or revise current job descriptions regarding toileting. The job descriptions should include a method for assisting children of all ages in the bathroom when necessary to ensure good hygiene. The job descriptions shall include, but not be limited to: • Assisting toddlers with using the bathroom to ensure good hygiene • Assisting preschoolers with using the bathroom to ensure good hygiene • Assisting school-age children with using the bathroom to ensure good hygiene • Assisting children with special needs with using the bathroom to ensure good hygiene Once completed, the job descriptions shall be immediately reviewed with staff. An acknowledgement, stating that the updated job description was reviewed, shall be signed by each staff member. Copies of the job descriptions and signed acknowledgements shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: During an Administrative Action Follow-Up visit on May 14, 2025, updated job descriptions were reviewed and approved. On May 15, 2025, I received an email from the administrator stating that the updated job description had been signed by all of the teachers. During today’s visit, I reviewed the signed job descriptions in the staff files. Unannounced visits will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Written Warning. Documentation to support compliance with the Written Warning is required. Failure to comply with the terms of the Written Warning may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Please let me know if you have any questions or concerns regarding what is required of you for the Administrative Action – Written Warning. Facility Specific TA/Reminders: If you have questions, please contact me at: (910) 605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0806 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 6/24/2025 Number Present: 76 Completed Date: 6/24/2025 Age: From 0 To 5 Total Minutes: 140 Time In: 02:00 PM Time Out: 04:20 PM 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 April 15, 2025, and prior to today’s visit, the eighteen-month compliance history score was 93% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct by Sandra Shaw, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on September 20, 2024. Fire Classification of Satisfactory was completed on October 16, 2024. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-six (76) children and twelve (12) teachers were present. Groups of children were observed resting, eating snack and participating in free-choice activities. All bathrooms were stocked with toilet paper, wipes, paper towels, and soap. Routine care and handwashing practices were observed. A teacher was observed assisting children with using the bathroom in Space #4. One child had an accident during naptime. The teacher helped the child change into clean clothes and placed the soiled clothes in a bag to be sent to the laundry room. A diaper change was observed in Space #7a and all diapering procedures were followed. Two recently hired staff members’ files were reviewed. One staff member did not have a medical report on file. One staff member did not have a TB test or screening on file. I monitored for the Administrative Action which included the Cover Letter and the Corrective Action Plan. The Administrative Action was posted in the facility, on the wall in the lobby entrance area. At the completion of the visit, the Visit Summary was reviewed with S. Shaw. The following violations were observed: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (T.R.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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 member (T.R.) did not have TB test or screening results on file. .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on July 08, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Technical Assistance: Staff Records Two violations were cited today, because there were a variety of required items missing from a staff member’s file. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also lists timeframes for other required documents. This helps to determine if all items are on file and available for review. In addition, make sure that you have the most recent Staff File Checklist for Centers. The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. Forms can be located by visiting https://ncchildcare.ncdhhs.gov. The form can be found by selecting Provider tab then selecting Provider Documents and Forms. The staff member will not be permitted to return to work until she obtains a medical report and TB test results. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and 10A NCAC 09 .2408 for more information regarding this rule requirement. Administrative Action Type: Written Warning The facility was issued an Administrative Action - Written Warning dated March 19, 2025. The administrator stated that she received the Administrative Action in the mail on March 24, 2025. During today’s visit, I observed the Administrative Action posted on the wall in the facility’s lobby entrance. We reviewed the progress of the Correction Action Plan within the Administrative Action. The Administrative Action- Written Warning must remain available for review by parents and DCDEE Representatives throughout the effective time period of three (3) months. The following stipulations were discussed: Corrective Action Plan 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, Child Care Rule 10A NCAC 09 .0806(e), regarding toileting, clothing and linens. Progress: During the Initial Administrative Action visit that was completed on April 02, 2025, all child care requirements were observed in compliance. During the Administrative Action Follow-Up visit on May 14, 2025, all child care requirements were observed in compliance. During today’s visit, two violations were cited regarding staff files. 2. Within two (2) weeks after this Notice is received, Sandra Shaw, administrator, shall contact Tiffany Reed, Child Care Consultant, PO Box 9939, Fayetteville, NC 28311, telephone number 910-605-2367, email tiffany.L.reed@dhhs.nc.gov, to arrange for training that addresses strategies for ensuring good hygiene while providing assistance to children in the bathroom. Progress: The administrator called me on March 25, 2025 to arrange for a training regarding diapering and toileting requirements. Training was scheduled for April 24, 2025, at 6:00PM. On April 24, 2025, I conducted a training regarding diapering and toileting requirements. Twenty (20) staff members, including the administrator, attended the training. The following topics were reviewed and discussed: child care rules regarding diapering and toileting, sanitation rules regarding diapering and toileting, requirements for diapering and toileting areas, diapering routines, diaper changing procedures, applying medications, potty training routines, preschool and school age bathroom routines, ensuring good hygiene while assisting children in the bathroom, bathroom routines for children with special needs, cleaning and disinfecting diapering and toileting surfaces, and cleaning up after potty accidents. 3. Within two (2) weeks after the training in Stipulation #2 is completed, Ms. Shaw shall develop or revise current policies and procedures regarding toileting. The written policies and procedures must include a method for assisting children of all ages in the bathroom when necessary to ensure good hygiene. The written policies and procedures shall include but not be limited to, the following: • Assisting children with unfastening clothing before they use the bathroom • Assisting children with fastening clothing after they use the bathroom • Assisting children with wiping after they use the bathroom • Assisting children with changing clothing after soiling their clothes • Procedures for cleaning up toileting accidents The policies and procedures shall be submitted to Ms. Reed for review. Ms. Reed shall notify Ms. Shaw, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: When the diapering and toileting training concluded on April 24, 2025, the administrator gave me a copy of the facility’s current diapering/toileting policy with notes for proposed updates. On April 30, 2025, I reviewed and approved the proposed changes to the facility’s diapering/toileting policies. I sent the administrator an email stating that the policies have been approved and should be immediately implemented. During the Administrative Action Follow-Up visit on May 14, 2025, the implemented policies and procedures were observed. During today’s visit, the implemented policies and procedures were observed. 4. Within two (2) weeks after the training in Stipulation #2 is completed, Ms. Shaw shall develop or revise current job descriptions regarding toileting. The job descriptions should include a method for assisting children of all ages in the bathroom when necessary to ensure good hygiene. The job descriptions shall include, but not be limited to: • Assisting toddlers with using the bathroom to ensure good hygiene • Assisting preschoolers with using the bathroom to ensure good hygiene • Assisting school-age children with using the bathroom to ensure good hygiene • Assisting children with special needs with using the bathroom to ensure good hygiene Once completed, the job descriptions shall be immediately reviewed with staff. An acknowledgement, stating that the updated job description was reviewed, shall be signed by each staff member. Copies of the job descriptions and signed acknowledgements shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: During an Administrative Action Follow-Up visit on May 14, 2025, updated job descriptions were reviewed and approved. On May 15, 2025, I received an email from the administrator stating that the updated job description had been signed by all of the teachers. During today’s visit, I reviewed the signed job descriptions in the staff files. Unannounced visits will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Written Warning. Documentation to support compliance with the Written Warning is required. Failure to comply with the terms of the Written Warning may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Please let me know if you have any questions or concerns regarding what is required of you for the Administrative Action – Written Warning. Facility Specific TA/Reminders: If you have questions, please contact me at: (910) 605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2408 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 6/24/2025 Number Present: 76 Completed Date: 6/24/2025 Age: From 0 To 5 Total Minutes: 140 Time In: 02:00 PM Time Out: 04:20 PM 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 April 15, 2025, and prior to today’s visit, the eighteen-month compliance history score was 93% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct by Sandra Shaw, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on September 20, 2024. Fire Classification of Satisfactory was completed on October 16, 2024. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-six (76) children and twelve (12) teachers were present. Groups of children were observed resting, eating snack and participating in free-choice activities. All bathrooms were stocked with toilet paper, wipes, paper towels, and soap. Routine care and handwashing practices were observed. A teacher was observed assisting children with using the bathroom in Space #4. One child had an accident during naptime. The teacher helped the child change into clean clothes and placed the soiled clothes in a bag to be sent to the laundry room. A diaper change was observed in Space #7a and all diapering procedures were followed. Two recently hired staff members’ files were reviewed. One staff member did not have a medical report on file. One staff member did not have a TB test or screening on file. I monitored for the Administrative Action which included the Cover Letter and the Corrective Action Plan. The Administrative Action was posted in the facility, on the wall in the lobby entrance area. At the completion of the visit, the Visit Summary was reviewed with S. Shaw. The following violations were observed: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (T.R.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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 member (T.R.) did not have TB test or screening results on file. .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on July 08, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Technical Assistance: Staff Records Two violations were cited today, because there were a variety of required items missing from a staff member’s file. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also lists timeframes for other required documents. This helps to determine if all items are on file and available for review. In addition, make sure that you have the most recent Staff File Checklist for Centers. The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. Forms can be located by visiting https://ncchildcare.ncdhhs.gov. The form can be found by selecting Provider tab then selecting Provider Documents and Forms. The staff member will not be permitted to return to work until she obtains a medical report and TB test results. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and 10A NCAC 09 .2408 for more information regarding this rule requirement. Administrative Action Type: Written Warning The facility was issued an Administrative Action - Written Warning dated March 19, 2025. The administrator stated that she received the Administrative Action in the mail on March 24, 2025. During today’s visit, I observed the Administrative Action posted on the wall in the facility’s lobby entrance. We reviewed the progress of the Correction Action Plan within the Administrative Action. The Administrative Action- Written Warning must remain available for review by parents and DCDEE Representatives throughout the effective time period of three (3) months. The following stipulations were discussed: Corrective Action Plan 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, Child Care Rule 10A NCAC 09 .0806(e), regarding toileting, clothing and linens. Progress: During the Initial Administrative Action visit that was completed on April 02, 2025, all child care requirements were observed in compliance. During the Administrative Action Follow-Up visit on May 14, 2025, all child care requirements were observed in compliance. During today’s visit, two violations were cited regarding staff files. 2. Within two (2) weeks after this Notice is received, Sandra Shaw, administrator, shall contact Tiffany Reed, Child Care Consultant, PO Box 9939, Fayetteville, NC 28311, telephone number 910-605-2367, email tiffany.L.reed@dhhs.nc.gov, to arrange for training that addresses strategies for ensuring good hygiene while providing assistance to children in the bathroom. Progress: The administrator called me on March 25, 2025 to arrange for a training regarding diapering and toileting requirements. Training was scheduled for April 24, 2025, at 6:00PM. On April 24, 2025, I conducted a training regarding diapering and toileting requirements. Twenty (20) staff members, including the administrator, attended the training. The following topics were reviewed and discussed: child care rules regarding diapering and toileting, sanitation rules regarding diapering and toileting, requirements for diapering and toileting areas, diapering routines, diaper changing procedures, applying medications, potty training routines, preschool and school age bathroom routines, ensuring good hygiene while assisting children in the bathroom, bathroom routines for children with special needs, cleaning and disinfecting diapering and toileting surfaces, and cleaning up after potty accidents. 3. Within two (2) weeks after the training in Stipulation #2 is completed, Ms. Shaw shall develop or revise current policies and procedures regarding toileting. The written policies and procedures must include a method for assisting children of all ages in the bathroom when necessary to ensure good hygiene. The written policies and procedures shall include but not be limited to, the following: • Assisting children with unfastening clothing before they use the bathroom • Assisting children with fastening clothing after they use the bathroom • Assisting children with wiping after they use the bathroom • Assisting children with changing clothing after soiling their clothes • Procedures for cleaning up toileting accidents The policies and procedures shall be submitted to Ms. Reed for review. Ms. Reed shall notify Ms. Shaw, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: When the diapering and toileting training concluded on April 24, 2025, the administrator gave me a copy of the facility’s current diapering/toileting policy with notes for proposed updates. On April 30, 2025, I reviewed and approved the proposed changes to the facility’s diapering/toileting policies. I sent the administrator an email stating that the policies have been approved and should be immediately implemented. During the Administrative Action Follow-Up visit on May 14, 2025, the implemented policies and procedures were observed. During today’s visit, the implemented policies and procedures were observed. 