Childcare Network #240

G.S. 110-90 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0526-029L Visit Date: 5/14/2026 Number Present: 128 Completed Date: 5/14/2026 Age: From 0 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report received on May 4, 2026, alleging violations of child care requirements. The allegations were regarding supervision, nutrition/infant feeding, and program records. You, Nasheika Glenn-Moore, Administrator, assisted with the visit. The Secretary of State website was checked on May 14, 2026, and your business, Child Development Schools North Carolina, LLC, was active and in good standing If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. I conducted a walkthrough of the facility and observations in all spaces during the visit. Children were participating in free play, group time, breakfast, lunch, and routines during the visit. Supervision was adequate and in compliance during the visit. The allegations were discussed with you and three (3) additional staff members during today’s visit. You and the additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. You and staff interviewed reported no concerns regarding supervision. You reported that no supervision concerns have been brought to your attention, nor have you observed any supervision issues in any classroom. I discussed incident report forms from April 1 through May 14, 2026, with you and two (2) additional staff members. You and staff members interviewed reported supervision was adequate during each incident documented. Based on observation and staff interviews, the allegation regarding supervision was unsubstantiated. I checked all refrigerators used for bottle storage. Refrigerators used for bottle storage are located in Space #2, Space #3, and Space #10. I observed all bottles and sippy cups to be labeled with each child’s name and today’s date. I observed infant feeding in all spaces in which infants are enrolled during today’s visit. Infant feeding was observed in space #2, Space #3, and Space #10 during the visit. Infants were held during feedings and were given an opportunity to finish their bottles. I observed staff members documenting feedings in the “CN Moments” electronic system on tablets located in each classroom. I reviewed CN Moments for May 4 through May 14, 2026, for all children enrolled in Space #2, Space #3, and Space #10. I reviewed infant feeding schedules and noted feeding times and amounts to match those documented in the CN Moments system. I reviewed sign in and out records for May 4 through May 14, 2026, and confirmed all infants enrolled in Space #2, Space #3, and Space #10 were fed per their infant feeding schedules based on arrival and departure times. You and staff interviewed stated infants are fed as instructed by the infant feeding plans each parent completes for their child. You stated parents are encouraged to discuss any changes needed with the staff member assigned to their child’s classroom and note any changes on the infant feeding plan as needed. Based on staff interviews, record review, and observation, the allegation regarding nutrition/infant feeding was unsubstantiated. I reviewed incident report forms and the incident log for April 1 through May 15, 2026. I discussed incident report forms with you and two (2) additional staff members. The incidents which resulted in each incident report form reviewed were communicated with parents, parents were asked to sign a copy and offered a copy of the incident report forms, and this information was documented on each incident report form. The documentation written on each incident report form reviewed during the visit was appropriate for each form that was completed. Based on record review and staff interviews, the allegation regarding program records was unsubstantiated. The following violation, unrelated to the specific allegations, was observed/documented during the visit. Violation Number Comment Rule 853 Incident logs were not completed and maintained as required. One (1) incident report form for an incident that occurred on April 29, 2026, was not documented on the incident log. .0802(g)(1-6) The violation documented must be corrected immediately. On or before May 28, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 82%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723-723. I suggested you immediately document each incident report form on the incident log as soon as you complete the form to ensure documentation is up to date and accurate. Consultation: Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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 .0302 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 5/6/2026 Number Present: 174 Completed Date: 5/6/2026 Age: From 0 To 10 Total Minutes: 533 Time In: 07:58 AM Time Out: 12:48 PM Time In: 01:12 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements and requirements located in Child Care Rule Section .3000 regarding NC Pre-Kindergarten. You, Nasheika Glenn-Moore, Administrator, assisted with today’s visit. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued September 10, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. Your facility uses Frog Street Curriculum for children enrolled in the NC Pre-Kindergarten Program, and High Reach Curriculum for the rest of the facility. Your facility is in the process of selecting an approved formative assessment tool. The Secretary of State website was checked on May 6, 2026, and your business, Child Development Schools North Carolina, LLC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, lunch, nap, outdoor play, and free play during the visit. The last sanitation inspection was conducted on December 11, 2025. A “superior” classification was issued with eight (8) demerits noted on the grade card. The last fire inspection was conducted on April 16, 2026. The last fire drill was conducted on April 10, 2026. The last emergency drill was conducted on March 6, 2026. The last playground inspection was conducted on April 27, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 3, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Nineteen (19) children’s files were reviewed during the visit. Nine (9) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #2, two (2) bottles of formula were dated May 4, 2026, and one (1) bottle of human milk was dated May 4, 2026. In Space #3, four (4) bottles of human milk were labeled April 6, 2026. 15A NCAC 18A .2804(d) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One (1) incident report form dated November 6, 2023, for one (1) child, enrolled on July 17, 2023, did not include the witness to the incident, the date or the time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member completing the form. One (1) incident report form dated January 11, 2024, for one (1) child enrolled on November 27, 2023, did not include the witness to the incident, the date or time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member completing the form. One (1) incident report form dated November 3, for one (1) child enrolled on September 25, 2022, did not include the year the incident occurred, the witness to the incident, the date the parent signed the form, or the cause of the injury. One (1) incident report form dated July 3, for one (1) child enrolled on September 25, 2022, did not include the year the incident occurred, the cause of the injury, the date the parent signed the form, or the signature of the staff member completing the form. One (1) incident report form dated January 13, 2026, for one (1) child enrolled on August 7, 2023, did not include the date or time the parent was contacted or the name of the staff member who contacted the parent. One (1) incident report form dated March 23, 2026, for one (1) child enrolled on August 11, 2025, did not include the facility name, the date the parent signed the form, the date or time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member who completed the form. One (1) incident report form dated August 14, 2025, for one (1) child, enrolled on August 19, 2024, did not include the date or time the parent was contacted, the name of the staff member who contacted the parent, or how the parent was contacted. One (1) incident report form dated February 29, 2025, for one (1) staff member enrolled on November 27, 2023 did not include the facility ID#, the type of injury, the medical treatment received, the steps to prevent reoccurrence, the date the parent signed the form, the name of the staff member who completed the form, or the date or time the parent was contacted. One (1) incident report form dated July 22, 2025, for one (1) child enrolled on November 27, 2023, did not include the witness to the incident. Incident Report forms were not placed in children's files. .0802 (e) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for Bus #28 expired on April 30, 2026, and the registration for Bus #18 expired on May 31, 2025. .1002(b) 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. In Space #9b, twenty-two (22) children were present. Per enhanced space requirements, the maximum capacity of Space #9b is nineteen (19) children. In Space #11, twenty-two (22) children were present. Per enhanced space requirements, the maximum capacity of Space #11 is eighteen (18) children. 10A NCAC 09 .2809(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of the emergency information on file for one (1) child, enrolled on August 19, 2024, was dated August 19, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on February 19, 2024, was dated February 13, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on August 19, 2024, was dated July 2, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on November 27, 2023, was dated November 22, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on September 25, 2022, was dated December 7, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on August 5, 2024, was dated July 28, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on March 17, 2025, was dated March 13, 2025. The most recent update of the emergency information on file for one (1) child, enrolled on December 26, 2023, was dated December 21, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on November 25, 2024, was dated November 14, 2024. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. There was no medical exam on file for one (1) child, enrolled on November 25, 2024. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record on file for one (1) child, enrolled on August 19, 2024, was dated August 19, 2025. There was no immunization record on file for one (1) child, enrolled on August 10, 2025, or one (1) child, enrolled on November 25, 2024. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In Space #11, two (2) staff members were caring for twenty-two (22) children, all three (3) years of age. In Space #9b during the afterschool program, one (1) staff member was caring for twenty-two (22) children, four (4) to seven (7) years of age. In Space #9c during the afterschool program, one (1) staff member was caring for twenty-three (23) children, seven (7) to ten (10) years of age. 10A NCAC 09 .2818 1769 The health assessment did not include a dental screening. The dental exam on file for one (1) child, enrolled in the NC Pre-Kindergarten Program on August 11, 2025, was not dated. The dental exam on file for one (1) child, enrolled in the NC Pre-Kindergarten Program on August 13, 2025, was not dated. .3005 (a)(5) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) staff member, employed on July 12, 2019, one (1) staff member, employed on November 15, 2025, one (1) staff member, employed on October 14, 2025, one (1) staff member, employed on July 29, 2025, one (1) staff member, employed on February 24, 2026, one (1) staff member, employed on July 1, 2024, and one (1) staff member, employed on February 28, 2023, were not entered into the facility’s ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #3, the permission to administer medication form for one (1) tube of Calmostepine Ointment did not have the amount of the medication to be administered listed and the permission to administer medication form expired on October 1, 2025. In Space #14, there was no permission to administer medication form for one (1) tube of Parent’s Choice Diaper Rash Ointment Maximum Strength. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented must be corrected immediately. On or before May 20, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 84%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Staff members should check each bottle brought into the facility to ensure it is labeled properly. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 2. The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: facility identifying information; the child's name; date and time of the incident; witness to the incident; time the parent is notified of the incident and by whom; piece of equipment involved, if applicable; cause of injury, if applicable; type of injury, if applicable; body part injured, if applicable; where the child received medical treatment, if applicable; description of how and where the incident occurred, and the First Aid received; and steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. 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. I suggested that you remind staff members to complete an incident report form at the time an incident occurs to ensure all required information is documented. I also suggested that the staff member documenting the incident report forms on the incident log review the incident report forms to ensure they are filled out completely. Additionally, I recommended that you review the information required to be documented on incident report forms with all staff members during an upcoming staff meeting. 3. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations, including state inspections, registrations, and liability insurance. I suggested you set calendar reminders to ensure inspections and registrations are renewed in a timely manner. I also suggested you visually inspect all vehicles used to transport children on a regular basis to ensure the vehicle is safe and all regulations are met. 4. Your facility meets enhanced space requirements. You must have at least 30 square feet inside space per child. I reminded you that you should not combine groups when the number of children exceeds the space capacity required by your license restrictions. I suggested you review space capacity information for each classroom with all staff members to ensure space capacity is not exceeded at any time. I also suggested you refer staff members to reference the staff/child ratio sheet posted in each classroom. Children were moved to other spaces during the visit to come in compliance with enhanced space requirements. 5. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create an enrollment packet to ensure all required documentation is obtained during the enrollment process. I also suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. 6. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested you place all documentation in children’s files immediately upon receipt to ensure it is on file and available for review. 7. All children must have an immunization record or valid exemption on file within the first thirty (30) days of enrollment. I suggested you ask parents to provide the immunization record or exemption during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested you place all documentation in children’s files immediately upon receipt to ensure it is on file and available for review. 8. The staff/child ratio for the youngest member in each group must be maintained at all times. Staff should be scheduled to ensure proper coverage in each classroom to prevent any compliance issues regarding ratios. Your facility meets enhanced ratios and space. The following staff/child ratios must be maintained at all times: AGE RATIO STAFF/CHILDREN (MAXIMUM GROUP SIZE) 0 to 12 Months 1/5 (10) 1 to 2 Years 1/6 (12) 2 to 3 Years 1/9 (18) 3 to 4 Years 1/10 (20) 4 to 5 Years 1/13 (25) 5 to 6 Years 1/15 (25) 6 Years and Older 1/20 (25) I suggested you create the staff schedule to ensure ample staff members are on-site throughout the day to ensure staff/child ratios are met and maximum group sizes are not exceeded. I also suggested administration assist in classrooms when needed to ensure staff/child ratios and group sizes are in compliance at all times. Additionally, I suggested staff members contact administration when they are close to the maximum number of children allowed per staff/child ratio and group size requirements to request assistance prior to non-compliance. Do not accept additional children for care when the maximum number of children allowed by staff/child ratios/group sizes cannot be maintained. Children were moved to other spaces during the visit to come into compliance with staff/child ratio and maximum group size requirements. 9. A health assessment must be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment must include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. A dental screening may be completed on a separate form and must also be on file within 30 days after a child enters the NC Pre-K program. I suggested you obtain the dental screening from the parent during the enrollment process to ensure it is on file within the required timeframe. I also suggested you review all forms upon receipt to ensure they are filled out completely. You provided an email from Purple Tooth Dental, who completed the two (2) dental assessment forms stating they were on site to complete the assessments on November 6, 2025. This exam was conducted more than 30 days after each child’s enrollment in the NC Pre-Kindergarten Program. 10. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. For assistance, please contact the Criminal Background Check Unit at (919) 814-6401. I suggested you add new staff members to your provider portal on their first day of employment to ensure compliance. I provided you with the ABCMS Provider Portal Technical Assistance Document via email during the visit. 11. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. I suggested you have a teacher assigned to each classroom to check medications and permission forms at least monthly to ensure no medication or permission forms are expired. I suggested you keep blank copies of the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste forms in each room in the event that a parent needs to complete a new form. These forms can also be found on the Division’s website under the “Provider” tab. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environment rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Kim Ward, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. You stated the poured rubber surfacing in the fall zones under the stationary play structures on the playgrounds were placed prior to September 1, 2017, under the former owner of the facility; therefore, no documentation is on file. I suggested you have monitor areas of high traffic, such as areas at the base of slides and ladders, to ensure the surfacing is not worn thin. I suggested you place rubber mats that are ASTM certified in the high traffic areas where the surfacing is thin, or replace the surfacing if unable to patch it or install mats. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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 .2809 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 5/6/2026 Number Present: 174 Completed Date: 5/6/2026 Age: From 0 To 10 Total Minutes: 533 Time In: 07:58 AM Time Out: 12:48 PM Time In: 01:12 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements and requirements located in Child Care Rule Section .3000 regarding NC Pre-Kindergarten. You, Nasheika Glenn-Moore, Administrator, assisted with today’s visit. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued September 10, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. Your facility uses Frog Street Curriculum for children enrolled in the NC Pre-Kindergarten Program, and High Reach Curriculum for the rest of the facility. Your facility is in the process of selecting an approved formative assessment tool. The Secretary of State website was checked on May 6, 2026, and your business, Child Development Schools North Carolina, LLC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, lunch, nap, outdoor play, and free play during the visit. The last sanitation inspection was conducted on December 11, 2025. A “superior” classification was issued with eight (8) demerits noted on the grade card. The last fire inspection was conducted on April 16, 2026. The last fire drill was conducted on April 10, 2026. The last emergency drill was conducted on March 6, 2026. The last playground inspection was conducted on April 27, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 3, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Nineteen (19) children’s files were reviewed during the visit. Nine (9) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #2, two (2) bottles of formula were dated May 4, 2026, and one (1) bottle of human milk was dated May 4, 2026. In Space #3, four (4) bottles of human milk were labeled April 6, 2026. 15A NCAC 18A .2804(d) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One (1) incident report form dated November 6, 2023, for one (1) child, enrolled on July 17, 2023, did not include the witness to the incident, the date or the time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member completing the form. One (1) incident report form dated January 11, 2024, for one (1) child enrolled on November 27, 2023, did not include the witness to the incident, the date or time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member completing the form. One (1) incident report form dated November 3, for one (1) child enrolled on September 25, 2022, did not include the year the incident occurred, the witness to the incident, the date the parent signed the form, or the cause of the injury. One (1) incident report form dated July 3, for one (1) child enrolled on September 25, 2022, did not include the year the incident occurred, the cause of the injury, the date the parent signed the form, or the signature of the staff member completing the form. One (1) incident report form dated January 13, 2026, for one (1) child enrolled on August 7, 2023, did not include the date or time the parent was contacted or the name of the staff member who contacted the parent. One (1) incident report form dated March 23, 2026, for one (1) child enrolled on August 11, 2025, did not include the facility name, the date the parent signed the form, the date or time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member who completed the form. One (1) incident report form dated August 14, 2025, for one (1) child, enrolled on August 19, 2024, did not include the date or time the parent was contacted, the name of the staff member who contacted the parent, or how the parent was contacted. One (1) incident report form dated February 29, 2025, for one (1) staff member enrolled on November 27, 2023 did not include the facility ID#, the type of injury, the medical treatment received, the steps to prevent reoccurrence, the date the parent signed the form, the name of the staff member who completed the form, or the date or time the parent was contacted. One (1) incident report form dated July 22, 2025, for one (1) child enrolled on November 27, 2023, did not include the witness to the incident. Incident Report forms were not placed in children's files. .0802 (e) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for Bus #28 expired on April 30, 2026, and the registration for Bus #18 expired on May 31, 2025. .1002(b) 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. In Space #9b, twenty-two (22) children were present. Per enhanced space requirements, the maximum capacity of Space #9b is nineteen (19) children. In Space #11, twenty-two (22) children were present. Per enhanced space requirements, the maximum capacity of Space #11 is eighteen (18) children. 10A NCAC 09 .2809(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of the emergency information on file for one (1) child, enrolled on August 19, 2024, was dated August 19, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on February 19, 2024, was dated February 13, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on August 19, 2024, was dated July 2, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on November 27, 2023, was dated November 22, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on September 25, 2022, was dated December 7, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on August 5, 2024, was dated July 28, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on March 17, 2025, was dated March 13, 2025. The most recent update of the emergency information on file for one (1) child, enrolled on December 26, 2023, was dated December 21, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on November 25, 2024, was dated November 14, 2024. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. There was no medical exam on file for one (1) child, enrolled on November 25, 2024. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record on file for one (1) child, enrolled on August 19, 2024, was dated August 19, 2025. There was no immunization record on file for one (1) child, enrolled on August 10, 2025, or one (1) child, enrolled on November 25, 2024. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In Space #11, two (2) staff members were caring for twenty-two (22) children, all three (3) years of age. In Space #9b during the afterschool program, one (1) staff member was caring for twenty-two (22) children, four (4) to seven (7) years of age. In Space #9c during the afterschool program, one (1) staff member was caring for twenty-three (23) children, seven (7) to ten (10) years of age. 10A NCAC 09 .2818 1769 The health assessment did not include a dental screening. The dental exam on file for one (1) child, enrolled in the NC Pre-Kindergarten Program on August 11, 2025, was not dated. The dental exam on file for one (1) child, enrolled in the NC Pre-Kindergarten Program on August 13, 2025, was not dated. .3005 (a)(5) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) staff member, employed on July 12, 2019, one (1) staff member, employed on November 15, 2025, one (1) staff member, employed on October 14, 2025, one (1) staff member, employed on July 29, 2025, one (1) staff member, employed on February 24, 2026, one (1) staff member, employed on July 1, 2024, and one (1) staff member, employed on February 28, 2023, were not entered into the facility’s ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #3, the permission to administer medication form for one (1) tube of Calmostepine Ointment did not have the amount of the medication to be administered listed and the permission to administer medication form expired on October 1, 2025. In Space #14, there was no permission to administer medication form for one (1) tube of Parent’s Choice Diaper Rash Ointment Maximum Strength. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented must be corrected immediately. On or before May 20, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 84%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Staff members should check each bottle brought into the facility to ensure it is labeled properly. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 2. The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: facility identifying information; the child's name; date and time of the incident; witness to the incident; time the parent is notified of the incident and by whom; piece of equipment involved, if applicable; cause of injury, if applicable; type of injury, if applicable; body part injured, if applicable; where the child received medical treatment, if applicable; description of how and where the incident occurred, and the First Aid received; and steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. 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. I suggested that you remind staff members to complete an incident report form at the time an incident occurs to ensure all required information is documented. I also suggested that the staff member documenting the incident report forms on the incident log review the incident report forms to ensure they are filled out completely. Additionally, I recommended that you review the information required to be documented on incident report forms with all staff members during an upcoming staff meeting. 3. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations, including state inspections, registrations, and liability insurance. I suggested you set calendar reminders to ensure inspections and registrations are renewed in a timely manner. I also suggested you visually inspect all vehicles used to transport children on a regular basis to ensure the vehicle is safe and all regulations are met. 4. Your facility meets enhanced space requirements. You must have at least 30 square feet inside space per child. I reminded you that you should not combine groups when the number of children exceeds the space capacity required by your license restrictions. I suggested you review space capacity information for each classroom with all staff members to ensure space capacity is not exceeded at any time. I also suggested you refer staff members to reference the staff/child ratio sheet posted in each classroom. Children were moved to other spaces during the visit to come in compliance with enhanced space requirements. 5. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create an enrollment packet to ensure all required documentation is obtained during the enrollment process. I also suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. 6. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested you place all documentation in children’s files immediately upon receipt to ensure it is on file and available for review. 7. All children must have an immunization record or valid exemption on file within the first thirty (30) days of enrollment. I suggested you ask parents to provide the immunization record or exemption during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested you place all documentation in children’s files immediately upon receipt to ensure it is on file and available for review. 8. The staff/child ratio for the youngest member in each group must be maintained at all times. Staff should be scheduled to ensure proper coverage in each classroom to prevent any compliance issues regarding ratios. Your facility meets enhanced ratios and space. The following staff/child ratios must be maintained at all times: AGE RATIO STAFF/CHILDREN (MAXIMUM GROUP SIZE) 0 to 12 Months 1/5 (10) 1 to 2 Years 1/6 (12) 2 to 3 Years 1/9 (18) 3 to 4 Years 1/10 (20) 4 to 5 Years 1/13 (25) 5 to 6 Years 1/15 (25) 6 Years and Older 1/20 (25) I suggested you create the staff schedule to ensure ample staff members are on-site throughout the day to ensure staff/child ratios are met and maximum group sizes are not exceeded. I also suggested administration assist in classrooms when needed to ensure staff/child ratios and group sizes are in compliance at all times. Additionally, I suggested staff members contact administration when they are close to the maximum number of children allowed per staff/child ratio and group size requirements to request assistance prior to non-compliance. Do not accept additional children for care when the maximum number of children allowed by staff/child ratios/group sizes cannot be maintained. Children were moved to other spaces during the visit to come into compliance with staff/child ratio and maximum group size requirements. 9. A health assessment must be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment must include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. A dental screening may be completed on a separate form and must also be on file within 30 days after a child enters the NC Pre-K program. I suggested you obtain the dental screening from the parent during the enrollment process to ensure it is on file within the required timeframe. I also suggested you review all forms upon receipt to ensure they are filled out completely. You provided an email from Purple Tooth Dental, who completed the two (2) dental assessment forms stating they were on site to complete the assessments on November 6, 2025. This exam was conducted more than 30 days after each child’s enrollment in the NC Pre-Kindergarten Program. 10. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. For assistance, please contact the Criminal Background Check Unit at (919) 814-6401. I suggested you add new staff members to your provider portal on their first day of employment to ensure compliance. I provided you with the ABCMS Provider Portal Technical Assistance Document via email during the visit. 11. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. I suggested you have a teacher assigned to each classroom to check medications and permission forms at least monthly to ensure no medication or permission forms are expired. I suggested you keep blank copies of the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste forms in each room in the event that a parent needs to complete a new form. These forms can also be found on the Division’s website under the “Provider” tab. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environment rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Kim Ward, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. You stated the poured rubber surfacing in the fall zones under the stationary play structures on the playgrounds were placed prior to September 1, 2017, under the former owner of the facility; therefore, no documentation is on file. I suggested you have monitor areas of high traffic, such as areas at the base of slides and ladders, to ensure the surfacing is not worn thin. I suggested you place rubber mats that are ASTM certified in the high traffic areas where the surfacing is thin, or replace the surfacing if unable to patch it or install mats. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 5/6/2026 Number Present: 174 Completed Date: 5/6/2026 Age: From 0 To 10 Total Minutes: 533 Time In: 07:58 AM Time Out: 12:48 PM Time In: 01:12 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements and requirements located in Child Care Rule Section .3000 regarding NC Pre-Kindergarten. You, Nasheika Glenn-Moore, Administrator, assisted with today’s visit. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued September 10, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. Your facility uses Frog Street Curriculum for children enrolled in the NC Pre-Kindergarten Program, and High Reach Curriculum for the rest of the facility. Your facility is in the process of selecting an approved formative assessment tool. The Secretary of State website was checked on May 6, 2026, and your business, Child Development Schools North Carolina, LLC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, lunch, nap, outdoor play, and free play during the visit. The last sanitation inspection was conducted on December 11, 2025. A “superior” classification was issued with eight (8) demerits noted on the grade card. The last fire inspection was conducted on April 16, 2026. The last fire drill was conducted on April 10, 2026. The last emergency drill was conducted on March 6, 2026. The last playground inspection was conducted on April 27, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 3, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Nineteen (19) children’s files were reviewed during the visit. Nine (9) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #2, two (2) bottles of formula were dated May 4, 2026, and one (1) bottle of human milk was dated May 4, 2026. In Space #3, four (4) bottles of human milk were labeled April 6, 2026. 15A NCAC 18A .2804(d) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One (1) incident report form dated November 6, 2023, for one (1) child, enrolled on July 17, 2023, did not include the witness to the incident, the date or the time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member completing the form. One (1) incident report form dated January 11, 2024, for one (1) child enrolled on November 27, 2023, did not include the witness to the incident, the date or time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member completing the form. One (1) incident report form dated November 3, for one (1) child enrolled on September 25, 2022, did not include the year the incident occurred, the witness to the incident, the date the parent signed the form, or the cause of the injury. One (1) incident report form dated July 3, for one (1) child enrolled on September 25, 2022, did not include the year the incident occurred, the cause of the injury, the date the parent signed the form, or the signature of the staff member completing the form. One (1) incident report form dated January 13, 2026, for one (1) child enrolled on August 7, 2023, did not include the date or time the parent was contacted or the name of the staff member who contacted the parent. One (1) incident report form dated March 23, 2026, for one (1) child enrolled on August 11, 2025, did not include the facility name, the date the parent signed the form, the date or time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member who completed the form. One (1) incident report form dated August 14, 2025, for one (1) child, enrolled on August 19, 2024, did not include the date or time the parent was contacted, the name of the staff member who contacted the parent, or how the parent was contacted. One (1) incident report form dated February 29, 2025, for one (1) staff member enrolled on November 27, 2023 did not include the facility ID#, the type of injury, the medical treatment received, the steps to prevent reoccurrence, the date the parent signed the form, the name of the staff member who completed the form, or the date or time the parent was contacted. One (1) incident report form dated July 22, 2025, for one (1) child enrolled on November 27, 2023, did not include the witness to the incident. Incident Report forms were not placed in children's files. .0802 (e) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for Bus #28 expired on April 30, 2026, and the registration for Bus #18 expired on May 31, 2025. .1002(b) 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. In Space #9b, twenty-two (22) children were present. Per enhanced space requirements, the maximum capacity of Space #9b is nineteen (19) children. In Space #11, twenty-two (22) children were present. Per enhanced space requirements, the maximum capacity of Space #11 is eighteen (18) children. 10A NCAC 09 .2809(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of the emergency information on file for one (1) child, enrolled on August 19, 2024, was dated August 19, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on February 19, 2024, was dated February 13, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on August 19, 2024, was dated July 2, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on November 27, 2023, was dated November 22, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on September 25, 2022, was dated December 7, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on August 5, 2024, was dated July 28, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on March 17, 2025, was dated March 13, 2025. The most recent update of the emergency information on file for one (1) child, enrolled on December 26, 2023, was dated December 21, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on November 25, 2024, was dated November 14, 2024. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. There was no medical exam on file for one (1) child, enrolled on November 25, 2024. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record on file for one (1) child, enrolled on August 19, 2024, was dated August 19, 2025. There was no immunization record on file for one (1) child, enrolled on August 10, 2025, or one (1) child, enrolled on November 25, 2024. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In Space #11, two (2) staff members were caring for twenty-two (22) children, all three (3) years of age. In Space #9b during the afterschool program, one (1) staff member was caring for twenty-two (22) children, four (4) to seven (7) years of age. In Space #9c during the afterschool program, one (1) staff member was caring for twenty-three (23) children, seven (7) to ten (10) years of age. 10A NCAC 09 .2818 1769 The health assessment did not include a dental screening. The dental exam on file for one (1) child, enrolled in the NC Pre-Kindergarten Program on August 11, 2025, was not dated. The dental exam on file for one (1) child, enrolled in the NC Pre-Kindergarten Program on August 13, 2025, was not dated. .3005 (a)(5) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) staff member, employed on July 12, 2019, one (1) staff member, employed on November 15, 2025, one (1) staff member, employed on October 14, 2025, one (1) staff member, employed on July 29, 2025, one (1) staff member, employed on February 24, 2026, one (1) staff member, employed on July 1, 2024, and one (1) staff member, employed on February 28, 2023, were not entered into the facility’s ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #3, the permission to administer medication form for one (1) tube of Calmostepine Ointment did not have the amount of the medication to be administered listed and the permission to administer medication form expired on October 1, 2025. In Space #14, there was no permission to administer medication form for one (1) tube of Parent’s Choice Diaper Rash Ointment Maximum Strength. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented must be corrected immediately. On or before May 20, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 84%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Staff members should check each bottle brought into the facility to ensure it is labeled properly. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 2. The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: facility identifying information; the child's name; date and time of the incident; witness to the incident; time the parent is notified of the incident and by whom; piece of equipment involved, if applicable; cause of injury, if applicable; type of injury, if applicable; body part injured, if applicable; where the child received medical treatment, if applicable; description of how and where the incident occurred, and the First Aid received; and steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. 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. I suggested that you remind staff members to complete an incident report form at the time an incident occurs to ensure all required information is documented. I also suggested that the staff member documenting the incident report forms on the incident log review the incident report forms to ensure they are filled out completely. Additionally, I recommended that you review the information required to be documented on incident report forms with all staff members during an upcoming staff meeting. 3. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations, including state inspections, registrations, and liability insurance. I suggested you set calendar reminders to ensure inspections and registrations are renewed in a timely manner. I also suggested you visually inspect all vehicles used to transport children on a regular basis to ensure the vehicle is safe and all regulations are met. 4. Your facility meets enhanced space requirements. You must have at least 30 square feet inside space per child. I reminded you that you should not combine groups when the number of children exceeds the space capacity required by your license restrictions. I suggested you review space capacity information for each classroom with all staff members to ensure space capacity is not exceeded at any time. I also suggested you refer staff members to reference the staff/child ratio sheet posted in each classroom. Children were moved to other spaces during the visit to come in compliance with enhanced space requirements. 5. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create an enrollment packet to ensure all required documentation is obtained during the enrollment process. I also suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. 6. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested you place all documentation in children’s files immediately upon receipt to ensure it is on file and available for review. 7. All children must have an immunization record or valid exemption on file within the first thirty (30) days of enrollment. I suggested you ask parents to provide the immunization record or exemption during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested you place all documentation in children’s files immediately upon receipt to ensure it is on file and available for review. 8. The staff/child ratio for the youngest member in each group must be maintained at all times. Staff should be scheduled to ensure proper coverage in each classroom to prevent any compliance issues regarding ratios. Your facility meets enhanced ratios and space. The following staff/child ratios must be maintained at all times: AGE RATIO STAFF/CHILDREN (MAXIMUM GROUP SIZE) 0 to 12 Months 1/5 (10) 1 to 2 Years 1/6 (12) 2 to 3 Years 1/9 (18) 3 to 4 Years 1/10 (20) 4 to 5 Years 1/13 (25) 5 to 6 Years 1/15 (25) 6 Years and Older 1/20 (25) I suggested you create the staff schedule to ensure ample staff members are on-site throughout the day to ensure staff/child ratios are met and maximum group sizes are not exceeded. I also suggested administration assist in classrooms when needed to ensure staff/child ratios and group sizes are in compliance at all times. Additionally, I suggested staff members contact administration when they are close to the maximum number of children allowed per staff/child ratio and group size requirements to request assistance prior to non-compliance. Do not accept additional children for care when the maximum number of children allowed by staff/child ratios/group sizes cannot be maintained. Children were moved to other spaces during the visit to come into compliance with staff/child ratio and maximum group size requirements. 9. A health assessment must be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment must include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. A dental screening may be completed on a separate form and must also be on file within 30 days after a child enters the NC Pre-K program. I suggested you obtain the dental screening from the parent during the enrollment process to ensure it is on file within the required timeframe. I also suggested you review all forms upon receipt to ensure they are filled out completely. You provided an email from Purple Tooth Dental, who completed the two (2) dental assessment forms stating they were on site to complete the assessments on November 6, 2025. This exam was conducted more than 30 days after each child’s enrollment in the NC Pre-Kindergarten Program. 10. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. For assistance, please contact the Criminal Background Check Unit at (919) 814-6401. I suggested you add new staff members to your provider portal on their first day of employment to ensure compliance. I provided you with the ABCMS Provider Portal Technical Assistance Document via email during the visit. 11. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. I suggested you have a teacher assigned to each classroom to check medications and permission forms at least monthly to ensure no medication or permission forms are expired. I suggested you keep blank copies of the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste forms in each room in the event that a parent needs to complete a new form. These forms can also be found on the Division’s website under the “Provider” tab. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environment rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Kim Ward, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. You stated the poured rubber surfacing in the fall zones under the stationary play structures on the playgrounds were placed prior to September 1, 2017, under the former owner of the facility; therefore, no documentation is on file. I suggested you have monitor areas of high traffic, such as areas at the base of slides and ladders, to ensure the surfacing is not worn thin. I suggested you place rubber mats that are ASTM certified in the high traffic areas where the surfacing is thin, or replace the surfacing if unable to patch it or install mats. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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 .3009 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 5/6/2026 Number Present: 174 Completed Date: 5/6/2026 Age: From 0 To 10 Total Minutes: 533 Time In: 07:58 AM Time Out: 12:48 PM Time In: 01:12 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements and requirements located in Child Care Rule Section .3000 regarding NC Pre-Kindergarten. You, Nasheika Glenn-Moore, Administrator, assisted with today’s visit. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued September 10, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. Your facility uses Frog Street Curriculum for children enrolled in the NC Pre-Kindergarten Program, and High Reach Curriculum for the rest of the facility. Your facility is in the process of selecting an approved formative assessment tool. The Secretary of State website was checked on May 6, 2026, and your business, Child Development Schools North Carolina, LLC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, lunch, nap, outdoor play, and free play during the visit. The last sanitation inspection was conducted on December 11, 2025. A “superior” classification was issued with eight (8) demerits noted on the grade card. The last fire inspection was conducted on April 16, 2026. The last fire drill was conducted on April 10, 2026. The last emergency drill was conducted on March 6, 2026. The last playground inspection was conducted on April 27, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 3, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Nineteen (19) children’s files were reviewed during the visit. Nine (9) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #2, two (2) bottles of formula were dated May 4, 2026, and one (1) bottle of human milk was dated May 4, 2026. In Space #3, four (4) bottles of human milk were labeled April 6, 2026. 15A NCAC 18A .2804(d) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One (1) incident report form dated November 6, 2023, for one (1) child, enrolled on July 17, 2023, did not include the witness to the incident, the date or the time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member completing the form. One (1) incident report form dated January 11, 2024, for one (1) child enrolled on November 27, 2023, did not include the witness to the incident, the date or time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member completing the form. One (1) incident report form dated November 3, for one (1) child enrolled on September 25, 2022, did not include the year the incident occurred, the witness to the incident, the date the parent signed the form, or the cause of the injury. One (1) incident report form dated July 3, for one (1) child enrolled on September 25, 2022, did not include the year the incident occurred, the cause of the injury, the date the parent signed the form, or the signature of the staff member completing the form. One (1) incident report form dated January 13, 2026, for one (1) child enrolled on August 7, 2023, did not include the date or time the parent was contacted or the name of the staff member who contacted the parent. One (1) incident report form dated March 23, 2026, for one (1) child enrolled on August 11, 2025, did not include the facility name, the date the parent signed the form, the date or time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member who completed the form. One (1) incident report form dated August 14, 2025, for one (1) child, enrolled on August 19, 2024, did not include the date or time the parent was contacted, the name of the staff member who contacted the parent, or how the parent was contacted. One (1) incident report form dated February 29, 2025, for one (1) staff member enrolled on November 27, 2023 did not include the facility ID#, the type of injury, the medical treatment received, the steps to prevent reoccurrence, the date the parent signed the form, the name of the staff member who completed the form, or the date or time the parent was contacted. One (1) incident report form dated July 22, 2025, for one (1) child enrolled on November 27, 2023, did not include the witness to the incident. Incident Report forms were not placed in children's files. .0802 (e) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for Bus #28 expired on April 30, 2026, and the registration for Bus #18 expired on May 31, 2025. .1002(b) 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. In Space #9b, twenty-two (22) children were present. Per enhanced space requirements, the maximum capacity of Space #9b is nineteen (19) children. In Space #11, twenty-two (22) children were present. Per enhanced space requirements, the maximum capacity of Space #11 is eighteen (18) children. 