10A NCAC 09 .0102 · Violation

Name of Operation: MIDDLE CREEK CREATIVE SCHOOL Facility ID: 2655216 Consultant: RONA DAVIS Operation Type: Center Case Number: Visit Date: 4/21/2025 Number Present: 50 Completed Date: 4/21/2025 Age: From 0 To 5 Total Minutes: 180 Time In: 08:45 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance Visit was completed October 16, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 97%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Five-Star License issued October 16, 2024. The License was based on the program’s accreditation with the National Association for the Education of Young Children (NAEYCE). The information on record with DCDEE was verified as correct by Jane Sessions, administrator, and the owner’s corporation status, Creative Schools, Inc., was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of superior completed March 28, 2025. The inspection was received during today’s visit. Fire Classification of approved completed November 13, 2024. Upon my arrival, I was greeted by Andrea Garner, Administrator. Jane Sessions, Administrator, arrived during the visit. I was accompanied by A. Garner while observing the indoor and outdoor areas. There were fifty (50) children in care. Group #1 were observed crawling and sitting on a carpeted area with their teachers. Developmentally age-appropriate materials were used (rattle, keys, rattling toys). Staff talked to the children about what they were doing. I observed diaper changing, hand washing, and sanitation procedures. In space #2, children were observed in the outdoor area, sitting at a picnic bench drinking water. Children in space #3, were sitting at a table participating in an art activity, using colored construction paper that read, “It’s Spring”. A teacher asked children what color marker they wanted (green, pink, blue). Another teacher changed the diaper of a child. She talked to the child during the process, washed hands, and sanitized the diaper table. Children in space #5, were observed playing in the outdoor area. They were running, climbing, sliding, and playing in a playhouse. Music was played as children used sidewalk chalk. A teacher asked, “Who shoe is this?” and “What color are her shoes?” Children in space #6 and #7, were observed participating in group activities. Children were sitting on the carpet with individual books. A child collected the books and placed them on the library shelf. A good morning song was played. The teacher and children were singing along. Some children gave their teacher a morning hug. Children were asked about their feelings. One child explained why he felt happy. A new child introduced herself to the class and the other children told the child their names. I observed diaper changing, toileting, sanitation, breakfast, hand washing, and lunch. Breakfast consisted of waffles, peaches, and milk. Lunch consisted of meatball marinara sub with mozzarella, steamed green peas, diced mango, whole grain sub roll, and milk. At the completion of the visit, the Visit Summary was reviewed with J. Sessions. The following violations were observed: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. A wall in space #3, has four holes approximately 1/2 - 1-inch in depth and peeling paint that is accessible to children.. 15A NCAC 18A .2825(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was not practiced every three months or documented. The last documentation was dated 12/17/24. A tornado drill that was conducted on 4/6/25 and was documented during today's visit. .0604(u);.0302(d)(8) The violation must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 PM on May 5, 2025, describing how and when the violation was corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the due date, an additional visit will be conducted to verify that violations have been corrected. Mail or email the information to: Rona Davis Child Care Consultant P.O. Box 1218 Raeford, NC 28376 rona.davis@dhhs.nc.gov If you decide to email the compliance letter, you must include a signature block, including your name and position – example: Jane Doe, Administrator of AAA Child Care ID # 12345678. Observation Suggestions: Relationships: It is important to build relationships with infants, enjoying your time with them with respect because infants who have a secure relationship with their caregivers are more likely to engage with and learn from their environments. Some strategies are: • Showing affection and sharing experiences with infants (affection, proximity, eye contact) • Using a calm voice and gentle touch; using polite language and calling infants by name; letting infants know what to expect before moving their bodies (calm voice, gentle touch, communication of intentions or changes) • Smiling, laughing, and showing sincere enthusiasm • Being aware of your own feelings of frustration, tone, negativity, roughness with infants. Being available to provide comfort to infants and respond to their individual needs by listening and watching for their verbal and physical cues is important because when infants can trust you to meet their needs and consistently feel safe and secure, they have lower levels of stress and are more willing to try new things, explore and learn. Some strategies are: • Visually scan the room and look for their verbal and physical cues, acknowledge infants by smiling at them and talking to them, attend to them physically • Respond to infants’ emotions and needs in a soothing, understanding, and individualized way. • Be able to calm upset infants; infants looking and reaching for you. Facilitation of Exploration: Playing with infants, giving them space to explore, following their attention and interest, and building on those interests to create learning opportunities because infants need to be interested and engaged to learn new things. When you follow their interest, you encourage learning through exploration. Some strategies are: • Initiate interactions, play and talk to infants during routine play, mirror behaviors. • Give infants opportunities to safely explore the classroom and things that interest them. • Encourage infants to persist in experiences by providing verbal encouragement, enthusiasm, and variations that keep them interested and create learning opportunities. Facility Specific TA/Consultation/Reminders: A violation was cited for a wall having four ½ -1-inch holes and peeling paint in space #3. You stated that someone was going to repair the wall. Refer to child care rule15A NCAC 18A .2821(a) all walls being in good repair. Walls shall be