4. Within two (2) weeks after the training in Stipulation #2 is completed, Ms. Shaw shall develop or revise current job descriptions regarding toileting. The job descriptions should include a method for assisting children of all ages in the bathroom when necessary to ensure good hygiene. The job descriptions shall include, but not be limited to: • Assisting toddlers with using the bathroom to ensure good hygiene • Assisting preschoolers with using the bathroom to ensure good hygiene • Assisting school-age children with using the bathroom to ensure good hygiene • Assisting children with special needs with using the bathroom to ensure good hygiene Once completed, the job descriptions shall be immediately reviewed with staff. An acknowledgement, stating that the updated job description was reviewed, shall be signed by each staff member. Copies of the job descriptions and signed acknowledgements shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: During an Administrative Action Follow-Up visit on May 14, 2025, updated job descriptions were reviewed and approved. On May 15, 2025, I received an email from the administrator stating that the updated job description had been signed by all of the teachers. During today’s visit, I reviewed the signed job descriptions in the staff files. Unannounced visits will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Written Warning. Documentation to support compliance with the Written Warning is required. Failure to comply with the terms of the Written Warning may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Please let me know if you have any questions or concerns regarding what is required of you for the Administrative Action – Written Warning. Facility Specific TA/Reminders: If you have questions, please contact me at: (910) 605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 6/24/2025 Number Present: 76 Completed Date: 6/24/2025 Age: From 0 To 5 Total Minutes: 140 Time In: 02:00 PM Time Out: 04:20 PM 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 April 15, 2025, and prior to today’s visit, the eighteen-month compliance history score was 93% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct by Sandra Shaw, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on September 20, 2024. Fire Classification of Satisfactory was completed on October 16, 2024. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-six (76) children and twelve (12) teachers were present. Groups of children were observed resting, eating snack and participating in free-choice activities. All bathrooms were stocked with toilet paper, wipes, paper towels, and soap. Routine care and handwashing practices were observed. A teacher was observed assisting children with using the bathroom in Space #4. One child had an accident during naptime. The teacher helped the child change into clean clothes and placed the soiled clothes in a bag to be sent to the laundry room. A diaper change was observed in Space #7a and all diapering procedures were followed. Two recently hired staff members’ files were reviewed. One staff member did not have a medical report on file. One staff member did not have a TB test or screening on file. I monitored for the Administrative Action which included the Cover Letter and the Corrective Action Plan. The Administrative Action was posted in the facility, on the wall in the lobby entrance area. At the completion of the visit, the Visit Summary was reviewed with S. Shaw. The following violations were observed: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (T.R.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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 member (T.R.) did not have TB test or screening results on file. .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on July 08, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Technical Assistance: Staff Records Two violations were cited today, because there were a variety of required items missing from a staff member’s file. Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also lists timeframes for other required documents. This helps to determine if all items are on file and available for review. In addition, make sure that you have the most recent Staff File Checklist for Centers. The Division of Child Development and Early Education (DCDEE) website provides updated forms and resources. Forms can be located by visiting https://ncchildcare.ncdhhs.gov. The form can be found by selecting Provider tab then selecting Provider Documents and Forms. The staff member will not be permitted to return to work until she obtains a medical report and TB test results. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and 10A NCAC 09 .2408 for more information regarding this rule requirement. Administrative Action Type: Written Warning The facility was issued an Administrative Action - Written Warning dated March 19, 2025. The administrator stated that she received the Administrative Action in the mail on March 24, 2025. During today’s visit, I observed the Administrative Action posted on the wall in the facility’s lobby entrance. We reviewed the progress of the Correction Action Plan within the Administrative Action. The Administrative Action- Written Warning must remain available for review by parents and DCDEE Representatives throughout the effective time period of three (3) months. The following stipulations were discussed: Corrective Action Plan 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, Child Care Rule 10A NCAC 09 .0806(e), regarding toileting, clothing and linens. Progress: During the Initial Administrative Action visit that was completed on April 02, 2025, all child care requirements were observed in compliance. During the Administrative Action Follow-Up visit on May 14, 2025, all child care requirements were observed in compliance. During today’s visit, two violations were cited regarding staff files. 2. Within two (2) weeks after this Notice is received, Sandra Shaw, administrator, shall contact Tiffany Reed, Child Care Consultant, PO Box 9939, Fayetteville, NC 28311, telephone number 910-605-2367, email tiffany.L.reed@dhhs.nc.gov, to arrange for training that addresses strategies for ensuring good hygiene while providing assistance to children in the bathroom. Progress: The administrator called me on March 25, 2025 to arrange for a training regarding diapering and toileting requirements. Training was scheduled for April 24, 2025, at 6:00PM. On April 24, 2025, I conducted a training regarding diapering and toileting requirements. Twenty (20) staff members, including the administrator, attended the training. The following topics were reviewed and discussed: child care rules regarding diapering and toileting, sanitation rules regarding diapering and toileting, requirements for diapering and toileting areas, diapering routines, diaper changing procedures, applying medications, potty training routines, preschool and school age bathroom routines, ensuring good hygiene while assisting children in the bathroom, bathroom routines for children with special needs, cleaning and disinfecting diapering and toileting surfaces, and cleaning up after potty accidents. 3. Within two (2) weeks after the training in Stipulation #2 is completed, Ms. Shaw shall develop or revise current policies and procedures regarding toileting. The written policies and procedures must include a method for assisting children of all ages in the bathroom when necessary to ensure good hygiene. The written policies and procedures shall include but not be limited to, the following: • Assisting children with unfastening clothing before they use the bathroom • Assisting children with fastening clothing after they use the bathroom • Assisting children with wiping after they use the bathroom • Assisting children with changing clothing after soiling their clothes • Procedures for cleaning up toileting accidents The policies and procedures shall be submitted to Ms. Reed for review. Ms. Reed shall notify Ms. Shaw, orally and in writing, as to whether the written policies and procedures are approved or if modifications are needed. Once approved, the policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: When the diapering and toileting training concluded on April 24, 2025, the administrator gave me a copy of the facility’s current diapering/toileting policy with notes for proposed updates. On April 30, 2025, I reviewed and approved the proposed changes to the facility’s diapering/toileting policies. I sent the administrator an email stating that the policies have been approved and should be immediately implemented. During the Administrative Action Follow-Up visit on May 14, 2025, the implemented policies and procedures were observed. During today’s visit, the implemented policies and procedures were observed. 4. Within two (2) weeks after the training in Stipulation #2 is completed, Ms. Shaw shall develop or revise current job descriptions regarding toileting. The job descriptions should include a method for assisting children of all ages in the bathroom when necessary to ensure good hygiene. The job descriptions shall include, but not be limited to: • Assisting toddlers with using the bathroom to ensure good hygiene • Assisting preschoolers with using the bathroom to ensure good hygiene • Assisting school-age children with using the bathroom to ensure good hygiene • Assisting children with special needs with using the bathroom to ensure good hygiene Once completed, the job descriptions shall be immediately reviewed with staff. An acknowledgement, stating that the updated job description was reviewed, shall be signed by each staff member. Copies of the job descriptions and signed acknowledgements shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Progress: During an Administrative Action Follow-Up visit on May 14, 2025, updated job descriptions were reviewed and approved. On May 15, 2025, I received an email from the administrator stating that the updated job description had been signed by all of the teachers. During today’s visit, I reviewed the signed job descriptions in the staff files. Unannounced visits will be made by a representative of the Division of Child Development and Early Education to verify compliance with the Written Warning. Documentation to support compliance with the Written Warning is required. Failure to comply with the terms of the Written Warning may result in the issuance of a more stringent administrative action and/or the assessment of a civil penalty. Please let me know if you have any questions or concerns regarding what is required of you for the Administrative Action – Written Warning. Facility Specific TA/Reminders: If you have questions, please contact me at: (910) 605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 73 Completed Date: 4/15/2025 Age: From 0 To 5 Total Minutes: 345 Time In: 10:00 AM Time Out: 03:45 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 April 19, 2024, and prior to today’s visit, the eighteen-month compliance history score was 94% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct 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 was completed on September 20, 2024. Fire Classification of Satisfactory was completed on October 16, 2024. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-three (73) children and thirteen (13) teachers were present. Children were observed participating in free-choice activities and outdoor play activities. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. Chipped paint was observed on the walls in Spaces #1, #2, #3, #4, #5, and #6. Water spots and bulging tiles were observed on the ceiling in Spaces #1, #2, and #4. In Space #7a, children were observed participating in tummy time activities. One infant was held by his teacher while being fed a bottle of formula. Another infant was observed asleep in a crib. Documentation of visual sleep checks and infant feeding plans were available for review. All bottles in the refrigerator were appropriately labeled. A diaper change was observed, and all diapering procedures were followed. Routine care and handwashing practices were observed. Lunch consisted of macaroni and cheese, sliced apples, sliced bread, and milk. Four staff files were reviewed, and all documentation was observed in compliance with applicable child care rules. Eighteen children’s records were reviewed. One child, with documented egg and oat allergies, did not have a food allergy action plan on file. Program records, including the EPR Plan, were reviewed. The most recent fire drill was completed on March 28, 2025. The most recent shelter-in-place drill was completed on March 31, 2025. The most recent playground inspection was completed on April 09, 2025. The program does not provide transportation to children. S. Shaw, Administrator, had to leave the facility at 1:00PM to go to a scheduled appointment. At the completion of the visit, the Visit Summary was emailed to S. Shaw. The following violations were observed: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The following items were served for lunch: Macaroni and cheese, sliced apples, sliced bread, and milk. A vegetable was not served with lunch. 10A NCAC 09 .0901(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Chipped paint was observed on the walls in Spaces #1, #2, #3, #4, #5, and #6. Water spots and bulging tiles were observed on the ceiling in Spaces #1, #2, and #4. 15A NCAC 18A .2825(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child with a documented food allergy did not have a food allergy action plan on file. .0801(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 29, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 TA/Consultation: Nutrition Requirements A violation was cited today for not following child meal patterns. Food service staff are responsible for preparing the amount of food based on the recommended age-appropriate amount of food per serving for each child to be fed. Serving dishes should contain, at minimum, the amount of food based on serving sizes or portions recommended for each child outlined in the Child and Adult Care Food Program (CACFP). A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. A hard copy of the meal patterns for children, from the DCDEE website, was left with the administrator. More information about nutrition requirements may be found in child care rule 10A NCAC 09 .0901. Walls and Ceilings A violation was cited today for the condition of ceiling tiles and chipped paint observed throughout the facility. Children readily engage in play and explore their environments. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, bulging ceilings can collapse and cause injuries. The administrative assistant stated that she would have the administrator put in a maintenance request to the corporate office. More information about requirements for walls and ceilings may be found in child care sanitation rule 15A NCAC 18A .2825. Medical Action Plan Requirements A violation was cited today for a child, with documented food allergies, not having a food allergy action plan on file or posted in the classroom. Allergic reactions to food can range from mild skin or gastrointestinal symptoms to severe, life-threatening reactions, such as anaphylaxis. Exposure to allergens may occur through contact between children or by contact with contaminated surfaces. Such contact should be minimized by washing children’s hands and faces and all surfaces that were in contact with food. Successful food avoidance requires a cooperative effort that must include the parents/guardians, child, child’s primary health care provider, and early care and education staff. During enrollment, parents should notate if their child has a food allergy on the application. When the application is reviewed by administrative staff, they should follow up with parents to obtain necessary medical documentation. When food allergies are noted on the application, a food allergy action plan will need to be completed by the child’s physician. One copy of the action plan will remain in the child’s file. Another copy of the action plan will need to be posted in the child’s classroom. More information on food allergies may be found on the Food Allergy Research & Education (FARE) website at www.foodallergy.org. More information about medical action plan requirements may be found in child care rule 10A NCAC 09 .1801. Reminders: Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 73 Completed Date: 4/15/2025 Age: From 0 To 5 Total Minutes: 345 Time In: 10:00 AM Time Out: 03:45 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 April 19, 2024, and prior to today’s visit, the eighteen-month compliance history score was 94% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct 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 was completed on September 20, 2024. Fire Classification of Satisfactory was completed on October 16, 2024. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-three (73) children and thirteen (13) teachers were present. Children were observed participating in free-choice activities and outdoor play activities. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. Chipped paint was observed on the walls in Spaces #1, #2, #3, #4, #5, and #6. Water spots and bulging tiles were observed on the ceiling in Spaces #1, #2, and #4. In Space #7a, children were observed participating in tummy time activities. One infant was held by his teacher while being fed a bottle of formula. Another infant was observed asleep in a crib. Documentation of visual sleep checks and infant feeding plans were available for review. All bottles in the refrigerator were appropriately labeled. A diaper change was observed, and all diapering procedures were followed. Routine care and handwashing practices were observed. Lunch consisted of macaroni and cheese, sliced apples, sliced bread, and milk. Four staff files were reviewed, and all documentation was observed in compliance with applicable child care rules. Eighteen children’s records were reviewed. One child, with documented egg and oat allergies, did not have a food allergy action plan on file. Program records, including the EPR Plan, were reviewed. The most recent fire drill was completed on March 28, 2025. The most recent shelter-in-place drill was completed on March 31, 2025. The most recent playground inspection was completed on April 09, 2025. The program does not provide transportation to children. S. Shaw, Administrator, had to leave the facility at 1:00PM to go to a scheduled appointment. At the completion of the visit, the Visit Summary was emailed to S. Shaw. The following violations were observed: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The following items were served for lunch: Macaroni and cheese, sliced apples, sliced bread, and milk. A vegetable was not served with lunch. 10A NCAC 09 .0901(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Chipped paint was observed on the walls in Spaces #1, #2, #3, #4, #5, and #6. Water spots and bulging tiles were observed on the ceiling in Spaces #1, #2, and #4. 15A NCAC 18A .2825(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child with a documented food allergy did not have a food allergy action plan on file. .0801(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 29, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 TA/Consultation: Nutrition Requirements A violation was cited today for not following child meal patterns. Food service staff are responsible for preparing the amount of food based on the recommended age-appropriate amount of food per serving for each child to be fed. Serving dishes should contain, at minimum, the amount of food based on serving sizes or portions recommended for each child outlined in the Child and Adult Care Food Program (CACFP). A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. A hard copy of the meal patterns for children, from the DCDEE website, was left with the administrator. More information about nutrition requirements may be found in child care rule 10A NCAC 09 .0901. Walls and Ceilings A violation was cited today for the condition of ceiling tiles and chipped paint observed throughout the facility. Children readily engage in play and explore their environments. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, bulging ceilings can collapse and cause injuries. The administrative assistant stated that she would have the administrator put in a maintenance request to the corporate office. More information about requirements for walls and ceilings may be found in child care sanitation rule 15A NCAC 18A .2825. Medical Action Plan Requirements A violation was cited today for a child, with documented food allergies, not having a food allergy action plan on file or posted in the classroom. Allergic reactions to food can range from mild skin or gastrointestinal symptoms to severe, life-threatening reactions, such as anaphylaxis. Exposure to allergens may occur through contact between children or by contact with contaminated surfaces. Such contact should be minimized by washing children’s hands and faces and all surfaces that were in contact with food. Successful food avoidance requires a cooperative effort that must include the parents/guardians, child, child’s primary health care provider, and early care and education staff. During enrollment, parents should notate if their child has a food allergy on the application. When the application is reviewed by administrative staff, they should follow up with parents to obtain necessary medical documentation. When food allergies are noted on the application, a food allergy action plan will need to be completed by the child’s physician. One copy of the action plan will remain in the child’s file. Another copy of the action plan will need to be posted in the child’s classroom. More information on food allergies may be found on the Food Allergy Research & Education (FARE) website at www.foodallergy.org. More information about medical action plan requirements may be found in child care rule 10A NCAC 09 .1801. Reminders: Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 73 Completed Date: 4/15/2025 Age: From 0 To 5 Total Minutes: 345 Time In: 10:00 AM Time Out: 03:45 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 April 19, 2024, and prior to today’s visit, the eighteen-month compliance history score was 94% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct 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 was completed on September 20, 2024. Fire Classification of Satisfactory was completed on October 16, 2024. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-three (73) children and thirteen (13) teachers were present. Children were observed participating in free-choice activities and outdoor play activities. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. Chipped paint was observed on the walls in Spaces #1, #2, #3, #4, #5, and #6. Water spots and bulging tiles were observed on the ceiling in Spaces #1, #2, and #4. In Space #7a, children were observed participating in tummy time activities. One infant was held by his teacher while being fed a bottle of formula. Another infant was observed asleep in a crib. Documentation of visual sleep checks and infant feeding plans were available for review. All bottles in the refrigerator were appropriately labeled. A diaper change was observed, and all diapering procedures were followed. Routine care and handwashing practices were observed. Lunch consisted of macaroni and cheese, sliced apples, sliced bread, and milk. Four staff files were reviewed, and all documentation was observed in compliance with applicable child care rules. Eighteen children’s records were reviewed. One child, with documented egg and oat allergies, did not have a food allergy action plan on file. Program records, including the EPR Plan, were reviewed. The most recent fire drill was completed on March 28, 2025. The most recent shelter-in-place drill was completed on March 31, 2025. The most recent playground inspection was completed on April 09, 2025. The program does not provide transportation to children. S. Shaw, Administrator, had to leave the facility at 1:00PM to go to a scheduled appointment. At the completion of the visit, the Visit Summary was emailed to S. Shaw. The following violations were observed: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The following items were served for lunch: Macaroni and cheese, sliced apples, sliced bread, and milk. A vegetable was not served with lunch. 10A NCAC 09 .0901(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Chipped paint was observed on the walls in Spaces #1, #2, #3, #4, #5, and #6. Water spots and bulging tiles were observed on the ceiling in Spaces #1, #2, and #4. 15A NCAC 18A .2825(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child with a documented food allergy did not have a food allergy action plan on file. .0801(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 29, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 TA/Consultation: Nutrition Requirements A violation was cited today for not following child meal patterns. Food service staff are responsible for preparing the amount of food based on the recommended age-appropriate amount of food per serving for each child to be fed. Serving dishes should contain, at minimum, the amount of food based on serving sizes or portions recommended for each child outlined in the Child and Adult Care Food Program (CACFP). A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. A hard copy of the meal patterns for children, from the DCDEE website, was left with the administrator. More information about nutrition requirements may be found in child care rule 10A NCAC 09 .0901. Walls and Ceilings A violation was cited today for the condition of ceiling tiles and chipped paint observed throughout the facility. Children readily engage in play and explore their environments. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, bulging ceilings can collapse and cause injuries. The administrative assistant stated that she would have the administrator put in a maintenance request to the corporate office. More information about requirements for walls and ceilings may be found in child care sanitation rule 15A NCAC 18A .2825. Medical Action Plan Requirements A violation was cited today for a child, with documented food allergies, not having a food allergy action plan on file or posted in the classroom. Allergic reactions to food can range from mild skin or gastrointestinal symptoms to severe, life-threatening reactions, such as anaphylaxis. Exposure to allergens may occur through contact between children or by contact with contaminated surfaces. Such contact should be minimized by washing children’s hands and faces and all surfaces that were in contact with food. Successful food avoidance requires a cooperative effort that must include the parents/guardians, child, child’s primary health care provider, and early care and education staff. During enrollment, parents should notate if their child has a food allergy on the application. When the application is reviewed by administrative staff, they should follow up with parents to obtain necessary medical documentation. When food allergies are noted on the application, a food allergy action plan will need to be completed by the child’s physician. One copy of the action plan will remain in the child’s file. Another copy of the action plan will need to be posted in the child’s classroom. More information on food allergies may be found on the Food Allergy Research & Education (FARE) website at www.foodallergy.org. More information about medical action plan requirements may be found in child care rule 10A NCAC 09 .1801. Reminders: Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 73 Completed Date: 4/15/2025 Age: From 0 To 5 Total Minutes: 345 Time In: 10:00 AM Time Out: 03:45 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 April 19, 2024, and prior to today’s visit, the eighteen-month compliance history score was 94% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct 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 was completed on September 20, 2024. Fire Classification of Satisfactory was completed on October 16, 2024. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-three (73) children and thirteen (13) teachers were present. Children were observed participating in free-choice activities and outdoor play activities. Children had access to blocks, fine motor, dramatic play, creative art, and literacy materials. Chipped paint was observed on the walls in Spaces #1, #2, #3, #4, #5, and #6. Water spots and bulging tiles were observed on the ceiling in Spaces #1, #2, and #4. In Space #7a, children were observed participating in tummy time activities. One infant was held by his teacher while being fed a bottle of formula. Another infant was observed asleep in a crib. Documentation of visual sleep checks and infant feeding plans were available for review. All bottles in the refrigerator were appropriately labeled. A diaper change was observed, and all diapering procedures were followed. Routine care and handwashing practices were observed. Lunch consisted of macaroni and cheese, sliced apples, sliced bread, and milk. Four staff files were reviewed, and all documentation was observed in compliance with applicable child care rules. Eighteen children’s records were reviewed. One child, with documented egg and oat allergies, did not have a food allergy action plan on file. Program records, including the EPR Plan, were reviewed. The most recent fire drill was completed on March 28, 2025. The most recent shelter-in-place drill was completed on March 31, 2025. The most recent playground inspection was completed on April 09, 2025. The program does not provide transportation to children. S. Shaw, Administrator, had to leave the facility at 1:00PM to go to a scheduled appointment. At the completion of the visit, the Visit Summary was emailed to S. Shaw. The following violations were observed: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The following items were served for lunch: Macaroni and cheese, sliced apples, sliced bread, and milk. A vegetable was not served with lunch. 10A NCAC 09 .0901(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Chipped paint was observed on the walls in Spaces #1, #2, #3, #4, #5, and #6. Water spots and bulging tiles were observed on the ceiling in Spaces #1, #2, and #4. 15A NCAC 18A .2825(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child with a documented food allergy did not have a food allergy action plan on file. .0801(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on April 29, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 TA/Consultation: Nutrition Requirements A violation was cited today for not following child meal patterns. Food service staff are responsible for preparing the amount of food based on the recommended age-appropriate amount of food per serving for each child to be fed. Serving dishes should contain, at minimum, the amount of food based on serving sizes or portions recommended for each child outlined in the Child and Adult Care Food Program (CACFP). A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. A hard copy of the meal patterns for children, from the DCDEE website, was left with the administrator. More information about nutrition requirements may be found in child care rule 10A NCAC 09 .0901. Walls and Ceilings A violation was cited today for the condition of ceiling tiles and chipped paint observed throughout the facility. Children readily engage in play and explore their environments. The physical structure where children spend each day can present caregivers/teachers with special safety concerns if the structure is not kept in good repair and maintained in a safe condition. For example, peeling paint in an older building may be ingested, floor surfaces in disrepair could cause falls and other injury, bulging ceilings can collapse and cause injuries. The administrative assistant stated that she would have the administrator put in a maintenance request to the corporate office. More information about requirements for walls and ceilings may be found in child care sanitation rule 15A NCAC 18A .2825. Medical Action Plan Requirements A violation was cited today for a child, with documented food allergies, not having a food allergy action plan on file or posted in the classroom. Allergic reactions to food can range from mild skin or gastrointestinal symptoms to severe, life-threatening reactions, such as anaphylaxis. Exposure to allergens may occur through contact between children or by contact with contaminated surfaces. Such contact should be minimized by washing children’s hands and faces and all surfaces that were in contact with food. Successful food avoidance requires a cooperative effort that must include the parents/guardians, child, child’s primary health care provider, and early care and education staff. During enrollment, parents should notate if their child has a food allergy on the application. When the application is reviewed by administrative staff, they should follow up with parents to obtain necessary medical documentation. When food allergies are noted on the application, a food allergy action plan will need to be completed by the child’s physician. One copy of the action plan will remain in the child’s file. Another copy of the action plan will need to be posted in the child’s classroom. More information on food allergies may be found on the Food Allergy Research & Education (FARE) website at www.foodallergy.org. More information about medical action plan requirements may be found in child care rule 10A NCAC 09 .1801. Reminders: Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. Darkness to Light Darkness to Light is a nonprofit organization with a mission to equip and empower adults to build safe environments that protect children from sexual abuse. Darkness to Light’s flagship program, Stewards of Children®, is a trauma and evidence-informed training that teaches adults to prevent, recognize, and react responsibly to child sexual abuse. More than 2.2 million adults have been trained using the program. To learn more about child sexual abuse prevention training or to enroll your organization in Darkness to Light’s “Partner in Prevention” program, please visit www.D2L.org/education/partner-in-prevention. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: TIFFANY REED Operation Type: Center Case Number: 0225-106L Visit Date: 2/18/2025 Number Present: 78 Completed Date: 2/18/2025 Age: From 0 To 4 Total Minutes: 420 Time In: 09:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance visit was completed April 19, 2024 and prior to today’s visit, the eighteen-month compliance history score was 93% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct by Sandra Shaw, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on September 20, 2024. Fire Classification of Satisfactory was completed on October 16, 2024. Allegations are as follows: There are concerns that sanitation guidelines are not being followed. There are concerns that developmental needs of children are not being met while toileting. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, there were seventy-eight (78) children and thirteen (13) teachers present. Children were observed participating in various free-choice, gross motor, and outdoor play activities. In Space #2, four large plastic bags containing diapers were observed being stored on the bathroom floor, accessible to children under the age of three. Diaper changes were observed in Spaces #1 and #7b, and all diapering procedures were followed. In Spaces #4 and #5, children aged three and older were observed independently using the bathroom, as needed, while teachers supervised them, reminding them to wipe themselves and wash their hands. Each bathroom was stocked with toilet paper, soap, and paper towels. Routine care and handwashing practices were observed. Children and staff followed all handwashing procedures. Lunch consisted of chicken, rice, corn, pineapple tidbits, and milk. Four recently hired staff members’ files were reviewed. One staff member did not have a medical report on file. One staff member did not have a valid TB test indicating negative results on file. Two staff members did not obtain First Aid certification within 90 days of employment. Three staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The allegations were discussed with the administrator. I interviewed the administrator and four additional teachers. During the interview with the administrator, she stated that staff follow the diapering procedures that are posted in diaper changing areas. The administrator also stated that teachers typically stand at the door of the bathroom, to supervise the child on the toilet as well as the rest of the children in the classroom. The teacher encourages children to use self-help skills to wipe themselves after using the bathroom. The administrator stated that parents are asked to bring flushable wipes, if needed, to help with cleanliness while toileting. Additionally, the administrator stated that she recalls within the past month a parent coming to her with concerns because a child went home with poop residue in his underwear. To correct the concern, the administrator asked the parent to bring wipes to the child’s classroom, to assist with cleanliness. She was also aware of a parent who came to her with a recent concern due to a child having an episode of diarrhea and soiling his clothes. The staff cleaned the child with wipes, changed his clothes, and put his soiled clothes in a bag to be sent home at the end of the day. The administrator was not made aware of any other concerns. During the interview with the teachers, they stated they followed the same diapering and toileting practices. The teachers also expressed various levels of comfort regarding assisting children with wiping once they have reached the age of three. They stated that they would assist children with wiping per their parents’ request. When I asked them why they were uncomfortable with wiping children, they expressed that they are fearful of being accused of touching children inappropriately. The teachers were not aware of any toileting concerns. Based on the information gathered and observations made, there is not enough information to confirm the allegation of violations of child care requirements pertaining to sanitation rules not being followed. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to developmental needs of children not being met while toileting is substantiated. At the completion of the visit, the Visit Summary was reviewed with S. Shaw. The following violations were observed: Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space #2, four large plastic bags containing diapers were stored on the bathroom floor, below five feet from the finished floor. When it was brought to the administrator's attention, the bags of diapers were immediately removed. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (J.C.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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 member (J.C.) did not have a TB test or screening on file. .0701(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. Two staff members (T.M. and T.P.) did not obtain First Aid certification within 90 days of hire. .1102(c) 1860 Staff did not provide assistance to each child to ensure good hygiene. During complaint investigation interviews, information was obtained confirming that staff do not regularly assist children (3 years old and older) with wiping while toileting. .0806(e) 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. Three staff members (J.C., T.M., and T.P.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. .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 March 04, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Technical Assistance: Toileting Assistance A violation was cited today for information gathered regarding assisting children with wiping while toileting. According to Child Care Rule 10A NCAC 09 .0806(e), staff shall provide assistance to each child to ensure good hygiene. Staff shall provide toileting assistance to children who need it, regardless of age. We discussed reviewing this rule with staff during the next scheduled staff meeting, to ensure that staff know it is required to assist children with wiping while they are toileting. Staff Medical Records Violations were cited today for a staff member not having a medical report or TB test/screening on file. According to child care rule 10A NCAC 09 .0701(a), child care providers and uncompensated providers, including the director, shall obtain a medical report or a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement shall be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. Additionally, all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) test or screening with results indicating the individual is free of active tuberculosis. The TB test/screening shall be obtained within the 12 months prior to the date of employment. The TB test/screening shall be submitted on or before first day of work. We discussed utilizing the staff file checklist to ensure that necessary documentation is on file by the due dates. The staff member was asked to leave the facility to obtain her medical documentation. The staff member will not be permitted to return to work until she obtains a valid medical report and TB test/screening. First Aid Training Requirements A violation was cited today for staff members not obtaining First Aid certification within 90 days of employment. According to child care rule 10A NCAC 09 .1102(c), all staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. We discussed utilizing all administrative staff to review staff files and coordinate training as needed. Special Training Requirements A violation was cited today for staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. We discussed delegating administrative responsibilities to the assistant director and administrative assistant, to ensure that staff files remain current and accurate. Please visit DCDEE’s website for the latest child care updates for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact Tiffany Reed at (910) 605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0806 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: TIFFANY REED Operation Type: Center Case Number: 0225-106L Visit Date: 2/18/2025 Number Present: 78 Completed Date: 2/18/2025 Age: From 0 To 4 Total Minutes: 420 Time In: 09:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance visit was completed April 19, 2024 and prior to today’s visit, the eighteen-month compliance history score was 93% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct by Sandra Shaw, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on September 20, 2024. Fire Classification of Satisfactory was completed on October 16, 2024. Allegations are as follows: There are concerns that sanitation guidelines are not being followed. There are concerns that developmental needs of children are not being met while toileting. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, there were seventy-eight (78) children and thirteen (13) teachers present. Children were observed participating in various free-choice, gross motor, and outdoor play activities. In Space #2, four large plastic bags containing diapers were observed being stored on the bathroom floor, accessible to children under the age of three. Diaper changes were observed in Spaces #1 and #7b, and all diapering procedures were followed. In Spaces #4 and #5, children aged three and older were observed independently using the bathroom, as needed, while teachers supervised them, reminding them to wipe themselves and wash their hands. Each bathroom was stocked with toilet paper, soap, and paper towels. Routine care and handwashing practices were observed. Children and staff followed all handwashing procedures. Lunch consisted of chicken, rice, corn, pineapple tidbits, and milk. Four recently hired staff members’ files were reviewed. One staff member did not have a medical report on file. One staff member did not have a valid TB test indicating negative results on file. Two staff members did not obtain First Aid certification within 90 days of employment. Three staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The allegations were discussed with the administrator. I interviewed the administrator and four additional teachers. During the interview with the administrator, she stated that staff follow the diapering procedures that are posted in diaper changing areas. The administrator also stated that teachers typically stand at the door of the bathroom, to supervise the child on the toilet as well as the rest of the children in the classroom. The teacher encourages children to use self-help skills to wipe themselves after using the bathroom. The administrator stated that parents are asked to bring flushable wipes, if needed, to help with cleanliness while toileting. Additionally, the administrator stated that she recalls within the past month a parent coming to her with concerns because a child went home with poop residue in his underwear. To correct the concern, the administrator asked the parent to bring wipes to the child’s classroom, to assist with cleanliness. She was also aware of a parent who came to her with a recent concern due to a child having an episode of diarrhea and soiling his clothes. The staff cleaned the child with wipes, changed his clothes, and put his soiled clothes in a bag to be sent home at the end of the day. The administrator was not made aware of any other concerns. During the interview with the teachers, they stated they followed the same diapering and toileting practices. The teachers also expressed various levels of comfort regarding assisting children with wiping once they have reached the age of three. They stated that they would assist children with wiping per their parents’ request. When I asked them why they were uncomfortable with wiping children, they expressed that they are fearful of being accused of touching children inappropriately. The teachers were not aware of any toileting concerns. Based on the information gathered and observations made, there is not enough information to confirm the allegation of violations of child care requirements pertaining to sanitation rules not being followed. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to developmental needs of children not being met while toileting is substantiated. At the completion of the visit, the Visit Summary was reviewed with S. Shaw. The following violations were observed: Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space #2, four large plastic bags containing diapers were stored on the bathroom floor, below five feet from the finished floor. When it was brought to the administrator's attention, the bags of diapers were immediately removed. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (J.C.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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 member (J.C.) did not have a TB test or screening on file. .0701(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. Two staff members (T.M. and T.P.) did not obtain First Aid certification within 90 days of hire. .1102(c) 1860 Staff did not provide assistance to each child to ensure good hygiene. During complaint investigation interviews, information was obtained confirming that staff do not regularly assist children (3 years old and older) with wiping while toileting. .0806(e) 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. Three staff members (J.C., T.M., and T.P.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. .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 March 04, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Technical Assistance: Toileting Assistance A violation was cited today for information gathered regarding assisting children with wiping while toileting. According to Child Care Rule 10A NCAC 09 .0806(e), staff shall provide assistance to each child to ensure good hygiene. Staff shall provide toileting assistance to children who need it, regardless of age. We discussed reviewing this rule with staff during the next scheduled staff meeting, to ensure that staff know it is required to assist children with wiping while they are toileting. Staff Medical Records Violations were cited today for a staff member not having a medical report or TB test/screening on file. According to child care rule 10A NCAC 09 .0701(a), child care providers and uncompensated providers, including the director, shall obtain a medical report or a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement shall be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. Additionally, all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) test or screening with results indicating the individual is free of active tuberculosis. The TB test/screening shall be obtained within the 12 months prior to the date of employment. The TB test/screening shall be submitted on or before first day of work. We discussed utilizing the staff file checklist to ensure that necessary documentation is on file by the due dates. The staff member was asked to leave the facility to obtain her medical documentation. The staff member will not be permitted to return to work until she obtains a valid medical report and TB test/screening. First Aid Training Requirements A violation was cited today for staff members not obtaining First Aid certification within 90 days of employment. According to child care rule 10A NCAC 09 .1102(c), all staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. We discussed utilizing all administrative staff to review staff files and coordinate training as needed. Special Training Requirements A violation was cited today for staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. We discussed delegating administrative responsibilities to the assistant director and administrative assistant, to ensure that staff files remain current and accurate. Please visit DCDEE’s website for the latest child care updates for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact Tiffany Reed at (910) 605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: TIFFANY REED Operation Type: Center Case Number: 0225-106L Visit Date: 2/18/2025 Number Present: 78 Completed Date: 2/18/2025 Age: From 0 To 4 Total Minutes: 420 Time In: 09:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance visit was completed April 19, 2024 and prior to today’s visit, the eighteen-month compliance history score was 93% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct by Sandra Shaw, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on September 20, 2024. Fire Classification of Satisfactory was completed on October 16, 2024. Allegations are as follows: There are concerns that sanitation guidelines are not being followed. There are concerns that developmental needs of children are not being met while toileting. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, there were seventy-eight (78) children and thirteen (13) teachers present. Children were observed participating in various free-choice, gross motor, and outdoor play activities. In Space #2, four large plastic bags containing diapers were observed being stored on the bathroom floor, accessible to children under the age of three. Diaper changes were observed in Spaces #1 and #7b, and all diapering procedures were followed. In Spaces #4 and #5, children aged three and older were observed independently using the bathroom, as needed, while teachers supervised them, reminding them to wipe themselves and wash their hands. Each bathroom was stocked with toilet paper, soap, and paper towels. Routine care and handwashing practices were observed. Children and staff followed all handwashing procedures. Lunch consisted of chicken, rice, corn, pineapple tidbits, and milk. Four recently hired staff members’ files were reviewed. One staff member did not have a medical report on file. One staff member did not have a valid TB test indicating negative results on file. Two staff members did not obtain First Aid certification within 90 days of employment. Three staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The allegations were discussed with the administrator. I interviewed the administrator and four additional teachers. During the interview with the administrator, she stated that staff follow the diapering procedures that are posted in diaper changing areas. The administrator also stated that teachers typically stand at the door of the bathroom, to supervise the child on the toilet as well as the rest of the children in the classroom. The teacher encourages children to use self-help skills to wipe themselves after using the bathroom. The administrator stated that parents are asked to bring flushable wipes, if needed, to help with cleanliness while toileting. Additionally, the administrator stated that she recalls within the past month a parent coming to her with concerns because a child went home with poop residue in his underwear. To correct the concern, the administrator asked the parent to bring wipes to the child’s classroom, to assist with cleanliness. She was also aware of a parent who came to her with a recent concern due to a child having an episode of diarrhea and soiling his clothes. The staff cleaned the child with wipes, changed his clothes, and put his soiled clothes in a bag to be sent home at the end of the day. The administrator was not made aware of any other concerns. During the interview with the teachers, they stated they followed the same diapering and toileting practices. The teachers also expressed various levels of comfort regarding assisting children with wiping once they have reached the age of three. They stated that they would assist children with wiping per their parents’ request. When I asked them why they were uncomfortable with wiping children, they expressed that they are fearful of being accused of touching children inappropriately. The teachers were not aware of any toileting concerns. Based on the information gathered and observations made, there is not enough information to confirm the allegation of violations of child care requirements pertaining to sanitation rules not being followed. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to developmental needs of children not being met while toileting is substantiated. At the completion of the visit, the Visit Summary was reviewed with S. Shaw. The following violations were observed: Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space #2, four large plastic bags containing diapers were stored on the bathroom floor, below five feet from the finished floor. When it was brought to the administrator's attention, the bags of diapers were immediately removed. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (J.C.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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 member (J.C.) did not have a TB test or screening on file. .0701(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. Two staff members (T.M. and T.P.) did not obtain First Aid certification within 90 days of hire. .1102(c) 1860 Staff did not provide assistance to each child to ensure good hygiene. During complaint investigation interviews, information was obtained confirming that staff do not regularly assist children (3 years old and older) with wiping while toileting. .0806(e) 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. Three staff members (J.C., T.M., and T.P.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. .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 March 04, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Technical Assistance: Toileting Assistance A violation was cited today for information gathered regarding assisting children with wiping while toileting. According to Child Care Rule 10A NCAC 09 .0806(e), staff shall provide assistance to each child to ensure good hygiene. Staff shall provide toileting assistance to children who need it, regardless of age. We discussed reviewing this rule with staff during the next scheduled staff meeting, to ensure that staff know it is required to assist children with wiping while they are toileting. Staff Medical Records Violations were cited today for a staff member not having a medical report or TB test/screening on file. According to child care rule 10A NCAC 09 .0701(a), child care providers and uncompensated providers, including the director, shall obtain a medical report or a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement shall be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. Additionally, all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) test or screening with results indicating the individual is free of active tuberculosis. The TB test/screening shall be obtained within the 12 months prior to the date of employment. The TB test/screening shall be submitted on or before first day of work. We discussed utilizing the staff file checklist to ensure that necessary documentation is on file by the due dates. The staff member was asked to leave the facility to obtain her medical documentation. The staff member will not be permitted to return to work until she obtains a valid medical report and TB test/screening. First Aid Training Requirements A violation was cited today for staff members not obtaining First Aid certification within 90 days of employment. According to child care rule 10A NCAC 09 .1102(c), all staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. We discussed utilizing all administrative staff to review staff files and coordinate training as needed. Special Training Requirements A violation was cited today for staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. We discussed delegating administrative responsibilities to the assistant director and administrative assistant, to ensure that staff files remain current and accurate. Please visit DCDEE’s website for the latest child care updates for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact Tiffany Reed at (910) 605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: TIFFANY REED Operation Type: Center Case Number: 0225-106L Visit Date: 2/18/2025 Number Present: 78 Completed Date: 2/18/2025 Age: From 0 To 4 Total Minutes: 420 Time In: 09:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance visit was completed April 19, 2024 and prior to today’s visit, the eighteen-month compliance history score was 93% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct by Sandra Shaw, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on September 20, 2024. Fire Classification of Satisfactory was completed on October 16, 2024. Allegations are as follows: There are concerns that sanitation guidelines are not being followed. There are concerns that developmental needs of children are not being met while toileting. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, there were seventy-eight (78) children and thirteen (13) teachers present. Children were observed participating in various free-choice, gross motor, and outdoor play activities. In Space #2, four large plastic bags containing diapers were observed being stored on the bathroom floor, accessible to children under the age of three. Diaper changes were observed in Spaces #1 and #7b, and all diapering procedures were followed. In Spaces #4 and #5, children aged three and older were observed independently using the bathroom, as needed, while teachers supervised them, reminding them to wipe themselves and wash their hands. Each bathroom was stocked with toilet paper, soap, and paper towels. Routine care and handwashing practices were observed. Children and staff followed all handwashing procedures. Lunch consisted of chicken, rice, corn, pineapple tidbits, and milk. Four recently hired staff members’ files were reviewed. One staff member did not have a medical report on file. One staff member did not have a valid TB test indicating negative results on file. Two staff members did not obtain First Aid certification within 90 days of employment. Three staff members did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The allegations were discussed with the administrator. I interviewed the administrator and four additional teachers. During the interview with the administrator, she stated that staff follow the diapering procedures that are posted in diaper changing areas. The administrator also stated that teachers typically stand at the door of the bathroom, to supervise the child on the toilet as well as the rest of the children in the classroom. The teacher encourages children to use self-help skills to wipe themselves after using the bathroom. The administrator stated that parents are asked to bring flushable wipes, if needed, to help with cleanliness while toileting. Additionally, the administrator stated that she recalls within the past month a parent coming to her with concerns because a child went home with poop residue in his underwear. To correct the concern, the administrator asked the parent to bring wipes to the child’s classroom, to assist with cleanliness. She was also aware of a parent who came to her with a recent concern due to a child having an episode of diarrhea and soiling his clothes. The staff cleaned the child with wipes, changed his clothes, and put his soiled clothes in a bag to be sent home at the end of the day. The administrator was not made aware of any other concerns. During the interview with the teachers, they stated they followed the same diapering and toileting practices. The teachers also expressed various levels of comfort regarding assisting children with wiping once they have reached the age of three. They stated that they would assist children with wiping per their parents’ request. When I asked them why they were uncomfortable with wiping children, they expressed that they are fearful of being accused of touching children inappropriately. The teachers were not aware of any toileting concerns. Based on the information gathered and observations made, there is not enough information to confirm the allegation of violations of child care requirements pertaining to sanitation rules not being followed. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to developmental needs of children not being met while toileting is substantiated. At the completion of the visit, the Visit Summary was reviewed with S. Shaw. The following violations were observed: Violation Number Comment Rule 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space #2, four large plastic bags containing diapers were stored on the bathroom floor, below five feet from the finished floor. When it was brought to the administrator's attention, the bags of diapers were immediately removed. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member (J.C.) did not have a medical report on file. 10A NCAC 09 .0701(a) 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 member (J.C.) did not have a TB test or screening on file. .0701(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. Two staff members (T.M. and T.P.) did not obtain First Aid certification within 90 days of hire. .1102(c) 1860 Staff did not provide assistance to each child to ensure good hygiene. During complaint investigation interviews, information was obtained confirming that staff do not regularly assist children (3 years old and older) with wiping while toileting. .0806(e) 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. Three staff members (J.C., T.M., and T.P.) did not complete the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. .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 March 04, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 Technical Assistance: Toileting Assistance A violation was cited today for information gathered regarding assisting children with wiping while toileting. According to Child Care Rule 10A NCAC 09 .0806(e), staff shall provide assistance to each child to ensure good hygiene. Staff shall provide toileting assistance to children who need it, regardless of age. We discussed reviewing this rule with staff during the next scheduled staff meeting, to ensure that staff know it is required to assist children with wiping while they are toileting. Staff Medical Records Violations were cited today for a staff member not having a medical report or TB test/screening on file. According to child care rule 10A NCAC 09 .0701(a), child care providers and uncompensated providers, including the director, shall obtain a medical report or a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. The medical statement shall be obtained prior to employment. When submitted, the medical statement shall not be older than 12 months. Additionally, all staff, including the director and individuals who volunteer more than once per week, shall obtain a Tuberculin (TB) test or screening with results indicating the individual is free of active tuberculosis. The TB test/screening shall be obtained within the 12 months prior to the date of employment. The TB test/screening shall be submitted on or before first day of work. We discussed utilizing the staff file checklist to ensure that necessary documentation is on file by the due dates. The staff member was asked to leave the facility to obtain her medical documentation. The staff member will not be permitted to return to work until she obtains a valid medical report and TB test/screening. First Aid Training Requirements A violation was cited today for staff members not obtaining First Aid certification within 90 days of employment. According to child care rule 10A NCAC 09 .1102(c), all staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. We discussed utilizing all administrative staff to review staff files and coordinate training as needed. Special Training Requirements A violation was cited today for staff members not completing the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. According to child care rule 10A NCAC 09 .1102(g), the child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. We discussed delegating administrative responsibilities to the assistant director and administrative assistant, to ensure that staff files remain current and accurate. Please visit DCDEE’s website for the latest child care updates for child care at https://ncchildcare.ncdhhs.gov/. If you have questions, please contact Tiffany Reed at (910) 605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 10/15/2024 Number Present: 75 Completed Date: 10/15/2024 Age: From 0 To 4 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 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 April 19, 2024 and prior to today’s visit, the eighteen-month compliance history score was 95% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct 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 was completed on September 20, 2024. Fire Classification of Satisfactory was completed on October 12, 2023. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-five (75) children and twelve (12) teachers were present. In Space #1, a group of children was observed sitting in a carpeted area with one of the teachers, as she read a book titled “It’s Following Me.” Throughout the story, the teacher asked the children, “What sound does the kitty make?” The children responded by saying, “Meow!” The children laughed as the teacher made different voices for the characters in the story. Another teacher was observed changing children’s diapers, one by one, during the book activity. All diaper changing procedures were followed. The group from Space #2 was observed outside participating in outdoor play activities. Children were observed exploring the stationary tree house and riding on riding toys. The children sat down in a shaded area and were served cold water in disposable cups. In Space #3, children were observed sitting in a carpeted area with a teacher as they reviewed animals on flashcards. The teacher held a flashcard of an elephant and asked the children, “What animal is this?” The children responded by saying, “Elephant!” The teacher asked the children, “What sound does an elephant make?” Some children responded by pretending their arm was an elephant trunk and making a rumbling sound. The teacher held up a flashcard of a monkey and asked the children, “What animal is this?” The children responded by saying, “Monkey!” The teacher asked, “What sound does a monkey make?” The children responded by saying, “Ooh-Ooh, Ahh-Ahh!” While the group was reviewing animal names and sounds, the other teacher took children, one-by-one, to use the bathroom or change their pull-up. The group from Space #4 was observed outside, lining up at the fence to transition back inside. The children lined up and pretended they were a train. The children chanted “Chugga-Chugga, Choo-Choo” while walking back to their classroom. When the group returned back to their space, they put their coats back on their hangers, went to the bathroom, washed their hands, and sat down at child-sized tables. When all children finished using the bathroom and washing their hands, the teacher sang a song called “Hop Little Bunny.” The children hopped and danced along to the song. In Space #5, children were observed participating in free-choice activities. One teacher engaged in a hair salon activity with a group of children, as they pretended to style the hair on dolls and My Little Pony toys. The noise level became loud and some children started to play roughly with wooden blocks. The teacher directed the children to clean up the toys and materials, and to come to the carpeted area for a dancing activity. The group from Space #6 were observed in the outdoor learning environment. Children were observed exploring the stationary tree house, using riding toys, and exploring the outdoor environment. In Space #7a, infants were observed sleeping in individual cribs and participating in tummy time activities. A diaper change was observed. All diapering procedures were followed. Documentation of visual sleep checks was available for review. Feeding schedules for the enrolled children were available for review. All bottles in the refrigerator were appropriately labeled. In Space #7b, infants and young toddlers were observed participating in free-choice activities. The teacher calmed a child who was crying by picking them up, holding them, and comforting them. Feeding schedules for the enrolled children were available for review. All bottles in the refrigerator were appropriately labeled. Documentation of visual sleep checks was available for review. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, diced sweet potatoes, applesauce, whole wheat bread, and milk. Five recently hired staff files were reviewed, and all documentation was in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with S. Shaw. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The operator did not schedule and obtain a fire inspection within 12 months of the previous inspection. The most recent fire inspection was completed on October 12, 2023. 10A NCAC 09 .0304(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 October 29, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 TA/Consultation: Fire Inspection A violation was cited today for not obtaining a fire inspection within the past twelve months. According to child care rule 10A NCAC 09 .0304(a), each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Infant/Toddler Classroom Observation I discussed the results of my observation in Spaces #7a and #7b with S. Shaw. The teachers were always aware of their surroundings. Self-talk and Parallel talk were both observed. We discussed how self-talk offers an opportunity to allow conversation to occur in a silent classroom. For example, the teacher can talk out loud about what he/she is doing, seeing, hearing, or feeling. Parallel talk is important for the teacher to engage in conversations by talking about what the child is doing, seeing, hearing, or feeling. I encouraged staff to continue using these methods of classroom interactions. Both staff were responsive to the needs of the infants, and promptly responded to crying by feeding, changing, and interacting with the infants. Preschool Classroom Observation I discussed the results of my observation in Space #5 with S. Shaw. Children were engaged in classroom activities and were responsive to the teacher. There were ample materials in each interest center for children to use at their choice. I encouraged S. Shaw to have staff clearly and consistently state what they expect from children, reminding them they are a part of a community with rules and expectations that guide each of them so all will benefit. I also encouraged S. Shaw to have staff use a range of techniques to remind children of the expectations. For example, when it gets loud, staff can say a chant that children will repeat, and they would know that it means to lower their voices. (“One, two, three, look at me.”) Reminders: Challenging Behaviors Hotline: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Natural Outdoor Learning Initiative The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 10/15/2024 Number Present: 75 Completed Date: 10/15/2024 Age: From 0 To 4 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 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 April 19, 2024 and prior to today’s visit, the eighteen-month compliance history score was 95% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct 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 was completed on September 20, 2024. Fire Classification of Satisfactory was completed on October 12, 2023. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Upon my arrival, seventy-five (75) children and twelve (12) teachers were present. In Space #1, a group of children was observed sitting in a carpeted area with one of the teachers, as she read a book titled “It’s Following Me.” Throughout the story, the teacher asked the children, “What sound does the kitty make?” The children responded by saying, “Meow!” The children laughed as the teacher made different voices for the characters in the story. Another teacher was observed changing children’s diapers, one by one, during the book activity. All diaper changing procedures were followed. The group from Space #2 was observed outside participating in outdoor play activities. Children were observed exploring the stationary tree house and riding on riding toys. The children sat down in a shaded area and were served cold water in disposable cups. In Space #3, children were observed sitting in a carpeted area with a teacher as they reviewed animals on flashcards. The teacher held a flashcard of an elephant and asked the children, “What animal is this?” The children responded by saying, “Elephant!” The teacher asked the children, “What sound does an elephant make?” Some children responded by pretending their arm was an elephant trunk and making a rumbling sound. The teacher held up a flashcard of a monkey and asked the children, “What animal is this?” The children responded by saying, “Monkey!” The teacher asked, “What sound does a monkey make?” The children responded by saying, “Ooh-Ooh, Ahh-Ahh!” While the group was reviewing animal names and sounds, the other teacher took children, one-by-one, to use the bathroom or change their pull-up. The group from Space #4 was observed outside, lining up at the fence to transition back inside. The children lined up and pretended they were a train. The children chanted “Chugga-Chugga, Choo-Choo” while walking back to their classroom. When the group returned back to their space, they put their coats back on their hangers, went to the bathroom, washed their hands, and sat down at child-sized tables. When all children finished using the bathroom and washing their hands, the teacher sang a song called “Hop Little Bunny.” The children hopped and danced along to the song. In Space #5, children were observed participating in free-choice activities. One teacher engaged in a hair salon activity with a group of children, as they pretended to style the hair on dolls and My Little Pony toys. The noise level became loud and some children started to play roughly with wooden blocks. The teacher directed the children to clean up the toys and materials, and to come to the carpeted area for a dancing activity. The group from Space #6 were observed in the outdoor learning environment. Children were observed exploring the stationary tree house, using riding toys, and exploring the outdoor environment. In Space #7a, infants were observed sleeping in individual cribs and participating in tummy time activities. A diaper change was observed. All diapering procedures were followed. Documentation of visual sleep checks was available for review. Feeding schedules for the enrolled children were available for review. All bottles in the refrigerator were appropriately labeled. In Space #7b, infants and young toddlers were observed participating in free-choice activities. The teacher calmed a child who was crying by picking them up, holding them, and comforting them. Feeding schedules for the enrolled children were available for review. All bottles in the refrigerator were appropriately labeled. Documentation of visual sleep checks was available for review. Routine care and handwashing practices were observed. Lunch consisted of chicken nuggets, diced sweet potatoes, applesauce, whole wheat bread, and milk. Five recently hired staff files were reviewed, and all documentation was in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with S. Shaw. The following violations were observed: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The operator did not schedule and obtain a fire inspection within 12 months of the previous inspection. The most recent fire inspection was completed on October 12, 2023. 10A NCAC 09 .0304(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 October 29, 2024, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Tiffany Reed Child Care Consultant P.O. Box 9939 Fayetteville, NC 28311 tiffany.L.reed@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Childcare ID# 12345678 TA/Consultation: Fire Inspection A violation was cited today for not obtaining a fire inspection within the past twelve months. According to child care rule 10A NCAC 09 .0304(a), each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Infant/Toddler Classroom Observation I discussed the results of my observation in Spaces #7a and #7b with S. Shaw. The teachers were always aware of their surroundings. Self-talk and Parallel talk were both observed. We discussed how self-talk offers an opportunity to allow conversation to occur in a silent classroom. For example, the teacher can talk out loud about what he/she is doing, seeing, hearing, or feeling. Parallel talk is important for the teacher to engage in conversations by talking about what the child is doing, seeing, hearing, or feeling. I encouraged staff to continue using these methods of classroom interactions. Both staff were responsive to the needs of the infants, and promptly responded to crying by feeding, changing, and interacting with the infants. Preschool Classroom Observation I discussed the results of my observation in Space #5 with S. Shaw. Children were engaged in classroom activities and were responsive to the teacher. There were ample materials in each interest center for children to use at their choice. I encouraged S. Shaw to have staff clearly and consistently state what they expect from children, reminding them they are a part of a community with rules and expectations that guide each of them so all will benefit. I also encouraged S. Shaw to have staff use a range of techniques to remind children of the expectations. For example, when it gets loud, staff can say a chant that children will repeat, and they would know that it means to lower their voices. (“One, two, three, look at me.”) Reminders: Challenging Behaviors Hotline: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Natural Outdoor Learning Initiative The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: ANGELA STEVENS Operation Type: Center Case Number: Visit Date: 4/19/2024 Number Present: 82 Completed Date: 4/19/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 08:30 AM Time Out: 01:30 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 April 24, 2023, prior to today’s visit, the eighteen-month compliance history score was 93% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023 Fire Classification of Satisfactory completed October 12, 2023. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. In space, #1, and #2 toddlers were exploring the space during outdoor play. In space, #3, children two years of age were observed returning to the classroom from outdoor play. Handwashing and toileting routines were observed. In space, #4, and #5, children were observed participating in free choice activities outdoors, such as climbing up/down the stationary equipment, chalk, and bubbles. Children moved freely about the space. In space #6, children were observed participating in free choice activities indoors, including sand play, dramatic play, drawing and coloring. Children moved freely about the space. In Space #7a, and 7b, infants were participating in tummy time, resting in their cribs and were on the floor exploring the space. Teachers were within arm’s reach of children who were exploring the space. Outdoor play were observed. Infants responded to staff as she tossed the soft balls, by using cooing sounds. The cook prepared and served the lunch. Lunch served was Swedish meatballs, green beans, pears, and milk. I received an updated Staff and Training Worksheet during today’s visit. No violation(s) were found. The most recent fire drill was completed on April 2, 2024, and a shelter-in-place emergency drill was completed on April 3, 2024. At the completion of the visit, the Visit Summary was reviewed with S. Shaw. The following violation(s) were observed. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space #6, located in the block area, the paint on the baseboards is peeling. In space#5, paint on the walls is peeling in various areas throughout the space. In space #1, the outside of the exit door to the playground area, the caulk is separating from the wall. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. Located in space#5, a blue children's chair were torn and not in good repair. This was corrected during the visit, the administrator placed tape over the areas torn. G.S. 110-91(6); .0601(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 3,2024, 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: Angela Stevens Child Care Consultant P.O. Box 25126 Fayetteville, NC 28314 angela.stevens@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: A violation was cited today for deteriorating wall and ceiling conditions. Please refer to Sanitation rule15A NCAC 18A.2825(a) regarding walls and ceilings. Walls and ceilings shall be clean and in good repair. In space #6, located in the block area, the paint on the baseboards is peeling. In space#5, paint on the walls is peeling in various areas throughout the space. In space #1, the outside of the exit door to the playground area, the caulk is separating from the wall. Review violations with staff on how to identify and report indoor and outdoor safety concerns during the next staff meeting. Create and/or review maintenance request procedures for identifying safety hazards in the indoor and outdoor environments. The restroom stall doors at the bottom located in space #6 on the left side and #5, on the left side are beginning to show wear and tear with the paint chipping and becoming thin in multiple places. The carpet located in space#5, in the library center is beginning to show wear and tear some stains are visible. Equipment and materials that are hazard free and in good repair are required for children. Additional information regarding indoor materials and equipment is in Sections .0500, .0600, and .2500 of the Child Care Rules, as well as .2822 of the Sanitation Rules. We discussed options for updating the restroom stalls including: sealing with clear coat to extend the life of the current paint; stripping all paint off and sealing in the natural state. We discussed cleaning before stains that are visible become worse or replacing the carpet. Reminders: Cohort and hold harmless: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year will not begin until July 1, 2024, the preparation year for cohort one begins July 1, 2023. Rated License Assessment: Your facility is in cohort one. I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year. If possible, we will align the reassessment with your annual compliance visit timeframe. •Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) •Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted •Request technical assistance with your child care consultant and local partners •Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) •Reach out to your local Community College to discuss educational opportunities •Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. •Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways oERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality oIf desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment oAssessment scores can be saved to use during the reassessment year oFacilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Natural Outdoor Learning Initiative: The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-308-2537 or angela.stevens@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: ANGELA STEVENS Operation Type: Center Case Number: Visit Date: 4/19/2024 Number Present: 82 Completed Date: 4/19/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 08:30 AM Time Out: 01:30 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 April 24, 2023, prior to today’s visit, the eighteen-month compliance history score was 93% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023 Fire Classification of Satisfactory completed October 12, 2023. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. In space, #1, and #2 toddlers were exploring the space during outdoor play. In space, #3, children two years of age were observed returning to the classroom from outdoor play. Handwashing and toileting routines were observed. In space, #4, and #5, children were observed participating in free choice activities outdoors, such as climbing up/down the stationary equipment, chalk, and bubbles. Children moved freely about the space. In space #6, children were observed participating in free choice activities indoors, including sand play, dramatic play, drawing and coloring. Children moved freely about the space. In Space #7a, and 7b, infants were participating in tummy time, resting in their cribs and were on the floor exploring the space. Teachers were within arm’s reach of children who were exploring the space. Outdoor play were observed. Infants responded to staff as she tossed the soft balls, by using cooing sounds. The cook prepared and served the lunch. Lunch served was Swedish meatballs, green beans, pears, and milk. I received an updated Staff and Training Worksheet during today’s visit. No violation(s) were found. The most recent fire drill was completed on April 2, 2024, and a shelter-in-place emergency drill was completed on April 3, 2024. At the completion of the visit, the Visit Summary was reviewed with S. Shaw. The following violation(s) were observed. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space #6, located in the block area, the paint on the baseboards is peeling. In space#5, paint on the walls is peeling in various areas throughout the space. In space #1, the outside of the exit door to the playground area, the caulk is separating from the wall. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. Located in space#5, a blue children's chair were torn and not in good repair. This was corrected during the visit, the administrator placed tape over the areas torn. G.S. 110-91(6); .0601(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 3,2024, 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: Angela Stevens Child Care Consultant P.O. Box 25126 Fayetteville, NC 28314 angela.stevens@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation/Reminders: A violation was cited today for deteriorating wall and ceiling conditions. Please refer to Sanitation rule15A NCAC 18A.2825(a) regarding walls and ceilings. Walls and ceilings shall be clean and in good repair. In space #6, located in the block area, the paint on the baseboards is peeling. In space#5, paint on the walls is peeling in various areas throughout the space. In space #1, the outside of the exit door to the playground area, the caulk is separating from the wall. Review violations with staff on how to identify and report indoor and outdoor safety concerns during the next staff meeting. Create and/or review maintenance request procedures for identifying safety hazards in the indoor and outdoor environments. The restroom stall doors at the bottom located in space #6 on the left side and #5, on the left side are beginning to show wear and tear with the paint chipping and becoming thin in multiple places. The carpet located in space#5, in the library center is beginning to show wear and tear some stains are visible. Equipment and materials that are hazard free and in good repair are required for children. Additional information regarding indoor materials and equipment is in Sections .0500, .0600, and .2500 of the Child Care Rules, as well as .2822 of the Sanitation Rules. We discussed options for updating the restroom stalls including: sealing with clear coat to extend the life of the current paint; stripping all paint off and sealing in the natural state. We discussed cleaning before stains that are visible become worse or replacing the carpet. Reminders: Cohort and hold harmless: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year will not begin until July 1, 2024, the preparation year for cohort one begins July 1, 2023. Rated License Assessment: Your facility is in cohort one. I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year. If possible, we will align the reassessment with your annual compliance visit timeframe. •Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) •Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted •Request technical assistance with your child care consultant and local partners •Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) •Reach out to your local Community College to discuss educational opportunities •Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. •Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways oERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality oIf desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment oAssessment scores can be saved to use during the reassessment year oFacilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Natural Outdoor Learning Initiative: The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-308-2537 or angela.stevens@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: ANGELA STEVENS Operation Type: Center Case Number: 0923-310L Visit Date: 10/4/2023 Number Present: 80 Completed Date: 10/4/2023 Age: From 0 To 4 Total Minutes: 330 Time In: 08:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of childcare requirements. The previous Annual Compliance Visit was completed April 24, 2023, prior to today’s visit, the eighteen-month compliance history score was 94% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Satisfactory completed September 21, 2022.(violation cited) There is concern that diapers are not being changed when soiled. There are concerns that documentation is not being provided when injuries occur in care. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Children throughout the center independently engaged in free choice play of classroom and outdoor materials. In space#1, children one year of age and in space#3 children two years of age were playing with free choice materials with one caregiver, while another caregiver completed diaper changing routines. In Space #2,4, and 5, children were observed outside on the fenced in playground. Outside they rode bikes and played with balls and climbed on a small climber. Staff positioned themselves throughout the space to ensure visual supervision of all children. In space #6, children along with two caregivers were participating in center play. In Space #7a,7b infants were participating in tummy time, while other infants were on the floor exploring the space. Breakfast served were wheat grain waffles, strawberries, and milk. Four new staff files were reviewed and one violation(s) were cited. Regarding the allegation that diapers are not being changed when soiled. I discussed the allegation with the administrator S. Shaw. I reviewed various days of video footage (9-25-2023, 9/28/2023) focusing on diaper changing routines. Throughout the video, teachers were completing diaper checks and documenting whether the child were soiled or dry. I reviewed diaper changing documentation via the facility app used to inform parents and compared to time stamp from video. S. Shaw stated when the app is offline, the staff document diaper changes on a notebook. During today’s visit, I observed children two years of age in space #3 during free choice play after outdoor play. One teacher were completing diaper changing routines. The children two years of age were helping identify their cubby by finding their picture to assist the teacher with retrieving their diaper. After completing diaper changes, the teacher joined the children in free choice play. Based on today’s observation and video footage reviewed, the allegations are unsubstantiated. Regarding the allegation that there are concerns that documentation is not being provided when injuries occur in care. I discussed the allegation with administrator S. Shaw. I reviewed incident reports when injuries have occurred with and without parent signatures were some have refused to sign. S. Shaw stated the procedure followed when there is an incident that may occur, such as biting. The parent is notified immediately, and an incident report is completed and given to the parent upon arrival. Daily parent reports were reviewed via the facility app. The parent report includes information about the child’s social interactions during play indoor and outdoor. During today’s visit, I observed office staff contacting parents at the time of various incidents that occurred. For example, a child were standing on a toy in centers the child slipped and bumped their lip on the floor. The teacher contacted the office staff immediately via for ice as well as make them aware of the incident. One staff member of the office took ice, while the other staff contacted the parents to make them aware. An incident report were completed. Based on today’s observation and documents reviewed the allegations are unsubstantiated. At the completion of the visit, the Visit Summary was reviewed with S. Shaw. The following violation(s) were observed. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was dated for September 21,2022. 10A NCAC 09 .0304(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair.. In space #6, the restroom on the right-hand side used by children, the tile on the wall in the back left corner is coming apart. 15A NCAC 18A .2825(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. First Aid certifications were not completed by one new staff member (M.N.) within 90days of hire. Staff member M.N hire date was May 22, 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. CPR certifications were not completed by one new staff member (M.N.) within 90days of hire. Staff member M.N hire date was May 22, 2023. .1102(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on October 18, 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: Angela Stevens Child Care Consultant P.O. Box 25126 Fayetteville, NC 28314 angela.stevens@dhhs.nc.gov Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation: TA/Consultation: Diaper Changing: Remember diapers shall be regularly checked and changed whenever they become soiled or wet. Staff shall provide assistance to each child to ensure good hygiene when children use the bathroom. Please refer to Child Care Rule .0806 for more information about this requirement. We discussed encouraging the staff who work in the infant and toddler rooms to complete a daily care log for each child and to share it with parents at the end of each day. You stated that you provide daily diapering logs for children two years of age, although not required. This is a way to keep parents informed. I encouraged you to continue using the routine I observed during today’s visit. Teachers checked children throughout today’s visit and completed diaper changes as needed. Incident Reports: Remember each time a child is injured as a result of an incident occurring while the child is in care an incident report must be completed. Also, when medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. Refer to Child Care Rule 10A NCAC 09 .0802(e-g) You stated that all staff members are aware of the incident policy. I encouraged you to continue following the procedures I observed during today’s visit. Fire Inspection: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for September 21,2022. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. CPR and First Aid: CPR and First Aid certifications were not completed by one new staff member (M.N.) within 90days of employment. Staff member M.N hire date was May 22, 2023, remember all new staff must complete CPR/First Aid within the first 90 days of employment. Refer to child care rule 10A NCAC 09 .1102(d) regarding staff requirements. Walls and Ceiling: A violation was cited today for deteriorating wall and ceiling conditions. Please refer to Sanitation rule15A NCAC 18A.2825(a) regarding walls and ceilings. Walls and ceilings shall be clean and in good repair. In space #6, the restroom on the right-hand side used by children, the tile on the wall in the back left corner is coming apart. Review violations with staff on how to identify and report indoor and outdoor safety concerns during the next staff meeting. Create and/or review maintenance request procedures for identifying safety hazards in the indoor and outdoor environments. DCDEE Information/Resources: 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 behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. DCDEE Website/ Child Care Consultant Contact Information: Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-308-2537 or angela.stevens@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: ANGELA STEVENS Operation Type: Center Case Number: 0923-310L Visit Date: 10/4/2023 Number Present: 80 Completed Date: 10/4/2023 Age: From 0 To 4 Total Minutes: 330 Time In: 08:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of childcare requirements. The previous Annual Compliance Visit was completed April 24, 2023, prior to today’s visit, the eighteen-month compliance history score was 94% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Satisfactory completed September 21, 2022.(violation cited) There is concern that diapers are not being changed when soiled. There are concerns that documentation is not being provided when injuries occur in care. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Children throughout the center independently engaged in free choice play of classroom and outdoor materials. In space#1, children one year of age and in space#3 children two years of age were playing with free choice materials with one caregiver, while another caregiver completed diaper changing routines. In Space #2,4, and 5, children were observed outside on the fenced in playground. Outside they rode bikes and played with balls and climbed on a small climber. Staff positioned themselves throughout the space to ensure visual supervision of all children. In space #6, children along with two caregivers were participating in center play. In Space #7a,7b infants were participating in tummy time, while other infants were on the floor exploring the space. Breakfast served were wheat grain waffles, strawberries, and milk. Four new staff files were reviewed and one violation(s) were cited. Regarding the allegation that diapers are not being changed when soiled. I discussed the allegation with the administrator S. Shaw. I reviewed various days of video footage (9-25-2023, 9/28/2023) focusing on diaper changing routines. Throughout the video, teachers were completing diaper checks and documenting whether the child were soiled or dry. I reviewed diaper changing documentation via the facility app used to inform parents and compared to time stamp from video. S. Shaw stated when the app is offline, the staff document diaper changes on a notebook. During today’s visit, I observed children two years of age in space #3 during free choice play after outdoor play. One teacher were completing diaper changing routines. The children two years of age were helping identify their cubby by finding their picture to assist the teacher with retrieving their diaper. After completing diaper changes, the teacher joined the children in free choice play. Based on today’s observation and video footage reviewed, the allegations are unsubstantiated. Regarding the allegation that there are concerns that documentation is not being provided when injuries occur in care. I discussed the allegation with administrator S. Shaw. I reviewed incident reports when injuries have occurred with and without parent signatures were some have refused to sign. S. Shaw stated the procedure followed when there is an incident that may occur, such as biting. The parent is notified immediately, and an incident report is completed and given to the parent upon arrival. Daily parent reports were reviewed via the facility app. The parent report includes information about the child’s social interactions during play indoor and outdoor. During today’s visit, I observed office staff contacting parents at the time of various incidents that occurred. For example, a child were standing on a toy in centers the child slipped and bumped their lip on the floor. The teacher contacted the office staff immediately via for ice as well as make them aware of the incident. One staff member of the office took ice, while the other staff contacted the parents to make them aware. An incident report were completed. Based on today’s observation and documents reviewed the allegations are unsubstantiated. At the completion of the visit, the Visit Summary was reviewed with S. Shaw. The following violation(s) were observed. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was dated for September 21,2022. 10A NCAC 09 .0304(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair.. In space #6, the restroom on the right-hand side used by children, the tile on the wall in the back left corner is coming apart. 15A NCAC 18A .2825(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. First Aid certifications were not completed by one new staff member (M.N.) within 90days of hire. Staff member M.N hire date was May 22, 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. CPR certifications were not completed by one new staff member (M.N.) within 90days of hire. Staff member M.N hire date was May 22, 2023. .1102(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on October 18, 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: Angela Stevens Child Care Consultant P.O. Box 25126 Fayetteville, NC 28314 angela.stevens@dhhs.nc.gov Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation: TA/Consultation: Diaper Changing: Remember diapers shall be regularly checked and changed whenever they become soiled or wet. Staff shall provide assistance to each child to ensure good hygiene when children use the bathroom. Please refer to Child Care Rule .0806 for more information about this requirement. We discussed encouraging the staff who work in the infant and toddler rooms to complete a daily care log for each child and to share it with parents at the end of each day. You stated that you provide daily diapering logs for children two years of age, although not required. This is a way to keep parents informed. I encouraged you to continue using the routine I observed during today’s visit. Teachers checked children throughout today’s visit and completed diaper changes as needed. Incident Reports: Remember each time a child is injured as a result of an incident occurring while the child is in care an incident report must be completed. Also, when medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. Refer to Child Care Rule 10A NCAC 09 .0802(e-g) You stated that all staff members are aware of the incident policy. I encouraged you to continue following the procedures I observed during today’s visit. Fire Inspection: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for September 21,2022. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. CPR and First Aid: CPR and First Aid certifications were not completed by one new staff member (M.N.) within 90days of employment. Staff member M.N hire date was May 22, 2023, remember all new staff must complete CPR/First Aid within the first 90 days of employment. Refer to child care rule 10A NCAC 09 .1102(d) regarding staff requirements. Walls and Ceiling: A violation was cited today for deteriorating wall and ceiling conditions. Please refer to Sanitation rule15A NCAC 18A.2825(a) regarding walls and ceilings. Walls and ceilings shall be clean and in good repair. In space #6, the restroom on the right-hand side used by children, the tile on the wall in the back left corner is coming apart. Review violations with staff on how to identify and report indoor and outdoor safety concerns during the next staff meeting. Create and/or review maintenance request procedures for identifying safety hazards in the indoor and outdoor environments. DCDEE Information/Resources: 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 behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. DCDEE Website/ Child Care Consultant Contact Information: Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-308-2537 or angela.stevens@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: ANGELA STEVENS Operation Type: Center Case Number: 0923-310L Visit Date: 10/4/2023 Number Present: 80 Completed Date: 10/4/2023 Age: From 0 To 4 Total Minutes: 330 Time In: 08:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of childcare requirements. The previous Annual Compliance Visit was completed April 24, 2023, prior to today’s visit, the eighteen-month compliance history score was 94% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Satisfactory completed September 21, 2022.(violation cited) There is concern that diapers are not being changed when soiled. There are concerns that documentation is not being provided when injuries occur in care. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Children throughout the center independently engaged in free choice play of classroom and outdoor materials. In space#1, children one year of age and in space#3 children two years of age were playing with free choice materials with one caregiver, while another caregiver completed diaper changing routines. In Space #2,4, and 5, children were observed outside on the fenced in playground. Outside they rode bikes and played with balls and climbed on a small climber. Staff positioned themselves throughout the space to ensure visual supervision of all children. In space #6, children along with two caregivers were participating in center play. In Space #7a,7b infants were participating in tummy time, while other infants were on the floor exploring the space. Breakfast served were wheat grain waffles, strawberries, and milk. Four new staff files were reviewed and one violation(s) were cited. Regarding the allegation that diapers are not being changed when soiled. I discussed the allegation with the administrator S. Shaw. I reviewed various days of video footage (9-25-2023, 9/28/2023) focusing on diaper changing routines. Throughout the video, teachers were completing diaper checks and documenting whether the child were soiled or dry. I reviewed diaper changing documentation via the facility app used to inform parents and compared to time stamp from video. S. Shaw stated when the app is offline, the staff document diaper changes on a notebook. During today’s visit, I observed children two years of age in space #3 during free choice play after outdoor play. One teacher were completing diaper changing routines. The children two years of age were helping identify their cubby by finding their picture to assist the teacher with retrieving their diaper. After completing diaper changes, the teacher joined the children in free choice play. Based on today’s observation and video footage reviewed, the allegations are unsubstantiated. Regarding the allegation that there are concerns that documentation is not being provided when injuries occur in care. I discussed the allegation with administrator S. Shaw. I reviewed incident reports when injuries have occurred with and without parent signatures were some have refused to sign. S. Shaw stated the procedure followed when there is an incident that may occur, such as biting. The parent is notified immediately, and an incident report is completed and given to the parent upon arrival. Daily parent reports were reviewed via the facility app. The parent report includes information about the child’s social interactions during play indoor and outdoor. During today’s visit, I observed office staff contacting parents at the time of various incidents that occurred. For example, a child were standing on a toy in centers the child slipped and bumped their lip on the floor. The teacher contacted the office staff immediately via for ice as well as make them aware of the incident. One staff member of the office took ice, while the other staff contacted the parents to make them aware. An incident report were completed. Based on today’s observation and documents reviewed the allegations are unsubstantiated. At the completion of the visit, the Visit Summary was reviewed with S. Shaw. The following violation(s) were observed. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was dated for September 21,2022. 10A NCAC 09 .0304(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair.. In space #6, the restroom on the right-hand side used by children, the tile on the wall in the back left corner is coming apart. 15A NCAC 18A .2825(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. First Aid certifications were not completed by one new staff member (M.N.) within 90days of hire. Staff member M.N hire date was May 22, 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. CPR certifications were not completed by one new staff member (M.N.) within 90days of hire. Staff member M.N hire date was May 22, 2023. .1102(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on October 18, 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: Angela Stevens Child Care Consultant P.O. Box 25126 Fayetteville, NC 28314 angela.stevens@dhhs.nc.gov Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation: TA/Consultation: Diaper Changing: Remember diapers shall be regularly checked and changed whenever they become soiled or wet. Staff shall provide assistance to each child to ensure good hygiene when children use the bathroom. Please refer to Child Care Rule .0806 for more information about this requirement. We discussed encouraging the staff who work in the infant and toddler rooms to complete a daily care log for each child and to share it with parents at the end of each day. You stated that you provide daily diapering logs for children two years of age, although not required. This is a way to keep parents informed. I encouraged you to continue using the routine I observed during today’s visit. Teachers checked children throughout today’s visit and completed diaper changes as needed. Incident Reports: Remember each time a child is injured as a result of an incident occurring while the child is in care an incident report must be completed. Also, when medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. Refer to Child Care Rule 10A NCAC 09 .0802(e-g) You stated that all staff members are aware of the incident policy. I encouraged you to continue following the procedures I observed during today’s visit. Fire Inspection: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for September 21,2022. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. CPR and First Aid: CPR and First Aid certifications were not completed by one new staff member (M.N.) within 90days of employment. Staff member M.N hire date was May 22, 2023, remember all new staff must complete CPR/First Aid within the first 90 days of employment. Refer to child care rule 10A NCAC 09 .1102(d) regarding staff requirements. Walls and Ceiling: A violation was cited today for deteriorating wall and ceiling conditions. Please refer to Sanitation rule15A NCAC 18A.2825(a) regarding walls and ceilings. Walls and ceilings shall be clean and in good repair. In space #6, the restroom on the right-hand side used by children, the tile on the wall in the back left corner is coming apart. Review violations with staff on how to identify and report indoor and outdoor safety concerns during the next staff meeting. Create and/or review maintenance request procedures for identifying safety hazards in the indoor and outdoor environments. DCDEE Information/Resources: 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 behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. DCDEE Website/ Child Care Consultant Contact Information: Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-308-2537 or angela.stevens@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MARKET PLACE CREATIVE SCHOOL Facility ID: 2655212 Consultant: ANGELA STEVENS Operation Type: Center Case Number: 0923-310L Visit Date: 10/4/2023 Number Present: 80 Completed Date: 10/4/2023 Age: From 0 To 4 Total Minutes: 330 Time In: 08:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of childcare requirements. The previous Annual Compliance Visit was completed April 24, 2023, prior to today’s visit, the eighteen-month compliance history score was 94% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Four-Star License issued October 10, 2019. The License was based on the program earning 5 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option in which they had staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Inspections are as follows: Sanitation Classification of Superior completed September 8, 2023. Fire Classification of Satisfactory completed September 21, 2022.(violation cited) There is concern that diapers are not being changed when soiled. There are concerns that documentation is not being provided when injuries occur in care. Sandra Shaw, Administrator, was present while I observed the indoor and outdoor areas. Children throughout the center independently engaged in free choice play of classroom and outdoor materials. In space#1, children one year of age and in space#3 children two years of age were playing with free choice materials with one caregiver, while another caregiver completed diaper changing routines. In Space #2,4, and 5, children were observed outside on the fenced in playground. Outside they rode bikes and played with balls and climbed on a small climber. Staff positioned themselves throughout the space to ensure visual supervision of all children. In space #6, children along with two caregivers were participating in center play. In Space #7a,7b infants were participating in tummy time, while other infants were on the floor exploring the space. Breakfast served were wheat grain waffles, strawberries, and milk. Four new staff files were reviewed and one violation(s) were cited. Regarding the allegation that diapers are not being changed when soiled. I discussed the allegation with the administrator S. Shaw. I reviewed various days of video footage (9-25-2023, 9/28/2023) focusing on diaper changing routines. Throughout the video, teachers were completing diaper checks and documenting whether the child were soiled or dry. I reviewed diaper changing documentation via the facility app used to inform parents and compared to time stamp from video. S. Shaw stated when the app is offline, the staff document diaper changes on a notebook. During today’s visit, I observed children two years of age in space #3 during free choice play after outdoor play. One teacher were completing diaper changing routines. The children two years of age were helping identify their cubby by finding their picture to assist the teacher with retrieving their diaper. After completing diaper changes, the teacher joined the children in free choice play. Based on today’s observation and video footage reviewed, the allegations are unsubstantiated. Regarding the allegation that there are concerns that documentation is not being provided when injuries occur in care. I discussed the allegation with administrator S. Shaw. I reviewed incident reports when injuries have occurred with and without parent signatures were some have refused to sign. S. Shaw stated the procedure followed when there is an incident that may occur, such as biting. The parent is notified immediately, and an incident report is completed and given to the parent upon arrival. Daily parent reports were reviewed via the facility app. The parent report includes information about the child’s social interactions during play indoor and outdoor. During today’s visit, I observed office staff contacting parents at the time of various incidents that occurred. For example, a child were standing on a toy in centers the child slipped and bumped their lip on the floor. The teacher contacted the office staff immediately via for ice as well as make them aware of the incident. One staff member of the office took ice, while the other staff contacted the parents to make them aware. An incident report were completed. Based on today’s observation and documents reviewed the allegations are unsubstantiated. At the completion of the visit, the Visit Summary was reviewed with S. Shaw. The following violation(s) were observed. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was dated for September 21,2022. 10A NCAC 09 .0304(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair.. In space #6, the restroom on the right-hand side used by children, the tile on the wall in the back left corner is coming apart. 15A NCAC 18A .2825(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. First Aid certifications were not completed by one new staff member (M.N.) within 90days of hire. Staff member M.N hire date was May 22, 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. CPR certifications were not completed by one new staff member (M.N.) within 90days of hire. Staff member M.N hire date was May 22, 2023. .1102(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation(s) observed and documented today must be corrected immediately. Additionally, by 5:00pm on October 18, 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: Angela Stevens Child Care Consultant P.O. Box 25126 Fayetteville, NC 28314 angela.stevens@dhhs.nc.gov Jane Doe, Administrator AAA Child Care ID # 12345678 Facility Specific TA/Consultation: TA/Consultation: Diaper Changing: Remember diapers shall be regularly checked and changed whenever they become soiled or wet. Staff shall provide assistance to each child to ensure good hygiene when children use the bathroom. Please refer to Child Care Rule .0806 for more information about this requirement. We discussed encouraging the staff who work in the infant and toddler rooms to complete a daily care log for each child and to share it with parents at the end of each day. You stated that you provide daily diapering logs for children two years of age, although not required. This is a way to keep parents informed. I encouraged you to continue using the routine I observed during today’s visit. Teachers checked children throughout today’s visit and completed diaper changes as needed. Incident Reports: Remember each time a child is injured as a result of an incident occurring while the child is in care an incident report must be completed. Also, when medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. Refer to Child Care Rule 10A NCAC 09 .0802(e-g) You stated that all staff members are aware of the incident policy. I encouraged you to continue following the procedures I observed during today’s visit. Fire Inspection: Fire Inspection: A violation was cited today for fire inspection. The last fire inspection was dated for September 21,2022. It is imperative to make sure to contact the Fire Marshal to find out the status on your required fire inspection. An annual Approved Fire Inspection is required annually and validates the building, premises, and program are following current Fire Codes; all of which attest a safe environment for children. Fire Inspections will need to be completed within 12 months of the center’s previous fire inspection. In addition, the Rule states the inspection must be on the form provided by the Division and mailed or emailed to the Consultant within seven (7) days. Please refer to Child Care Rules 10A NCAC 09 .0304 (a), for more information regarding this rule. CPR and First Aid: CPR and First Aid certifications were not completed by one new staff member (M.N.) within 90days of employment. Staff member M.N hire date was May 22, 2023, remember all new staff must complete CPR/First Aid within the first 90 days of employment. Refer to child care rule 10A NCAC 09 .1102(d) regarding staff requirements. Walls and Ceiling: A violation was cited today for deteriorating wall and ceiling conditions. Please refer to Sanitation rule15A NCAC 18A.2825(a) regarding walls and ceilings. Walls and ceilings shall be clean and in good repair. In space #6, the restroom on the right-hand side used by children, the tile on the wall in the back left corner is coming apart. Review violations with staff on how to identify and report indoor and outdoor safety concerns during the next staff meeting. Create and/or review maintenance request procedures for identifying safety hazards in the indoor and outdoor environments. DCDEE Information/Resources: 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 behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. DCDEE Website/ Child Care Consultant Contact Information: Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-308-2537 or angela.stevens@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times