10A NCAC 09 .2809(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of the emergency information on file for one (1) child, enrolled on August 19, 2024, was dated August 19, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on February 19, 2024, was dated February 13, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on August 19, 2024, was dated July 2, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on November 27, 2023, was dated November 22, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on September 25, 2022, was dated December 7, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on August 5, 2024, was dated July 28, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on March 17, 2025, was dated March 13, 2025. The most recent update of the emergency information on file for one (1) child, enrolled on December 26, 2023, was dated December 21, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on November 25, 2024, was dated November 14, 2024. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. There was no medical exam on file for one (1) child, enrolled on November 25, 2024. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record on file for one (1) child, enrolled on August 19, 2024, was dated August 19, 2025. There was no immunization record on file for one (1) child, enrolled on August 10, 2025, or one (1) child, enrolled on November 25, 2024. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In Space #11, two (2) staff members were caring for twenty-two (22) children, all three (3) years of age. In Space #9b during the afterschool program, one (1) staff member was caring for twenty-two (22) children, four (4) to seven (7) years of age. In Space #9c during the afterschool program, one (1) staff member was caring for twenty-three (23) children, seven (7) to ten (10) years of age. 10A NCAC 09 .2818 1769 The health assessment did not include a dental screening. The dental exam on file for one (1) child, enrolled in the NC Pre-Kindergarten Program on August 11, 2025, was not dated. The dental exam on file for one (1) child, enrolled in the NC Pre-Kindergarten Program on August 13, 2025, was not dated. .3005 (a)(5) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) staff member, employed on July 12, 2019, one (1) staff member, employed on November 15, 2025, one (1) staff member, employed on October 14, 2025, one (1) staff member, employed on July 29, 2025, one (1) staff member, employed on February 24, 2026, one (1) staff member, employed on July 1, 2024, and one (1) staff member, employed on February 28, 2023, were not entered into the facility’s ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #3, the permission to administer medication form for one (1) tube of Calmostepine Ointment did not have the amount of the medication to be administered listed and the permission to administer medication form expired on October 1, 2025. In Space #14, there was no permission to administer medication form for one (1) tube of Parent’s Choice Diaper Rash Ointment Maximum Strength. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented must be corrected immediately. On or before May 20, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 84%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Staff members should check each bottle brought into the facility to ensure it is labeled properly. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 2. The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: facility identifying information; the child's name; date and time of the incident; witness to the incident; time the parent is notified of the incident and by whom; piece of equipment involved, if applicable; cause of injury, if applicable; type of injury, if applicable; body part injured, if applicable; where the child received medical treatment, if applicable; description of how and where the incident occurred, and the First Aid received; and steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. 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. I suggested that you remind staff members to complete an incident report form at the time an incident occurs to ensure all required information is documented. I also suggested that the staff member documenting the incident report forms on the incident log review the incident report forms to ensure they are filled out completely. Additionally, I recommended that you review the information required to be documented on incident report forms with all staff members during an upcoming staff meeting. 3. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations, including state inspections, registrations, and liability insurance. I suggested you set calendar reminders to ensure inspections and registrations are renewed in a timely manner. I also suggested you visually inspect all vehicles used to transport children on a regular basis to ensure the vehicle is safe and all regulations are met. 4. Your facility meets enhanced space requirements. You must have at least 30 square feet inside space per child. I reminded you that you should not combine groups when the number of children exceeds the space capacity required by your license restrictions. I suggested you review space capacity information for each classroom with all staff members to ensure space capacity is not exceeded at any time. I also suggested you refer staff members to reference the staff/child ratio sheet posted in each classroom. Children were moved to other spaces during the visit to come in compliance with enhanced space requirements. 5. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create an enrollment packet to ensure all required documentation is obtained during the enrollment process. I also suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. 6. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested you place all documentation in children’s files immediately upon receipt to ensure it is on file and available for review. 7. All children must have an immunization record or valid exemption on file within the first thirty (30) days of enrollment. I suggested you ask parents to provide the immunization record or exemption during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested you place all documentation in children’s files immediately upon receipt to ensure it is on file and available for review. 8. The staff/child ratio for the youngest member in each group must be maintained at all times. Staff should be scheduled to ensure proper coverage in each classroom to prevent any compliance issues regarding ratios. Your facility meets enhanced ratios and space. The following staff/child ratios must be maintained at all times: AGE RATIO STAFF/CHILDREN (MAXIMUM GROUP SIZE) 0 to 12 Months 1/5 (10) 1 to 2 Years 1/6 (12) 2 to 3 Years 1/9 (18) 3 to 4 Years 1/10 (20) 4 to 5 Years 1/13 (25) 5 to 6 Years 1/15 (25) 6 Years and Older 1/20 (25) I suggested you create the staff schedule to ensure ample staff members are on-site throughout the day to ensure staff/child ratios are met and maximum group sizes are not exceeded. I also suggested administration assist in classrooms when needed to ensure staff/child ratios and group sizes are in compliance at all times. Additionally, I suggested staff members contact administration when they are close to the maximum number of children allowed per staff/child ratio and group size requirements to request assistance prior to non-compliance. Do not accept additional children for care when the maximum number of children allowed by staff/child ratios/group sizes cannot be maintained. Children were moved to other spaces during the visit to come into compliance with staff/child ratio and maximum group size requirements. 9. A health assessment must be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment must include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. A dental screening may be completed on a separate form and must also be on file within 30 days after a child enters the NC Pre-K program. I suggested you obtain the dental screening from the parent during the enrollment process to ensure it is on file within the required timeframe. I also suggested you review all forms upon receipt to ensure they are filled out completely. You provided an email from Purple Tooth Dental, who completed the two (2) dental assessment forms stating they were on site to complete the assessments on November 6, 2025. This exam was conducted more than 30 days after each child’s enrollment in the NC Pre-Kindergarten Program. 10. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. For assistance, please contact the Criminal Background Check Unit at (919) 814-6401. I suggested you add new staff members to your provider portal on their first day of employment to ensure compliance. I provided you with the ABCMS Provider Portal Technical Assistance Document via email during the visit. 11. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. I suggested you have a teacher assigned to each classroom to check medications and permission forms at least monthly to ensure no medication or permission forms are expired. I suggested you keep blank copies of the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste forms in each room in the event that a parent needs to complete a new form. These forms can also be found on the Division’s website under the “Provider” tab. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environment rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Kim Ward, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. You stated the poured rubber surfacing in the fall zones under the stationary play structures on the playgrounds were placed prior to September 1, 2017, under the former owner of the facility; therefore, no documentation is on file. I suggested you have monitor areas of high traffic, such as areas at the base of slides and ladders, to ensure the surfacing is not worn thin. I suggested you place rubber mats that are ASTM certified in the high traffic areas where the surfacing is thin, or replace the surfacing if unable to patch it or install mats. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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. 110-90 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 5/6/2026 Number Present: 174 Completed Date: 5/6/2026 Age: From 0 To 10 Total Minutes: 533 Time In: 07:58 AM Time Out: 12:48 PM Time In: 01:12 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements and requirements located in Child Care Rule Section .3000 regarding NC Pre-Kindergarten. You, Nasheika Glenn-Moore, Administrator, assisted with today’s visit. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued September 10, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. Your facility uses Frog Street Curriculum for children enrolled in the NC Pre-Kindergarten Program, and High Reach Curriculum for the rest of the facility. Your facility is in the process of selecting an approved formative assessment tool. The Secretary of State website was checked on May 6, 2026, and your business, Child Development Schools North Carolina, LLC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, lunch, nap, outdoor play, and free play during the visit. The last sanitation inspection was conducted on December 11, 2025. A “superior” classification was issued with eight (8) demerits noted on the grade card. The last fire inspection was conducted on April 16, 2026. The last fire drill was conducted on April 10, 2026. The last emergency drill was conducted on March 6, 2026. The last playground inspection was conducted on April 27, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 3, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Nineteen (19) children’s files were reviewed during the visit. Nine (9) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #2, two (2) bottles of formula were dated May 4, 2026, and one (1) bottle of human milk was dated May 4, 2026. In Space #3, four (4) bottles of human milk were labeled April 6, 2026. 15A NCAC 18A .2804(d) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One (1) incident report form dated November 6, 2023, for one (1) child, enrolled on July 17, 2023, did not include the witness to the incident, the date or the time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member completing the form. One (1) incident report form dated January 11, 2024, for one (1) child enrolled on November 27, 2023, did not include the witness to the incident, the date or time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member completing the form. One (1) incident report form dated November 3, for one (1) child enrolled on September 25, 2022, did not include the year the incident occurred, the witness to the incident, the date the parent signed the form, or the cause of the injury. One (1) incident report form dated July 3, for one (1) child enrolled on September 25, 2022, did not include the year the incident occurred, the cause of the injury, the date the parent signed the form, or the signature of the staff member completing the form. One (1) incident report form dated January 13, 2026, for one (1) child enrolled on August 7, 2023, did not include the date or time the parent was contacted or the name of the staff member who contacted the parent. One (1) incident report form dated March 23, 2026, for one (1) child enrolled on August 11, 2025, did not include the facility name, the date the parent signed the form, the date or time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member who completed the form. One (1) incident report form dated August 14, 2025, for one (1) child, enrolled on August 19, 2024, did not include the date or time the parent was contacted, the name of the staff member who contacted the parent, or how the parent was contacted. One (1) incident report form dated February 29, 2025, for one (1) staff member enrolled on November 27, 2023 did not include the facility ID#, the type of injury, the medical treatment received, the steps to prevent reoccurrence, the date the parent signed the form, the name of the staff member who completed the form, or the date or time the parent was contacted. One (1) incident report form dated July 22, 2025, for one (1) child enrolled on November 27, 2023, did not include the witness to the incident. Incident Report forms were not placed in children's files. .0802 (e) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for Bus #28 expired on April 30, 2026, and the registration for Bus #18 expired on May 31, 2025. .1002(b) 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. In Space #9b, twenty-two (22) children were present. Per enhanced space requirements, the maximum capacity of Space #9b is nineteen (19) children. In Space #11, twenty-two (22) children were present. Per enhanced space requirements, the maximum capacity of Space #11 is eighteen (18) children. 10A NCAC 09 .2809(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of the emergency information on file for one (1) child, enrolled on August 19, 2024, was dated August 19, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on February 19, 2024, was dated February 13, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on August 19, 2024, was dated July 2, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on November 27, 2023, was dated November 22, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on September 25, 2022, was dated December 7, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on August 5, 2024, was dated July 28, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on March 17, 2025, was dated March 13, 2025. The most recent update of the emergency information on file for one (1) child, enrolled on December 26, 2023, was dated December 21, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on November 25, 2024, was dated November 14, 2024. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. There was no medical exam on file for one (1) child, enrolled on November 25, 2024. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record on file for one (1) child, enrolled on August 19, 2024, was dated August 19, 2025. There was no immunization record on file for one (1) child, enrolled on August 10, 2025, or one (1) child, enrolled on November 25, 2024. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In Space #11, two (2) staff members were caring for twenty-two (22) children, all three (3) years of age. In Space #9b during the afterschool program, one (1) staff member was caring for twenty-two (22) children, four (4) to seven (7) years of age. In Space #9c during the afterschool program, one (1) staff member was caring for twenty-three (23) children, seven (7) to ten (10) years of age. 10A NCAC 09 .2818 1769 The health assessment did not include a dental screening. The dental exam on file for one (1) child, enrolled in the NC Pre-Kindergarten Program on August 11, 2025, was not dated. The dental exam on file for one (1) child, enrolled in the NC Pre-Kindergarten Program on August 13, 2025, was not dated. .3005 (a)(5) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) staff member, employed on July 12, 2019, one (1) staff member, employed on November 15, 2025, one (1) staff member, employed on October 14, 2025, one (1) staff member, employed on July 29, 2025, one (1) staff member, employed on February 24, 2026, one (1) staff member, employed on July 1, 2024, and one (1) staff member, employed on February 28, 2023, were not entered into the facility’s ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #3, the permission to administer medication form for one (1) tube of Calmostepine Ointment did not have the amount of the medication to be administered listed and the permission to administer medication form expired on October 1, 2025. In Space #14, there was no permission to administer medication form for one (1) tube of Parent’s Choice Diaper Rash Ointment Maximum Strength. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented must be corrected immediately. On or before May 20, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 84%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Staff members should check each bottle brought into the facility to ensure it is labeled properly. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 2. The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: facility identifying information; the child's name; date and time of the incident; witness to the incident; time the parent is notified of the incident and by whom; piece of equipment involved, if applicable; cause of injury, if applicable; type of injury, if applicable; body part injured, if applicable; where the child received medical treatment, if applicable; description of how and where the incident occurred, and the First Aid received; and steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. 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. I suggested that you remind staff members to complete an incident report form at the time an incident occurs to ensure all required information is documented. I also suggested that the staff member documenting the incident report forms on the incident log review the incident report forms to ensure they are filled out completely. Additionally, I recommended that you review the information required to be documented on incident report forms with all staff members during an upcoming staff meeting. 3. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations, including state inspections, registrations, and liability insurance. I suggested you set calendar reminders to ensure inspections and registrations are renewed in a timely manner. I also suggested you visually inspect all vehicles used to transport children on a regular basis to ensure the vehicle is safe and all regulations are met. 4. Your facility meets enhanced space requirements. You must have at least 30 square feet inside space per child. I reminded you that you should not combine groups when the number of children exceeds the space capacity required by your license restrictions. I suggested you review space capacity information for each classroom with all staff members to ensure space capacity is not exceeded at any time. I also suggested you refer staff members to reference the staff/child ratio sheet posted in each classroom. Children were moved to other spaces during the visit to come in compliance with enhanced space requirements. 5. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create an enrollment packet to ensure all required documentation is obtained during the enrollment process. I also suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. 6. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested you place all documentation in children’s files immediately upon receipt to ensure it is on file and available for review. 7. All children must have an immunization record or valid exemption on file within the first thirty (30) days of enrollment. I suggested you ask parents to provide the immunization record or exemption during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested you place all documentation in children’s files immediately upon receipt to ensure it is on file and available for review. 8. The staff/child ratio for the youngest member in each group must be maintained at all times. Staff should be scheduled to ensure proper coverage in each classroom to prevent any compliance issues regarding ratios. Your facility meets enhanced ratios and space. The following staff/child ratios must be maintained at all times: AGE RATIO STAFF/CHILDREN (MAXIMUM GROUP SIZE) 0 to 12 Months 1/5 (10) 1 to 2 Years 1/6 (12) 2 to 3 Years 1/9 (18) 3 to 4 Years 1/10 (20) 4 to 5 Years 1/13 (25) 5 to 6 Years 1/15 (25) 6 Years and Older 1/20 (25) I suggested you create the staff schedule to ensure ample staff members are on-site throughout the day to ensure staff/child ratios are met and maximum group sizes are not exceeded. I also suggested administration assist in classrooms when needed to ensure staff/child ratios and group sizes are in compliance at all times. Additionally, I suggested staff members contact administration when they are close to the maximum number of children allowed per staff/child ratio and group size requirements to request assistance prior to non-compliance. Do not accept additional children for care when the maximum number of children allowed by staff/child ratios/group sizes cannot be maintained. Children were moved to other spaces during the visit to come into compliance with staff/child ratio and maximum group size requirements. 9. A health assessment must be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment must include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. A dental screening may be completed on a separate form and must also be on file within 30 days after a child enters the NC Pre-K program. I suggested you obtain the dental screening from the parent during the enrollment process to ensure it is on file within the required timeframe. I also suggested you review all forms upon receipt to ensure they are filled out completely. You provided an email from Purple Tooth Dental, who completed the two (2) dental assessment forms stating they were on site to complete the assessments on November 6, 2025. This exam was conducted more than 30 days after each child’s enrollment in the NC Pre-Kindergarten Program. 10. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. For assistance, please contact the Criminal Background Check Unit at (919) 814-6401. I suggested you add new staff members to your provider portal on their first day of employment to ensure compliance. I provided you with the ABCMS Provider Portal Technical Assistance Document via email during the visit. 11. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. I suggested you have a teacher assigned to each classroom to check medications and permission forms at least monthly to ensure no medication or permission forms are expired. I suggested you keep blank copies of the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste forms in each room in the event that a parent needs to complete a new form. These forms can also be found on the Division’s website under the “Provider” tab. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environment rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Kim Ward, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. You stated the poured rubber surfacing in the fall zones under the stationary play structures on the playgrounds were placed prior to September 1, 2017, under the former owner of the facility; therefore, no documentation is on file. I suggested you have monitor areas of high traffic, such as areas at the base of slides and ladders, to ensure the surfacing is not worn thin. I suggested you place rubber mats that are ASTM certified in the high traffic areas where the surfacing is thin, or replace the surfacing if unable to patch it or install mats. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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

GS 110-91 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 5/6/2026 Number Present: 174 Completed Date: 5/6/2026 Age: From 0 To 10 Total Minutes: 533 Time In: 07:58 AM Time Out: 12:48 PM Time In: 01:12 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements and requirements located in Child Care Rule Section .3000 regarding NC Pre-Kindergarten. You, Nasheika Glenn-Moore, Administrator, assisted with today’s visit. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued September 10, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. Your facility uses Frog Street Curriculum for children enrolled in the NC Pre-Kindergarten Program, and High Reach Curriculum for the rest of the facility. Your facility is in the process of selecting an approved formative assessment tool. The Secretary of State website was checked on May 6, 2026, and your business, Child Development Schools North Carolina, LLC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, lunch, nap, outdoor play, and free play during the visit. The last sanitation inspection was conducted on December 11, 2025. A “superior” classification was issued with eight (8) demerits noted on the grade card. The last fire inspection was conducted on April 16, 2026. The last fire drill was conducted on April 10, 2026. The last emergency drill was conducted on March 6, 2026. The last playground inspection was conducted on April 27, 2026. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 3, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. Nineteen (19) children’s files were reviewed during the visit. Nine (9) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #2, two (2) bottles of formula were dated May 4, 2026, and one (1) bottle of human milk was dated May 4, 2026. In Space #3, four (4) bottles of human milk were labeled April 6, 2026. 15A NCAC 18A .2804(d) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One (1) incident report form dated November 6, 2023, for one (1) child, enrolled on July 17, 2023, did not include the witness to the incident, the date or the time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member completing the form. One (1) incident report form dated January 11, 2024, for one (1) child enrolled on November 27, 2023, did not include the witness to the incident, the date or time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member completing the form. One (1) incident report form dated November 3, for one (1) child enrolled on September 25, 2022, did not include the year the incident occurred, the witness to the incident, the date the parent signed the form, or the cause of the injury. One (1) incident report form dated July 3, for one (1) child enrolled on September 25, 2022, did not include the year the incident occurred, the cause of the injury, the date the parent signed the form, or the signature of the staff member completing the form. One (1) incident report form dated January 13, 2026, for one (1) child enrolled on August 7, 2023, did not include the date or time the parent was contacted or the name of the staff member who contacted the parent. One (1) incident report form dated March 23, 2026, for one (1) child enrolled on August 11, 2025, did not include the facility name, the date the parent signed the form, the date or time the parent was contacted, the name of the staff member who contacted the parent, or the signature of the staff member who completed the form. One (1) incident report form dated August 14, 2025, for one (1) child, enrolled on August 19, 2024, did not include the date or time the parent was contacted, the name of the staff member who contacted the parent, or how the parent was contacted. One (1) incident report form dated February 29, 2025, for one (1) staff member enrolled on November 27, 2023 did not include the facility ID#, the type of injury, the medical treatment received, the steps to prevent reoccurrence, the date the parent signed the form, the name of the staff member who completed the form, or the date or time the parent was contacted. One (1) incident report form dated July 22, 2025, for one (1) child enrolled on November 27, 2023, did not include the witness to the incident. Incident Report forms were not placed in children's files. .0802 (e) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for Bus #28 expired on April 30, 2026, and the registration for Bus #18 expired on May 31, 2025. .1002(b) 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. In Space #9b, twenty-two (22) children were present. Per enhanced space requirements, the maximum capacity of Space #9b is nineteen (19) children. In Space #11, twenty-two (22) children were present. Per enhanced space requirements, the maximum capacity of Space #11 is eighteen (18) children. 10A NCAC 09 .2809(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of the emergency information on file for one (1) child, enrolled on August 19, 2024, was dated August 19, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on February 19, 2024, was dated February 13, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on August 19, 2024, was dated July 2, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on November 27, 2023, was dated November 22, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on September 25, 2022, was dated December 7, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on August 5, 2024, was dated July 28, 2024. The most recent update of the emergency information on file for one (1) child, enrolled on March 17, 2025, was dated March 13, 2025. The most recent update of the emergency information on file for one (1) child, enrolled on December 26, 2023, was dated December 21, 2023. The most recent update of the emergency information on file for one (1) child, enrolled on November 25, 2024, was dated November 14, 2024. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. There was no medical exam on file for one (1) child, enrolled on November 25, 2024. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record on file for one (1) child, enrolled on August 19, 2024, was dated August 19, 2025. There was no immunization record on file for one (1) child, enrolled on August 10, 2025, or one (1) child, enrolled on November 25, 2024. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In Space #11, two (2) staff members were caring for twenty-two (22) children, all three (3) years of age. In Space #9b during the afterschool program, one (1) staff member was caring for twenty-two (22) children, four (4) to seven (7) years of age. In Space #9c during the afterschool program, one (1) staff member was caring for twenty-three (23) children, seven (7) to ten (10) years of age. 10A NCAC 09 .2818 1769 The health assessment did not include a dental screening. The dental exam on file for one (1) child, enrolled in the NC Pre-Kindergarten Program on August 11, 2025, was not dated. The dental exam on file for one (1) child, enrolled in the NC Pre-Kindergarten Program on August 13, 2025, was not dated. .3005 (a)(5) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One (1) staff member, employed on July 12, 2019, one (1) staff member, employed on November 15, 2025, one (1) staff member, employed on October 14, 2025, one (1) staff member, employed on July 29, 2025, one (1) staff member, employed on February 24, 2026, one (1) staff member, employed on July 1, 2024, and one (1) staff member, employed on February 28, 2023, were not entered into the facility’s ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #3, the permission to administer medication form for one (1) tube of Calmostepine Ointment did not have the amount of the medication to be administered listed and the permission to administer medication form expired on October 1, 2025. In Space #14, there was no permission to administer medication form for one (1) tube of Parent’s Choice Diaper Rash Ointment Maximum Strength. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented must be corrected immediately. On or before May 20, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 84%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Staff members should check each bottle brought into the facility to ensure it is labeled properly. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 2. The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: facility identifying information; the child's name; date and time of the incident; witness to the incident; time the parent is notified of the incident and by whom; piece of equipment involved, if applicable; cause of injury, if applicable; type of injury, if applicable; body part injured, if applicable; where the child received medical treatment, if applicable; description of how and where the incident occurred, and the First Aid received; and steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. 