clean and in good repair. Review violations with staff on how to identify and report indoor and outdoor safety concerns during the next staff meeting provide a maintenance request for identifying safety hazards in the indoor and outdoor environments. Shelter-in-place and/or lockdown drills: A violation was cited for not conducting shelter-in-place and lockdown drills every three months. The last shelter-in-place or lockdown drill was not practiced every three months or documented. The last shelter-in-place or lockdown drill was documented December 12, 2024. To maintain a safe and healthy environment, a shelter-in-place or lockdown drill shall be conducted every three months. Refer to child care rule 10A NCAC 09 .0102. You stated that a tornado drill was conducted on 4/6/25 but was not documented. The drill was documented during today's visit. Visit the DCDEE website (www.ncchildcare.nc.gov) for updated requirements, forms, and other pertinent information. Please feel free to contact me at rona.davis@dhhs.nc.gov or 910-309-2480 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: MIDDLE CREEK CREATIVE SCHOOL Facility ID: 2655216 Consultant: ANGELA STEVENS Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 80 Completed Date: 5/16/2024 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: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. The previous Annual Compliance Visit was completed November 29, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 98% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Five-Star License issued July 6, 2022. The License was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option by having infrastructure of parent involvement and a staff benefits package. 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 Satisfaction completed February 27,2024. Fire Classification of Satisfactory completed November 22, 2023. Jane Sessions, Administrator, was present while I observed the indoor and outdoor areas. Andrea Gardner, Administrator accompanied me during today's visit. In Space #1, five infants were participating in tummy time. Two caregivers were on the floor interacting with the infants. In Space #2, I observed diapering routines with one-year-old children, while other toddlers played with free choice materials. In Space #3,and #5, I observed toddler age children outside on the fenced in playground. As well as preschool age children on a different fence in playground. Children were running about the space. Staff were positioned on each side of the play area. Staff conversed with children when they were within speaking range. In space #4, Staff engaged in frequent, positive, and interactive language with children by asking questions, responding to questions, during center time activities. Children were observed writing, building, playing with play dough and working on puzzles. One child shared a shape made out of the playdough with the teacher. The teacher expressed how excited she was to see their shape by saying “I love your creativity; it makes me happy”. In space#7, two staff members and eighteen preschool age children were practicing for an upcoming event(graduation) that will involve parents. The children were responsive to staff as they reviewed the expectations of the event. Children worked together to remind each other of the lyrics to a variety of songs. Lunch served was, turkey sandwiches, tater tots, mango, and milk. I received an updated Staff and Training Worksheet during today’s visit. One new staff files were observed and no violation (s) were found. The most recent fire drill was completed on April 19, 2024, and a shelter-in-place emergency drill was completed on March 13, 2024. At the completion of the visit, the Visit Summary was reviewed with Ms. Sessions. The following violation(s) were observed. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The small jungle gym and jungle gym with dinosaur located on the playground used for preschool and school aged children the turf is torn in several spots. The outdoor housekeeping items such as the kitchen set in the area used in the play area for preschool and school aged children needs to be replace it is showing wear and tear. These items were removed during today’s visit. The bench located near the housekeeping items paint is chipping and has become thin in multiple places, leaving areas torn and sharp edges that could puncture children in care. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Located on the back playground area used by preschool age children there is a log house and a small wooden house both have missing boards, and the nails are exposed. The floor in the log cabin has caved in, causing an unsafe area. The Log Cabin was removed from the play area during today's visit. Also, the bike trail in located in the center of the area is uneven causing a tripping hazard for children in care. The ground is caving in causing sink holes. 10A NCAC 09 .0601(a) The violations must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 pm on May 30, 2024, describing how and when the violations were corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the due date, an additional visit will be conducted to verify that violations have been corrected. 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: Classroom Observations: I discussed with J. Sessions the results from classroom observations conducted during today’s visit. Children were engaged in classroom activities and were responsive to the teachers throughout the facility. There were ample materials in each interest center in spaces 1,2,3,4,5,7 for children to use at their choice. Throughout the facility, children moved throughout the classroom space freely playing in interest centers. Technical Assistance was provided for space #3, add more stimulating materials to interest centers to promote self-development, positive social interactions, and challenging activities. Self-talk and Parallel talk were both observed during today’s visit. We discussed how self-talk offers an opportunity to allow conversation to occur in 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 J. Sessions, to encourage staff to continue using this method of classroom interactions. Violations Cited TA: Front Playground items not in good repair: The small jungle gym and jungle gym with dinosaur located on the playground used for preschool and school aged children the turf is torn in several spots. The outdoor housekeeping items such as the kitchen set in the area used in the play area for preschool and school aged children needs to be replace it is showing wear and tear. These items were removed during today’s visit. The bench located near the housekeeping items paint is chipping and has become thin in multiple places, leaving areas torn and sharp edges that could puncture children in care. Hazard’s on Back Playground: Located on the back playground area used by preschool age children there is a log house and a small wooden house both have missing boards, and the nails are exposed. The floor in the log cabin has caved in, causing an unsafe area. The log cabin was removed from the play area during today's visit. Also, the bike trail in located in the center of the area is uneven causing a tripping hazard for children in care. The ground is caving in causing sink holes. I recommend you rope off this area until the repairs have been made. Equipment and materials that are hazard free and in good repair are required for children. Additional information regarding equipment is in Sections .0500, .0600, and .2500 of the Child Care Rules, as well as .2800 of the Sanitation Rules. As a reminder, metals not inherently corrosion resistant should be painted, galvanized, or otherwise treated to prevent rust. Paint and other finishes should be maintained to prevent rusting of exposed metals and to minimize children playing with peeling paint and paint flakes. Sharp points, corners, or edges on any part of the playground or playground equipment may cut or puncture a child’s skin. Sharp edges can cause serious lacerations if protective measures are not taken. Inadequate maintenance of equipment has resulted in injuries on playgrounds. We discussed options for updating the equipment including: replacing the toys, sealing with clear coat to extend the life of the current paint; stripping all paint off and sealing in the natural state of the wood; or replacing. A safe indoor and outdoor environment is required for all children. Refer to NC childcare rule 10A NCAC .605(g) and .0605(j)(2). Reminders: Natural Outdoor Learning Initiative: The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. As a reminder, In prevention of the spread of germs, review hand washing, diapering procedure, and sanitation practice. Additional resources can be found at https://healthychildcare.unc.edu/ordering-posters. The website offers information about ordering a health and safety poster. Currently, there are no charges for the resources. Please feel free to contact me at angela.stevens@dhhs.nc.gov or 910-308-2537 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: MIDDLE CREEK CREATIVE SCHOOL Facility ID: 2655216 Consultant: ANGELA STEVENS Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 80 Completed Date: 5/16/2024 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: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. The previous Annual Compliance Visit was completed November 29, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 98% which is at or above 75%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Five-Star License issued July 6, 2022. The License was based on the program earning 7 points in education standards, 6 points in program standards, and one quality point by choosing to meet a programmatic option by having infrastructure of parent involvement and a staff benefits package. 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 Satisfaction completed February 27,2024. Fire Classification of Satisfactory completed November 22, 2023. Jane Sessions, Administrator, was present while I observed the indoor and outdoor areas. Andrea Gardner, Administrator accompanied me during today's visit. In Space #1, five infants were participating in tummy time. Two caregivers were on the floor interacting with the infants. In Space #2, I observed diapering routines with one-year-old children, while other toddlers played with free choice materials. In Space #3,and #5, I observed toddler age children outside on the fenced in playground. As well as preschool age children on a different fence in playground. Children were running about the space. Staff were positioned on each side of the play area. Staff conversed with children when they were within speaking range. In space #4, Staff engaged in frequent, positive, and interactive language with children by asking questions, responding to questions, during center time activities. Children were observed writing, building, playing with play dough and working on puzzles. One child shared a shape made out of the playdough with the teacher. The teacher expressed how excited she was to see their shape by saying “I love your creativity; it makes me happy”. In space#7, two staff members and eighteen preschool age children were practicing for an upcoming event(graduation) that will involve parents. The children were responsive to staff as they reviewed the expectations of the event. Children worked together to remind each other of the lyrics to a variety of songs. Lunch served was, turkey sandwiches, tater tots, mango, and milk. I received an updated Staff and Training Worksheet during today’s visit. One new staff files were observed and no violation (s) were found. The most recent fire drill was completed on April 19, 2024, and a shelter-in-place emergency drill was completed on March 13, 2024. At the completion of the visit, the Visit Summary was reviewed with Ms. Sessions. The following violation(s) were observed. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The small jungle gym and jungle gym with dinosaur located on the playground used for preschool and school aged children the turf is torn in several spots. The outdoor housekeeping items such as the kitchen set in the area used in the play area for preschool and school aged children needs to be replace it is showing wear and tear. These items were removed during today’s visit. The bench located near the housekeeping items paint is chipping and has become thin in multiple places, leaving areas torn and sharp edges that could puncture children in care. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Located on the back playground area used by preschool age children there is a log house and a small wooden house both have missing boards, and the nails are exposed. The floor in the log cabin has caved in, causing an unsafe area. The Log Cabin was removed from the play area during today's visit. Also, the bike trail in located in the center of the area is uneven causing a tripping hazard for children in care. The ground is caving in causing sink holes. 10A NCAC 09 .0601(a) The violations must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 pm on May 30, 2024, describing how and when the violations were corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the due date, an additional visit will be conducted to verify that violations have been corrected. 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: Classroom Observations: I discussed with J. Sessions the results from classroom observations conducted during today’s visit. Children were engaged in classroom activities and were responsive to the teachers throughout the facility. There were ample materials in each interest center in spaces 1,2,3,4,5,7 for children to use at their choice. Throughout the facility, children moved throughout the classroom space freely playing in interest centers. Technical Assistance was provided for space #3, add more stimulating materials to interest centers to promote self-development, positive social interactions, and challenging activities. Self-talk and Parallel talk were both observed during today’s visit. We discussed how self-talk offers an opportunity to allow conversation to occur in 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 J. Sessions, to encourage staff to continue using this method of classroom interactions. Violations Cited TA: Front Playground items not in good repair: The small jungle gym and jungle gym with dinosaur located on the playground used for preschool and school aged children the turf is torn in several spots. The outdoor housekeeping items such as the kitchen set in the area used in the play area for preschool and school aged children needs to be replace it is showing wear and tear. These items were removed during today’s visit. The bench located near the housekeeping items paint is chipping and has become thin in multiple places, leaving areas torn and sharp edges that could puncture children in care. Hazard’s on Back Playground: Located on the back playground area used by preschool age children there is a log house and a small wooden house both have missing boards, and the nails are exposed. The floor in the log cabin has caved in, causing an unsafe area. The log cabin was removed from the play area during today's visit. Also, the bike trail in located in the center of the area is uneven causing a tripping hazard for children in care. The ground is caving in causing sink holes. I recommend you rope off this area until the repairs have been made. Equipment and materials that are hazard free and in good repair are required for children. Additional information regarding equipment is in Sections .0500, .0600, and .2500 of the Child Care Rules, as well as .2800 of the Sanitation Rules. As a reminder, metals not inherently corrosion resistant should be painted, galvanized, or otherwise treated to prevent rust. Paint and other finishes should be maintained to prevent rusting of exposed metals and to minimize children playing with peeling paint and paint flakes. Sharp points, corners, or edges on any part of the playground or playground equipment may cut or puncture a child’s skin. Sharp edges can cause serious lacerations if protective measures are not taken. Inadequate maintenance of equipment has resulted in injuries on playgrounds. We discussed options for updating the equipment including: replacing the toys, sealing with clear coat to extend the life of the current paint; stripping all paint off and sealing in the natural state of the wood; or replacing. A safe indoor and outdoor environment is required for all children. Refer to NC childcare rule 10A NCAC .605(g) and .0605(j)(2). Reminders: Natural Outdoor Learning Initiative: The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. As a reminder, In prevention of the spread of germs, review hand washing, diapering procedure, and sanitation practice. Additional resources can be found at https://healthychildcare.unc.edu/ordering-posters. The website offers information about ordering a health and safety poster. Currently, there are no charges for the resources. Please feel free to contact me at angela.stevens@dhhs.nc.gov or 910-308-2537 if you have any questions, comments, or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: MIDDLE CREEK CREATIVE SCHOOL Facility ID: 2655216 Consultant: ANGELA STEVENS Operation Type: Center Case Number: Visit Date: 11/29/2023 Number Present: 73 Completed Date: 11/29/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 08:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed December 2, 2022, and prior to today’s visit, the eighteen-month compliance history score was 97%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Five-Star License issued July 6, 2022. The License was based on the program earning seven (7) points in education standards, six (6) points in program standards, and one (1) quality point by choosing to meet a programmatic option by having staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct by Jane Sessions 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 Satisfactory completed January 30, 2023. Fire Classification of Satisfactory completed November 22, 2023. Jane Sessions, Administrator, and Andrea Garner, Administrative Assistant, were present and accompanied me during the visit. The indoor and outdoor areas were monitored and two violations were cited one regarding the outdoor play area used by children two(2)-Three(3) years of age, and the other regarding the restroom area used by children in space #5 and #7. In Space #1, six (6) infants and one child one year of age were present. Children were participating in tummy time and playing with soft toys. One caregiver was on the floor interacting with the infants while the other caregiver were preparing a bottle for feeding. In Space #2, and #3, I observed toddler age children participating in indoor activities. Two caregivers were positioned in the classroom to provide immediate assistance as needed. In space # 4, #5, and #7, Children were engaged in outdoor free play. They climbed and played on the composite structure. Staff were interacting with the children while monitoring. Children were running about the space. Toileting and handwashing routines were observed. Lunch served were, Salisbury steak with gravy, steamed peas, applesauce, brown rice, and milk. Vegetarian Substitute (veggie crumble with gravy). At the completion of the visit, the Visit Summary was reviewed with Ms. Sessions. The following violation(s) were observed. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. Located in the restroom used by children in space#5 and #7, the tiles located at the bottom of the wall near the entrance area are missing and the wall surfacing is exposed and the ceiling tiles in the entrance of the restroom from space#7 have a brown stain. Located in the bathroom stall on the right side from the entrance of space#5, the metal on the stall door is rusted or corroded, and cracked in several areas. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. Located on the back playground used by children Two(2)-Three(3) years of age the tiles used as a bike trail are loose and broken this creates a tripping hazard. The surfacing material located in the middle of the play area around the bike trail is worn and is not in good repair, the area is lumpy this creates a tripping hazard. 10A NCAC 09 .0601(a) The violations must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 pm on December 13, 2023, describing how and when the violations were corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the due date, an additional visit will be conducted to verify that violations have been corrected. 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 Technical Assistance/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. Located in the restroom used by children in space#5 and #7, the tiles located at the bottom of the wall are missing and the wall surfacing is exposed and the ceiling tiles in the entrance of the restroom from space#7 have a brown stain. Located in the bathroom stall on the right side from the entrance of space#5, the metal on the stall door is rusted or corroded, and cracked in several areas. Walls and ceilings shall be clean and in good repair. As a reminder, metals not inherently corrosion resistant should be painted, galvanized, or otherwise treated to prevent rust. Paint and other finishes should be maintained to prevent rusting of exposed metals and to minimize children playing with peeling paint and paint flakes. It is best practice to routinely clean and sanitize with a bleach water solution. This will help prevent mold and/or mildew from growing on the equipment and will help maintain a sanitary indoor and outdoor environment. A violation was cited for safety hazards in the indoor and outdoor environment. A safe indoor and outdoor environment is required for all children. Refer to NC childcare rule 10A NCAC .605(g) and .0605(j)(2). Located on the back playground used by children two(2)-Three(3) years of age the tiles used as a bike trail are loose this creates a tripping hazard. The surfacing material located in the middle of the play area around the bike trail is worn and is not in good repair, the area is lumpy this creates a tripping hazard. Based on my observations, this playground area used by children two to three years of age does not comply with child care requirements 09.0601(a-b). It creates an unsafe outdoor environment for the children in care. Several areas observed during the visit could cause serious injury to children in care such as the loose tiles and the lumpy areas underneath the surfacing material. I recommend you make this area inaccessible to children in care by roping it off with yellow caution tape. As a reminder, Children shall go outdoors daily, weather permitting, and engage in vigorous play with gross motor materials such as: balls, balance beams, hula hoops, jump ropes (with supervision), and sand and other sensory activities, etc. Tripping hazards can lead to serious injuries for staff and children in care. It is best practice to provide a safe outdoor environment by making repairs as soon as possible to prevent serious injury to staff and children in care. Reminders: New Hires/Staff Files: Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also list 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. A blank copy of the Staff File Checklist can be located by visiting https://ncchildcare.ncdhhs.gov, The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and10A NCAC 09 .2408 for more information regarding this rule requirement. Challenging Behaviors Hotline: The Challenging Behaviors Hotline has opened. 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. Child Care Commissions: If you would like to receive NC Child Care Commission meeting notices electronically, please send your e-mail address to julie.peck@dhhs.nc.gov. Sending notices electronically helps us save public money. Questions regarding North Carolina Child Care Commission meetings should also be directed to: Julie Peck at (919) 814-0168 or julie.peck@dhhs.nc.gov. Please note that meeting dates and locations are subject to change. 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 .0701 · Violation

Name of Operation: MIDDLE CREEK CREATIVE SCHOOL Facility ID: 2655216 Consultant: ANGELA STEVENS Operation Type: Center Case Number: Visit Date: 11/29/2023 Number Present: 73 Completed Date: 11/29/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 08:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed December 2, 2022, and prior to today’s visit, the eighteen-month compliance history score was 97%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Five-Star License issued July 6, 2022. The License was based on the program earning seven (7) points in education standards, six (6) points in program standards, and one (1) quality point by choosing to meet a programmatic option by having staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct by Jane Sessions 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 Satisfactory completed January 30, 2023. Fire Classification of Satisfactory completed November 22, 2023. Jane Sessions, Administrator, and Andrea Garner, Administrative Assistant, were present and accompanied me during the visit. The indoor and outdoor areas were monitored and two violations were cited one regarding the outdoor play area used by children two(2)-Three(3) years of age, and the other regarding the restroom area used by children in space #5 and #7. In Space #1, six (6) infants and one child one year of age were present. Children were participating in tummy time and playing with soft toys. One caregiver was on the floor interacting with the infants while the other caregiver were preparing a bottle for feeding. In Space #2, and #3, I observed toddler age children participating in indoor activities. Two caregivers were positioned in the classroom to provide immediate assistance as needed. In space # 4, #5, and #7, Children were engaged in outdoor free play. They climbed and played on the composite structure. Staff were interacting with the children while monitoring. Children were running about the space. Toileting and handwashing routines were observed. Lunch served were, Salisbury steak with gravy, steamed peas, applesauce, brown rice, and milk. Vegetarian Substitute (veggie crumble with gravy). At the completion of the visit, the Visit Summary was reviewed with Ms. Sessions. The following violation(s) were observed. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. Located in the restroom used by children in space#5 and #7, the tiles located at the bottom of the wall near the entrance area are missing and the wall surfacing is exposed and the ceiling tiles in the entrance of the restroom from space#7 have a brown stain. Located in the bathroom stall on the right side from the entrance of space#5, the metal on the stall door is rusted or corroded, and cracked in several areas. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. Located on the back playground used by children Two(2)-Three(3) years of age the tiles used as a bike trail are loose and broken this creates a tripping hazard. The surfacing material located in the middle of the play area around the bike trail is worn and is not in good repair, the area is lumpy this creates a tripping hazard. 10A NCAC 09 .0601(a) The violations must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 pm on December 13, 2023, describing how and when the violations were corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the due date, an additional visit will be conducted to verify that violations have been corrected. 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 Technical Assistance/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. Located in the restroom used by children in space#5 and #7, the tiles located at the bottom of the wall are missing and the wall surfacing is exposed and the ceiling tiles in the entrance of the restroom from space#7 have a brown stain. Located in the bathroom stall on the right side from the entrance of space#5, the metal on the stall door is rusted or corroded, and cracked in several areas. Walls and ceilings shall be clean and in good repair. As a reminder, metals not inherently corrosion resistant should be painted, galvanized, or otherwise treated to prevent rust. Paint and other finishes should be maintained to prevent rusting of exposed metals and to minimize children playing with peeling paint and paint flakes. It is best practice to routinely clean and sanitize with a bleach water solution. This will help prevent mold and/or mildew from growing on the equipment and will help maintain a sanitary indoor and outdoor environment. A violation was cited for safety hazards in the indoor and outdoor environment. A safe indoor and outdoor environment is required for all children. Refer to NC childcare rule 10A NCAC .605(g) and .0605(j)(2). Located on the back playground used by children two(2)-Three(3) years of age the tiles used as a bike trail are loose this creates a tripping hazard. The surfacing material located in the middle of the play area around the bike trail is worn and is not in good repair, the area is lumpy this creates a tripping hazard. Based on my observations, this playground area used by children two to three years of age does not comply with child care requirements 09.0601(a-b). It creates an unsafe outdoor environment for the children in care. Several areas observed during the visit could cause serious injury to children in care such as the loose tiles and the lumpy areas underneath the surfacing material. I recommend you make this area inaccessible to children in care by roping it off with yellow caution tape. As a reminder, Children shall go outdoors daily, weather permitting, and engage in vigorous play with gross motor materials such as: balls, balance beams, hula hoops, jump ropes (with supervision), and sand and other sensory activities, etc. Tripping hazards can lead to serious injuries for staff and children in care. It is best practice to provide a safe outdoor environment by making repairs as soon as possible to prevent serious injury to staff and children in care. Reminders: New Hires/Staff Files: Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also list 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. A blank copy of the Staff File Checklist can be located by visiting https://ncchildcare.ncdhhs.gov, The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and10A NCAC 09 .2408 for more information regarding this rule requirement. Challenging Behaviors Hotline: The Challenging Behaviors Hotline has opened. 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. Child Care Commissions: If you would like to receive NC Child Care Commission meeting notices electronically, please send your e-mail address to julie.peck@dhhs.nc.gov. Sending notices electronically helps us save public money. Questions regarding North Carolina Child Care Commission meetings should also be directed to: Julie Peck at (919) 814-0168 or julie.peck@dhhs.nc.gov. Please note that meeting dates and locations are subject to change. 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 .0704 · Violation

Name of Operation: MIDDLE CREEK CREATIVE SCHOOL Facility ID: 2655216 Consultant: ANGELA STEVENS Operation Type: Center Case Number: Visit Date: 11/29/2023 Number Present: 73 Completed Date: 11/29/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 08:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed December 2, 2022, and prior to today’s visit, the eighteen-month compliance history score was 97%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Five-Star License issued July 6, 2022. The License was based on the program earning seven (7) points in education standards, six (6) points in program standards, and one (1) quality point by choosing to meet a programmatic option by having staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct by Jane Sessions 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 Satisfactory completed January 30, 2023. Fire Classification of Satisfactory completed November 22, 2023. Jane Sessions, Administrator, and Andrea Garner, Administrative Assistant, were present and accompanied me during the visit. The indoor and outdoor areas were monitored and two violations were cited one regarding the outdoor play area used by children two(2)-Three(3) years of age, and the other regarding the restroom area used by children in space #5 and #7. In Space #1, six (6) infants and one child one year of age were present. Children were participating in tummy time and playing with soft toys. One caregiver was on the floor interacting with the infants while the other caregiver were preparing a bottle for feeding. In Space #2, and #3, I observed toddler age children participating in indoor activities. Two caregivers were positioned in the classroom to provide immediate assistance as needed. In space # 4, #5, and #7, Children were engaged in outdoor free play. They climbed and played on the composite structure. Staff were interacting with the children while monitoring. Children were running about the space. Toileting and handwashing routines were observed. Lunch served were, Salisbury steak with gravy, steamed peas, applesauce, brown rice, and milk. Vegetarian Substitute (veggie crumble with gravy). At the completion of the visit, the Visit Summary was reviewed with Ms. Sessions. The following violation(s) were observed. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. Located in the restroom used by children in space#5 and #7, the tiles located at the bottom of the wall near the entrance area are missing and the wall surfacing is exposed and the ceiling tiles in the entrance of the restroom from space#7 have a brown stain. Located in the bathroom stall on the right side from the entrance of space#5, the metal on the stall door is rusted or corroded, and cracked in several areas. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. Located on the back playground used by children Two(2)-Three(3) years of age the tiles used as a bike trail are loose and broken this creates a tripping hazard. The surfacing material located in the middle of the play area around the bike trail is worn and is not in good repair, the area is lumpy this creates a tripping hazard. 10A NCAC 09 .0601(a) The violations must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 pm on December 13, 2023, describing how and when the violations were corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the due date, an additional visit will be conducted to verify that violations have been corrected. 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 Technical Assistance/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. Located in the restroom used by children in space#5 and #7, the tiles located at the bottom of the wall are missing and the wall surfacing is exposed and the ceiling tiles in the entrance of the restroom from space#7 have a brown stain. Located in the bathroom stall on the right side from the entrance of space#5, the metal on the stall door is rusted or corroded, and cracked in several areas. Walls and ceilings shall be clean and in good repair. As a reminder, metals not inherently corrosion resistant should be painted, galvanized, or otherwise treated to prevent rust. Paint and other finishes should be maintained to prevent rusting of exposed metals and to minimize children playing with peeling paint and paint flakes. It is best practice to routinely clean and sanitize with a bleach water solution. This will help prevent mold and/or mildew from growing on the equipment and will help maintain a sanitary indoor and outdoor environment. A violation was cited for safety hazards in the indoor and outdoor environment. A safe indoor and outdoor environment is required for all children. Refer to NC childcare rule 10A NCAC .605(g) and .0605(j)(2). Located on the back playground used by children two(2)-Three(3) years of age the tiles used as a bike trail are loose this creates a tripping hazard. The surfacing material located in the middle of the play area around the bike trail is worn and is not in good repair, the area is lumpy this creates a tripping hazard. Based on my observations, this playground area used by children two to three years of age does not comply with child care requirements 09.0601(a-b). It creates an unsafe outdoor environment for the children in care. Several areas observed during the visit could cause serious injury to children in care such as the loose tiles and the lumpy areas underneath the surfacing material. I recommend you make this area inaccessible to children in care by roping it off with yellow caution tape. As a reminder, Children shall go outdoors daily, weather permitting, and engage in vigorous play with gross motor materials such as: balls, balance beams, hula hoops, jump ropes (with supervision), and sand and other sensory activities, etc. Tripping hazards can lead to serious injuries for staff and children in care. It is best practice to provide a safe outdoor environment by making repairs as soon as possible to prevent serious injury to staff and children in care. Reminders: New Hires/Staff Files: Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also list 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. A blank copy of the Staff File Checklist can be located by visiting https://ncchildcare.ncdhhs.gov, The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and10A NCAC 09 .2408 for more information regarding this rule requirement. Challenging Behaviors Hotline: The Challenging Behaviors Hotline has opened. 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. Child Care Commissions: If you would like to receive NC Child Care Commission meeting notices electronically, please send your e-mail address to julie.peck@dhhs.nc.gov. Sending notices electronically helps us save public money. Questions regarding North Carolina Child Care Commission meetings should also be directed to: Julie Peck at (919) 814-0168 or julie.peck@dhhs.nc.gov. Please note that meeting dates and locations are subject to change. 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 .2408 · Violation

Name of Operation: MIDDLE CREEK CREATIVE SCHOOL Facility ID: 2655216 Consultant: ANGELA STEVENS Operation Type: Center Case Number: Visit Date: 11/29/2023 Number Present: 73 Completed Date: 11/29/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 08:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to an annual compliance visit, including Health and Safety Training. The previous Annual Compliance Visit was completed December 2, 2022, and prior to today’s visit, the eighteen-month compliance history score was 97%, as required by North Carolina General Statute 110-90(4) (c-d). This program currently operates with a Five-Star License issued July 6, 2022. The License was based on the program earning seven (7) points in education standards, six (6) points in program standards, and one (1) quality point by choosing to meet a programmatic option by having staff benefits package and infrastructure of parent involvement. The information on record with DCDEE was verified as correct by Jane Sessions 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 Satisfactory completed January 30, 2023. Fire Classification of Satisfactory completed November 22, 2023. Jane Sessions, Administrator, and Andrea Garner, Administrative Assistant, were present and accompanied me during the visit. The indoor and outdoor areas were monitored and two violations were cited one regarding the outdoor play area used by children two(2)-Three(3) years of age, and the other regarding the restroom area used by children in space #5 and #7. In Space #1, six (6) infants and one child one year of age were present. Children were participating in tummy time and playing with soft toys. One caregiver was on the floor interacting with the infants while the other caregiver were preparing a bottle for feeding. In Space #2, and #3, I observed toddler age children participating in indoor activities. Two caregivers were positioned in the classroom to provide immediate assistance as needed. In space # 4, #5, and #7, Children were engaged in outdoor free play. They climbed and played on the composite structure. Staff were interacting with the children while monitoring. Children were running about the space. Toileting and handwashing routines were observed. Lunch served were, Salisbury steak with gravy, steamed peas, applesauce, brown rice, and milk. Vegetarian Substitute (veggie crumble with gravy). At the completion of the visit, the Visit Summary was reviewed with Ms. Sessions. The following violation(s) were observed. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. Located in the restroom used by children in space#5 and #7, the tiles located at the bottom of the wall near the entrance area are missing and the wall surfacing is exposed and the ceiling tiles in the entrance of the restroom from space#7 have a brown stain. Located in the bathroom stall on the right side from the entrance of space#5, the metal on the stall door is rusted or corroded, and cracked in several areas. 15A NCAC 18A .2825(a) 807 A safe indoor and outdoor environment was not provided for the children. Located on the back playground used by children Two(2)-Three(3) years of age the tiles used as a bike trail are loose and broken this creates a tripping hazard. The surfacing material located in the middle of the play area around the bike trail is worn and is not in good repair, the area is lumpy this creates a tripping hazard. 10A NCAC 09 .0601(a) The violations must be corrected immediately. Mail or email a written, dated, and signed statement to me by 5:00 pm on December 13, 2023, describing how and when the violations were corrected and how the facility plans to maintain compliance in the future. If the compliance letter is not received by the due date, an additional visit will be conducted to verify that violations have been corrected. 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 Technical Assistance/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. Located in the restroom used by children in space#5 and #7, the tiles located at the bottom of the wall are missing and the wall surfacing is exposed and the ceiling tiles in the entrance of the restroom from space#7 have a brown stain. Located in the bathroom stall on the right side from the entrance of space#5, the metal on the stall door is rusted or corroded, and cracked in several areas. Walls and ceilings shall be clean and in good repair. As a reminder, metals not inherently corrosion resistant should be painted, galvanized, or otherwise treated to prevent rust. Paint and other finishes should be maintained to prevent rusting of exposed metals and to minimize children playing with peeling paint and paint flakes. It is best practice to routinely clean and sanitize with a bleach water solution. This will help prevent mold and/or mildew from growing on the equipment and will help maintain a sanitary indoor and outdoor environment. A violation was cited for safety hazards in the indoor and outdoor environment. A safe indoor and outdoor environment is required for all children. Refer to NC childcare rule 10A NCAC .605(g) and .0605(j)(2). Located on the back playground used by children two(2)-Three(3) years of age the tiles used as a bike trail are loose this creates a tripping hazard. The surfacing material located in the middle of the play area around the bike trail is worn and is not in good repair, the area is lumpy this creates a tripping hazard. Based on my observations, this playground area used by children two to three years of age does not comply with child care requirements 09.0601(a-b). It creates an unsafe outdoor environment for the children in care. Several areas observed during the visit could cause serious injury to children in care such as the loose tiles and the lumpy areas underneath the surfacing material. I recommend you make this area inaccessible to children in care by roping it off with yellow caution tape. As a reminder, Children shall go outdoors daily, weather permitting, and engage in vigorous play with gross motor materials such as: balls, balance beams, hula hoops, jump ropes (with supervision), and sand and other sensory activities, etc. Tripping hazards can lead to serious injuries for staff and children in care. It is best practice to provide a safe outdoor environment by making repairs as soon as possible to prevent serious injury to staff and children in care. Reminders: New Hires/Staff Files: Prior to employment, it is best practice to ensure the Staff File Checklist is completed. The items required are notated on the form and it also list 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. A blank copy of the Staff File Checklist can be located by visiting https://ncchildcare.ncdhhs.gov, The form can be found by selecting Provider tab then select Provider Documents and Forms. Please refer to Child Care Rule 10A NCAC 09 .0701, 10A NCAC 09 .0704, and10A NCAC 09 .2408 for more information regarding this rule requirement. Challenging Behaviors Hotline: The Challenging Behaviors Hotline has opened. 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. Child Care Commissions: If you would like to receive NC Child Care Commission meeting notices electronically, please send your e-mail address to julie.peck@dhhs.nc.gov. Sending notices electronically helps us save public money. Questions regarding North Carolina Child Care Commission meetings should also be directed to: Julie Peck at (919) 814-0168 or julie.peck@dhhs.nc.gov. Please note that meeting dates and locations are subject to change. 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