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. I suggested that you remind staff members to complete an incident report form at the time an incident occurs to ensure all required information is documented. I also suggested that the staff member documenting the incident report forms on the incident log review the incident report forms to ensure they are filled out completely. Additionally, I recommended that you review the information required to be documented on incident report forms with all staff members during an upcoming staff meeting. 3. Vehicles used to transport children enrolled in child care centers shall comply with all applicable State and federal laws and regulations, including state inspections, registrations, and liability insurance. I suggested you set calendar reminders to ensure inspections and registrations are renewed in a timely manner. I also suggested you visually inspect all vehicles used to transport children on a regular basis to ensure the vehicle is safe and all regulations are met. 4. Your facility meets enhanced space requirements. You must have at least 30 square feet inside space per child. I reminded you that you should not combine groups when the number of children exceeds the space capacity required by your license restrictions. I suggested you review space capacity information for each classroom with all staff members to ensure space capacity is not exceeded at any time. I also suggested you refer staff members to reference the staff/child ratio sheet posted in each classroom. Children were moved to other spaces during the visit to come in compliance with enhanced space requirements. 5. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create an enrollment packet to ensure all required documentation is obtained during the enrollment process. I also suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. 6. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested you place all documentation in children’s files immediately upon receipt to ensure it is on file and available for review. 7. All children must have an immunization record or valid exemption on file within the first thirty (30) days of enrollment. I suggested you ask parents to provide the immunization record or exemption during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Additionally, I suggested you place all documentation in children’s files immediately upon receipt to ensure it is on file and available for review. 8. The staff/child ratio for the youngest member in each group must be maintained at all times. Staff should be scheduled to ensure proper coverage in each classroom to prevent any compliance issues regarding ratios. Your facility meets enhanced ratios and space. The following staff/child ratios must be maintained at all times: AGE RATIO STAFF/CHILDREN (MAXIMUM GROUP SIZE) 0 to 12 Months 1/5 (10) 1 to 2 Years 1/6 (12) 2 to 3 Years 1/9 (18) 3 to 4 Years 1/10 (20) 4 to 5 Years 1/13 (25) 5 to 6 Years 1/15 (25) 6 Years and Older 1/20 (25) I suggested you create the staff schedule to ensure ample staff members are on-site throughout the day to ensure staff/child ratios are met and maximum group sizes are not exceeded. I also suggested administration assist in classrooms when needed to ensure staff/child ratios and group sizes are in compliance at all times. Additionally, I suggested staff members contact administration when they are close to the maximum number of children allowed per staff/child ratio and group size requirements to request assistance prior to non-compliance. Do not accept additional children for care when the maximum number of children allowed by staff/child ratios/group sizes cannot be maintained. Children were moved to other spaces during the visit to come into compliance with staff/child ratio and maximum group size requirements. 9. A health assessment must be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment must include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. A dental screening may be completed on a separate form and must also be on file within 30 days after a child enters the NC Pre-K program. I suggested you obtain the dental screening from the parent during the enrollment process to ensure it is on file within the required timeframe. I also suggested you review all forms upon receipt to ensure they are filled out completely. You provided an email from Purple Tooth Dental, who completed the two (2) dental assessment forms stating they were on site to complete the assessments on November 6, 2025. This exam was conducted more than 30 days after each child’s enrollment in the NC Pre-Kindergarten Program. 10. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. For assistance, please contact the Criminal Background Check Unit at (919) 814-6401. I suggested you add new staff members to your provider portal on their first day of employment to ensure compliance. I provided you with the ABCMS Provider Portal Technical Assistance Document via email during the visit. 11. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. I suggested you have a teacher assigned to each classroom to check medications and permission forms at least monthly to ensure no medication or permission forms are expired. I suggested you keep blank copies of the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste forms in each room in the event that a parent needs to complete a new form. These forms can also be found on the Division’s website under the “Provider” tab. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environment rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Kim Ward, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. You stated the poured rubber surfacing in the fall zones under the stationary play structures on the playgrounds were placed prior to September 1, 2017, under the former owner of the facility; therefore, no documentation is on file. I suggested you have monitor areas of high traffic, such as areas at the base of slides and ladders, to ensure the surfacing is not worn thin. I suggested you place rubber mats that are ASTM certified in the high traffic areas where the surfacing is thin, or replace the surfacing if unable to patch it or install mats. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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. 110-90 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: FARRAN RHYNE Operation Type: Center Case Number: 1225-178L Visit Date: 12/29/2025 Number Present: 58 Completed Date: 12/29/2025 Age: From 0 To 10 Total Minutes: 248 Time In: 10:12 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report received on December 19, 2025, alleging violations of child care requirements. The allegation was regarding sanitation/health. You, Lindsay Mupin, Assistant Director, assisted me with the visit. Nasheika Glenn-Moore, Administrator, arrived at 11:00am and assisted me with the visit. The Secretary of State website was checked on December 29, 2025, Child Development Schools North Carolina, LLC was listed as active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited A walkthrough of the facility was completed. I verified compliance with the license posted and permit restrictions during the visit. You reported fifty-eight children, ranging from infants to ten years of age, were in attendance during the visit. There were no children or staff present in Space #9a and #9b, the spaces designated for NC Pre-K. You stated the classrooms designated for NC Pre-K follow the Gaston County Schools Calendar for closures, and children enrolled in NC Pre-K will return from Holiday Break on January 5, 2026. The allegations were discussed with you and three (3) additional staff members. You and the additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. Incident logs and reports were reviewed. I requested access to camera footage; however, you stated the cameras in the classrooms are live feed only. Based on the walkthrough of the facility, documentation reviewed, and staff interviews, the allegations for “There are allegations of violations of child care requirements regarding sanitation/health” was left pending to obtain additional information. The following violation unrelated to the complaint was observed: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The incident report form dated December 15, 2025 did not list facility identifying information; time of the incident; witness to the incident; time the parent is notified of the incident and by whom; piece of equipment involved, if applicable; where the child received medical treatment, if applicable; a signature of the person completing the report; and a signature by the parent. .0802 (e) 853 Incident logs were not completed and maintained as required. An incident report dated December 15, 2025 was not documented on to the incident report log. .0802(g)(1-6) Technical Assistance: Incident reports We discussed the information required by rule for incident reports and suggested that you review incident report requirements with all staff. I suggested that you review all incident reports once received to ensure all required information is obtained. This will allow you to gather any missing information from staff to be recorded prior to filing. Child care rule .0802(e) states the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Incident Log An incident log must be completed any time an incident report is completed. This log must: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723-723. Sanitation/Health I reviewed with you the First Aid information sheet and Health and Safety information regarding biocontaminants. I suggested you reach out to Tara Knight, Child Care Consultant with the Gaston County Department of Health and Human Services, at 704.913.3129, to inquire about technical assistance and training regarding Stay Health, Stay Clean, that includes detailed information on sanitation requirements. Consultation: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Compliance History The program’s compliance history was eighty-three (83%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 12, 2026, your child care consultant must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: christine.rosinski@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0003. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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: Childcare Network #240 Facility ID: 36000636 Consultant: FARRAN RHYNE Operation Type: Center Case Number: 1225-178L Visit Date: 12/29/2025 Number Present: 58 Completed Date: 12/29/2025 Age: From 0 To 10 Total Minutes: 248 Time In: 10:12 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report received on December 19, 2025, alleging violations of child care requirements. The allegation was regarding sanitation/health. You, Lindsay Mupin, Assistant Director, assisted me with the visit. Nasheika Glenn-Moore, Administrator, arrived at 11:00am and assisted me with the visit. The Secretary of State website was checked on December 29, 2025, Child Development Schools North Carolina, LLC was listed as active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited A walkthrough of the facility was completed. I verified compliance with the license posted and permit restrictions during the visit. You reported fifty-eight children, ranging from infants to ten years of age, were in attendance during the visit. There were no children or staff present in Space #9a and #9b, the spaces designated for NC Pre-K. You stated the classrooms designated for NC Pre-K follow the Gaston County Schools Calendar for closures, and children enrolled in NC Pre-K will return from Holiday Break on January 5, 2026. The allegations were discussed with you and three (3) additional staff members. You and the additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. Incident logs and reports were reviewed. I requested access to camera footage; however, you stated the cameras in the classrooms are live feed only. Based on the walkthrough of the facility, documentation reviewed, and staff interviews, the allegations for “There are allegations of violations of child care requirements regarding sanitation/health” was left pending to obtain additional information. The following violation unrelated to the complaint was observed: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The incident report form dated December 15, 2025 did not list facility identifying information; time of the incident; witness to the incident; time the parent is notified of the incident and by whom; piece of equipment involved, if applicable; where the child received medical treatment, if applicable; a signature of the person completing the report; and a signature by the parent. .0802 (e) 853 Incident logs were not completed and maintained as required. An incident report dated December 15, 2025 was not documented on to the incident report log. .0802(g)(1-6) Technical Assistance: Incident reports We discussed the information required by rule for incident reports and suggested that you review incident report requirements with all staff. I suggested that you review all incident reports once received to ensure all required information is obtained. This will allow you to gather any missing information from staff to be recorded prior to filing. Child care rule .0802(e) states the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Incident Log An incident log must be completed any time an incident report is completed. This log must: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723-723. Sanitation/Health I reviewed with you the First Aid information sheet and Health and Safety information regarding biocontaminants. I suggested you reach out to Tara Knight, Child Care Consultant with the Gaston County Department of Health and Human Services, at 704.913.3129, to inquire about technical assistance and training regarding Stay Health, Stay Clean, that includes detailed information on sanitation requirements. Consultation: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Compliance History The program’s compliance history was eighty-three (83%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 12, 2026, your child care consultant must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: christine.rosinski@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0003. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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 .0302 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 137 Completed Date: 8/19/2025 Age: From 0 To 11 Total Minutes: 444 Time In: 08:10 AM Time Out: 12:27 PM Time In: 12:58 PM Time Out: 04:05 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements and requirements located in Child Care Rule Section .3000 regarding NC Pre-Kindergarten. You, Naskeika Glenn Moore, Administrator, assisted with today’s visit. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued September 10, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on August 19, 2025, and your business, Child Development Schools North Carolina, LLC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in breakfast, routines, group time, lunch, nap, outdoor play, and free play during the visit. The last sanitation inspection was conducted on June 9, 2025. A “superior” classification was issued with twelve (12) demerits noted on the grade card. The last fire inspection was conducted on May 15, 2025. The last fire drill was conducted on July 22, 2025. The last emergency drill was conducted on June 11, 2025. The last playground inspection was conducted on July 22, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 3, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. I reviewed the ABCMS Provider portal during the visit. Twenty (20) current staff members were listed as employees of your facility. Seventeen (17) children’s files were reviewed during the visit. Nine (9) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #2, one (1) child was not signed out on August 1, 2025. In Space #9a, one (1) child was not signed out on August 8, 2025. In Space #15, two (2) children were not signed out on August 12, 2025, one (1) child was not signed out on August 13, 2025, and one (1) child was not signed out on August 15, 2025. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plans posted in Space #2, Space #3, Space #5, and Space #7 were all dated August 11-August 15, 2025. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #2, two (2) bottles, both containing formula, were labeled August 18, 2025. 15A NCAC 18A .2804(d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #15, one (1) bottle of PineGlo Watermelon Scented All Purpose Cleaner and Disinfectant, with multiple warnings, was in an unlocked cabinet under the counter holding the fish tank, accessible to children. .2820(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of the emergency information for one (1) child, enrolled on February 26, 2024, was completed on February 21, 2024. The most recent update of the emergency information for one (1) child, enrolled on August 7, 2023, was completed on July 18, 2023. The most recent update of the emergency information for one (1) child, enrolled on July 29, 2024, was completed on July 16, 2024. The most recent update of the emergency information for one (1) child, enrolled on November 27, 2023, was completed on November 23, 2023. The most recent update of the emergency information for one (1) child, enrolled on August 12, 2024, was completed on August 9, 2024. The most recent update of the emergency information for one (1) child, enrolled on February 19, 2024, was completed on February 13, 2024. The most recent update of the emergency information for one (1) child, enrolled on May 27, 2024, was completed on April 24, 2024. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, enrolled on March 10, 2025, did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam on file for one (1) child, enrolled on November 27, 2023, was dated January 15, 2024. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record on file for one (1) child, enrolled on January 27, 2023, was dated February 12, 2024. One (1) child, enrolled on August 19, 2024, did not have an immunization record on file. One (1) child, enrolled on March 10, 2025, did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) The violations documented must be corrected immediately. On or before September 2, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 85%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You keep a staff sign in and out record, as well as a sign in and out record for parents. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 2. All centers must have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that an activity plan and schedule must be posted at all times. Additionally, I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. You printed updated activity plan for each classroom and posted it in the classroom during the visit. 3. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 4. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The hazardous product was removed from the classroom and placed in locked storage during the visit. 5. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create an emergency information update form with all the required information listed above. I also suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. 6. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. 7. All children must have an immunization record or valid exemption on file within the first thirty (30) days of enrollment. I suggested you ask parents to provide the immunization record or exemption during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. After we reviewed the pathways, you stated you may be interested in Pathway 2; however, you would discuss the different pathway options with corporate staff. We discussed changes to the environmental rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Kim Ward, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. Current staff information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. The registration for Bus #18 has expired. You stated you have not been using Bus #18 since the registration expired and have requested an inspection to renew the registration. Bus #18 may not be used to transport children until an inspection has been conducted and a current registration has been obtained. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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 .3009 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 137 Completed Date: 8/19/2025 Age: From 0 To 11 Total Minutes: 444 Time In: 08:10 AM Time Out: 12:27 PM Time In: 12:58 PM Time Out: 04:05 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements and requirements located in Child Care Rule Section .3000 regarding NC Pre-Kindergarten. You, Naskeika Glenn Moore, Administrator, assisted with today’s visit. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued September 10, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on August 19, 2025, and your business, Child Development Schools North Carolina, LLC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in breakfast, routines, group time, lunch, nap, outdoor play, and free play during the visit. The last sanitation inspection was conducted on June 9, 2025. A “superior” classification was issued with twelve (12) demerits noted on the grade card. The last fire inspection was conducted on May 15, 2025. The last fire drill was conducted on July 22, 2025. The last emergency drill was conducted on June 11, 2025. The last playground inspection was conducted on July 22, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 3, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. I reviewed the ABCMS Provider portal during the visit. Twenty (20) current staff members were listed as employees of your facility. Seventeen (17) children’s files were reviewed during the visit. Nine (9) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #2, one (1) child was not signed out on August 1, 2025. In Space #9a, one (1) child was not signed out on August 8, 2025. In Space #15, two (2) children were not signed out on August 12, 2025, one (1) child was not signed out on August 13, 2025, and one (1) child was not signed out on August 15, 2025. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plans posted in Space #2, Space #3, Space #5, and Space #7 were all dated August 11-August 15, 2025. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #2, two (2) bottles, both containing formula, were labeled August 18, 2025. 15A NCAC 18A .2804(d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #15, one (1) bottle of PineGlo Watermelon Scented All Purpose Cleaner and Disinfectant, with multiple warnings, was in an unlocked cabinet under the counter holding the fish tank, accessible to children. .2820(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of the emergency information for one (1) child, enrolled on February 26, 2024, was completed on February 21, 2024. The most recent update of the emergency information for one (1) child, enrolled on August 7, 2023, was completed on July 18, 2023. The most recent update of the emergency information for one (1) child, enrolled on July 29, 2024, was completed on July 16, 2024. The most recent update of the emergency information for one (1) child, enrolled on November 27, 2023, was completed on November 23, 2023. The most recent update of the emergency information for one (1) child, enrolled on August 12, 2024, was completed on August 9, 2024. The most recent update of the emergency information for one (1) child, enrolled on February 19, 2024, was completed on February 13, 2024. The most recent update of the emergency information for one (1) child, enrolled on May 27, 2024, was completed on April 24, 2024. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, enrolled on March 10, 2025, did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam on file for one (1) child, enrolled on November 27, 2023, was dated January 15, 2024. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record on file for one (1) child, enrolled on January 27, 2023, was dated February 12, 2024. One (1) child, enrolled on August 19, 2024, did not have an immunization record on file. One (1) child, enrolled on March 10, 2025, did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) The violations documented must be corrected immediately. On or before September 2, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 85%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You keep a staff sign in and out record, as well as a sign in and out record for parents. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 2. All centers must have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that an activity plan and schedule must be posted at all times. Additionally, I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. You printed updated activity plan for each classroom and posted it in the classroom during the visit. 3. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 4. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The hazardous product was removed from the classroom and placed in locked storage during the visit. 5. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create an emergency information update form with all the required information listed above. I also suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. 6. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. 7. All children must have an immunization record or valid exemption on file within the first thirty (30) days of enrollment. I suggested you ask parents to provide the immunization record or exemption during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. After we reviewed the pathways, you stated you may be interested in Pathway 2; however, you would discuss the different pathway options with corporate staff. We discussed changes to the environmental rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Kim Ward, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. Current staff information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. The registration for Bus #18 has expired. You stated you have not been using Bus #18 since the registration expired and have requested an inspection to renew the registration. Bus #18 may not be used to transport children until an inspection has been conducted and a current registration has been obtained. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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. 110-90 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 137 Completed Date: 8/19/2025 Age: From 0 To 11 Total Minutes: 444 Time In: 08:10 AM Time Out: 12:27 PM Time In: 12:58 PM Time Out: 04:05 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements and requirements located in Child Care Rule Section .3000 regarding NC Pre-Kindergarten. You, Naskeika Glenn Moore, Administrator, assisted with today’s visit. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued September 10, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on August 19, 2025, and your business, Child Development Schools North Carolina, LLC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in breakfast, routines, group time, lunch, nap, outdoor play, and free play during the visit. The last sanitation inspection was conducted on June 9, 2025. A “superior” classification was issued with twelve (12) demerits noted on the grade card. The last fire inspection was conducted on May 15, 2025. The last fire drill was conducted on July 22, 2025. The last emergency drill was conducted on June 11, 2025. The last playground inspection was conducted on July 22, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 3, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. I reviewed the ABCMS Provider portal during the visit. Twenty (20) current staff members were listed as employees of your facility. Seventeen (17) children’s files were reviewed during the visit. Nine (9) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #2, one (1) child was not signed out on August 1, 2025. In Space #9a, one (1) child was not signed out on August 8, 2025. In Space #15, two (2) children were not signed out on August 12, 2025, one (1) child was not signed out on August 13, 2025, and one (1) child was not signed out on August 15, 2025. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plans posted in Space #2, Space #3, Space #5, and Space #7 were all dated August 11-August 15, 2025. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #2, two (2) bottles, both containing formula, were labeled August 18, 2025. 15A NCAC 18A .2804(d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #15, one (1) bottle of PineGlo Watermelon Scented All Purpose Cleaner and Disinfectant, with multiple warnings, was in an unlocked cabinet under the counter holding the fish tank, accessible to children. .2820(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of the emergency information for one (1) child, enrolled on February 26, 2024, was completed on February 21, 2024. The most recent update of the emergency information for one (1) child, enrolled on August 7, 2023, was completed on July 18, 2023. The most recent update of the emergency information for one (1) child, enrolled on July 29, 2024, was completed on July 16, 2024. The most recent update of the emergency information for one (1) child, enrolled on November 27, 2023, was completed on November 23, 2023. The most recent update of the emergency information for one (1) child, enrolled on August 12, 2024, was completed on August 9, 2024. The most recent update of the emergency information for one (1) child, enrolled on February 19, 2024, was completed on February 13, 2024. The most recent update of the emergency information for one (1) child, enrolled on May 27, 2024, was completed on April 24, 2024. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, enrolled on March 10, 2025, did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam on file for one (1) child, enrolled on November 27, 2023, was dated January 15, 2024. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record on file for one (1) child, enrolled on January 27, 2023, was dated February 12, 2024. One (1) child, enrolled on August 19, 2024, did not have an immunization record on file. One (1) child, enrolled on March 10, 2025, did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) The violations documented must be corrected immediately. On or before September 2, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 85%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You keep a staff sign in and out record, as well as a sign in and out record for parents. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 2. All centers must have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that an activity plan and schedule must be posted at all times. Additionally, I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. You printed updated activity plan for each classroom and posted it in the classroom during the visit. 3. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 4. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The hazardous product was removed from the classroom and placed in locked storage during the visit. 5. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create an emergency information update form with all the required information listed above. I also suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. 6. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. 7. All children must have an immunization record or valid exemption on file within the first thirty (30) days of enrollment. I suggested you ask parents to provide the immunization record or exemption during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. After we reviewed the pathways, you stated you may be interested in Pathway 2; however, you would discuss the different pathway options with corporate staff. We discussed changes to the environmental rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Kim Ward, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. Current staff information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. The registration for Bus #18 has expired. You stated you have not been using Bus #18 since the registration expired and have requested an inspection to renew the registration. Bus #18 may not be used to transport children until an inspection has been conducted and a current registration has been obtained. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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

GS 110-91 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 137 Completed Date: 8/19/2025 Age: From 0 To 11 Total Minutes: 444 Time In: 08:10 AM Time Out: 12:27 PM Time In: 12:58 PM Time Out: 04:05 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements and requirements located in Child Care Rule Section .3000 regarding NC Pre-Kindergarten. You, Naskeika Glenn Moore, Administrator, assisted with today’s visit. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued September 10, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on August 19, 2025, and your business, Child Development Schools North Carolina, LLC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in breakfast, routines, group time, lunch, nap, outdoor play, and free play during the visit. The last sanitation inspection was conducted on June 9, 2025. A “superior” classification was issued with twelve (12) demerits noted on the grade card. The last fire inspection was conducted on May 15, 2025. The last fire drill was conducted on July 22, 2025. The last emergency drill was conducted on June 11, 2025. The last playground inspection was conducted on July 22, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 3, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. I reviewed the ABCMS Provider portal during the visit. Twenty (20) current staff members were listed as employees of your facility. Seventeen (17) children’s files were reviewed during the visit. Nine (9) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #2, one (1) child was not signed out on August 1, 2025. In Space #9a, one (1) child was not signed out on August 8, 2025. In Space #15, two (2) children were not signed out on August 12, 2025, one (1) child was not signed out on August 13, 2025, and one (1) child was not signed out on August 15, 2025. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plans posted in Space #2, Space #3, Space #5, and Space #7 were all dated August 11-August 15, 2025. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #2, two (2) bottles, both containing formula, were labeled August 18, 2025. 15A NCAC 18A .2804(d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #15, one (1) bottle of PineGlo Watermelon Scented All Purpose Cleaner and Disinfectant, with multiple warnings, was in an unlocked cabinet under the counter holding the fish tank, accessible to children. .2820(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of the emergency information for one (1) child, enrolled on February 26, 2024, was completed on February 21, 2024. The most recent update of the emergency information for one (1) child, enrolled on August 7, 2023, was completed on July 18, 2023. The most recent update of the emergency information for one (1) child, enrolled on July 29, 2024, was completed on July 16, 2024. The most recent update of the emergency information for one (1) child, enrolled on November 27, 2023, was completed on November 23, 2023. The most recent update of the emergency information for one (1) child, enrolled on August 12, 2024, was completed on August 9, 2024. The most recent update of the emergency information for one (1) child, enrolled on February 19, 2024, was completed on February 13, 2024. The most recent update of the emergency information for one (1) child, enrolled on May 27, 2024, was completed on April 24, 2024. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, enrolled on March 10, 2025, did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam on file for one (1) child, enrolled on November 27, 2023, was dated January 15, 2024. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record on file for one (1) child, enrolled on January 27, 2023, was dated February 12, 2024. One (1) child, enrolled on August 19, 2024, did not have an immunization record on file. One (1) child, enrolled on March 10, 2025, did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) The violations documented must be corrected immediately. On or before September 2, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 85%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You keep a staff sign in and out record, as well as a sign in and out record for parents. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 2. All centers must have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that an activity plan and schedule must be posted at all times. Additionally, I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. You printed updated activity plan for each classroom and posted it in the classroom during the visit. 3. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 4. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The hazardous product was removed from the classroom and placed in locked storage during the visit. 5. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create an emergency information update form with all the required information listed above. I also suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. 6. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. 7. All children must have an immunization record or valid exemption on file within the first thirty (30) days of enrollment. I suggested you ask parents to provide the immunization record or exemption during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. After we reviewed the pathways, you stated you may be interested in Pathway 2; however, you would discuss the different pathway options with corporate staff. We discussed changes to the environmental rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Kim Ward, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. Current staff information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. The registration for Bus #18 has expired. You stated you have not been using Bus #18 since the registration expired and have requested an inspection to renew the registration. Bus #18 may not be used to transport children until an inspection has been conducted and a current registration has been obtained. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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

GS110-91 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 137 Completed Date: 8/19/2025 Age: From 0 To 11 Total Minutes: 444 Time In: 08:10 AM Time Out: 12:27 PM Time In: 12:58 PM Time Out: 04:05 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements and requirements located in Child Care Rule Section .3000 regarding NC Pre-Kindergarten. You, Naskeika Glenn Moore, Administrator, assisted with today’s visit. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued September 10, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on August 19, 2025, and your business, Child Development Schools North Carolina, LLC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in breakfast, routines, group time, lunch, nap, outdoor play, and free play during the visit. The last sanitation inspection was conducted on June 9, 2025. A “superior” classification was issued with twelve (12) demerits noted on the grade card. The last fire inspection was conducted on May 15, 2025. The last fire drill was conducted on July 22, 2025. The last emergency drill was conducted on June 11, 2025. The last playground inspection was conducted on July 22, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on January 3, 2024. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility is exempt from lead-based paint and asbestos testing. I reviewed the ABCMS Provider portal during the visit. Twenty (20) current staff members were listed as employees of your facility. Seventeen (17) children’s files were reviewed during the visit. Nine (9) new staff files and two (2) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #2, one (1) child was not signed out on August 1, 2025. In Space #9a, one (1) child was not signed out on August 8, 2025. In Space #15, two (2) children were not signed out on August 12, 2025, one (1) child was not signed out on August 13, 2025, and one (1) child was not signed out on August 15, 2025. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plans posted in Space #2, Space #3, Space #5, and Space #7 were all dated August 11-August 15, 2025. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space #2, two (2) bottles, both containing formula, were labeled August 18, 2025. 15A NCAC 18A .2804(d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #15, one (1) bottle of PineGlo Watermelon Scented All Purpose Cleaner and Disinfectant, with multiple warnings, was in an unlocked cabinet under the counter holding the fish tank, accessible to children. .2820(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The most recent update of the emergency information for one (1) child, enrolled on February 26, 2024, was completed on February 21, 2024. The most recent update of the emergency information for one (1) child, enrolled on August 7, 2023, was completed on July 18, 2023. The most recent update of the emergency information for one (1) child, enrolled on July 29, 2024, was completed on July 16, 2024. The most recent update of the emergency information for one (1) child, enrolled on November 27, 2023, was completed on November 23, 2023. The most recent update of the emergency information for one (1) child, enrolled on August 12, 2024, was completed on August 9, 2024. The most recent update of the emergency information for one (1) child, enrolled on February 19, 2024, was completed on February 13, 2024. The most recent update of the emergency information for one (1) child, enrolled on May 27, 2024, was completed on April 24, 2024. .0802(c) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child, enrolled on March 10, 2025, did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam on file for one (1) child, enrolled on November 27, 2023, was dated January 15, 2024. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The immunization record on file for one (1) child, enrolled on January 27, 2023, was dated February 12, 2024. One (1) child, enrolled on August 19, 2024, did not have an immunization record on file. One (1) child, enrolled on March 10, 2025, did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) The violations documented must be corrected immediately. On or before September 2, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 85%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You keep a staff sign in and out record, as well as a sign in and out record for parents. I suggested you discuss the importance of signing children in and out of the facility each day with parents. I also suggested you remind staff members to sign children in and out in the event that the parent fails to do so. 2. All centers must have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. For each group of children in care, the activity plan must include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. The activity plan must: identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, art and other creative play; children's books; blocks and block building; manipulatives; family living and dramatic play; and include a daily gross motor activity that may occur indoors or outdoors. I suggested you assist teachers in developing their daily schedules and activity plans to ensure all requirements are met. I also suggested you remind teachers that an activity plan and schedule must be posted at all times. Additionally, I suggested you have staff members post the following weeks’ activity plan at the end of the day on the previous Friday to ensure a current activity plan is posted. You printed updated activity plan for each classroom and posted it in the classroom during the visit. 3. All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages must be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk must be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days must be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer. In addition, frozen human milk must be labeled with the date that it is thawed for use. Human milk that was previously frozen and has been thawed shall be refrigerated and stored for no more than 24 hours from when it was thawed. Human milk that was previously frozen and has been thawed may not be refrozen for storage at the child care center. I suggested you remind parents of children enrolled in the room for infants that they must place labels with the child’s name and the date the bottle was prepared on bottles or sippy cups prior to bringing them to the facility. I also suggested you review this information with staff members assigned to the room for infants to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. Additionally, I suggested that you remind staff and parents of children enrolled in the infant classroom that bottles must be returned home or discarded at the end of the day, and that labels with previous dates listed on them may not be reused. Glass bottles are a hazard as they can shatter or break. I suggested you remind staff to be extra cautious when using glass bottles. Per Caring for Our Children, it is suggested that a silicone sleeve or bottle jacket is used when using glass bottles. I also suggest you create a policy regarding the use of glass in classrooms with children. 4. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. Have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. The hazardous product was removed from the classroom and placed in locked storage during the visit. 5. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create an emergency information update form with all the required information listed above. I also suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually as required. 6. All children must have a medical exam on file within the first thirty (30) days of enrollment. The assessment shall be conducted by a licensed physician, the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, a certified nurse practitioner, or a public health nurse. I suggested you ask parents to provide the medical exam during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. 7. All children must have an immunization record or valid exemption on file within the first thirty (30) days of enrollment. I suggested you ask parents to provide the immunization record or exemption during the enrollment process to ensure the documentation is on file in a timely manner. I also suggested you use the children’s file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the children’s file checklist during the visit. Consultation: We discussed the QRIS Modernization and the Pathway to the Stars. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. After we reviewed the pathways, you stated you may be interested in Pathway 2; however, you would discuss the different pathway options with corporate staff. We discussed changes to the environmental rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Kim Ward, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. Current staff information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. I provided you with a copy of the North Carolina Foundations for Early Learning and Development Book during the visit. The registration for Bus #18 has expired. You stated you have not been using Bus #18 since the registration expired and have requested an inspection to renew the registration. Bus #18 may not be used to transport children until an inspection has been conducted and a current registration has been obtained. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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. 110-90 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 78 Completed Date: 2/18/2025 Age: From 0 To 5 Total Minutes: 163 Time In: 09:27 AM Time Out: 12:10 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 your program for compliance with applicable child care requirements for a routine unannounced visit. You, Fanielle Tolbert, Assistant Director, assisted me with today’s visit. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. Your program currently operates with a five (5) star license issued September 10, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on February 18, 2025, and your business, Child Development Schools North Carolina, LLC, was active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on October 21, 2024. A “superior” classification was issued with four (4) demerits noted on the grade card. The last fire inspection was conducted on June 27, 2024. The most recent fire drill was conducted on January 31, 2025, the most recent emergency drill was conducted on December 13, 2024, and the most recent playground inspection was conducted on January 29, 2025. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, group time, free play, lunch, and outdoor play during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. No new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. On Playground #3, there was a metal spike with sharp edges protruding from the ground inside the playground near the fence. On the covered area, used for outdoor play, there was a strip of metal with sharp, jagged edges, and two (2) nails protruding from the side of the wood on the side of the base of the area closest to the building. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #15, one (1) bottle of Bic Cover It Correction Fluid, with multiple warnings, was in the unlocked drawer to the right of the food prep sink. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space #7, one (1) container of Vaseline Cocoa Butter Petroleum Jelly was in an unlocked drawer, three (3) feet from the floor, on a shelf to the right of the door to the playgrounds. 15A NCAC 18A .2820(d) 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, the room for children 0-12 months of age, four (4) plastic grocery bags were in an unlocked cabinet under the food prep sink. .0604(q) 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. The First Aid certification for one (1) staff member, employed on April 7, 2024, expired on February 6, 2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR certification for one (1) staff member, employed on April 7, 2024, expired on February 6, 2025. .1102(d) The violations documented must be corrected immediately. On or before March 4, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected, and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit, and license ID number in the letter. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 88%. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical assistance was provided on the following: 1. The staff member conducting playground inspections should thoroughly check all playgrounds and outdoor play areas to ensure equipment and furnishings are sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions, and pinch and crush points. I suggested you remind teachers to check the playgrounds daily to ensure all equipment is safe and in good repair, and there are no hazards, including nails, and items with sharp edges. I also suggested you remind teachers that all items that are considered hazardous should be repaired or removed immediately. You removed the metal strip and the metal spike from the covered area and Playground #3 during the visit. You submitted a work order to maintenance during the visit to make other repairs. 2. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. I suggested you have staff check their classroom thoroughly each morning to ensure all hazardous products are stored properly. You removed the Bic Correction Fluid during the visit and placed it in the office during the visit. 3. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children (at least five feet from the ground), but are not required to be in locked storage. Non-prescription diaper creams and sunscreen may be kept out of reach of children when not in use (at least five feet from the ground), but are not required to be in locked storage. Teachers must keep any personal medications they bring into the facility in locked storage or five (5) feet from the ground, as appropriate, as well. I suggested you have staff keep any of their personal medication in the same locked storage areas as the children’s medications or in the office to ensure they are stored properly. The Vaseline was removed from the unlocked drawer and placed in a cabinet in the classroom, more than five (5) feet from the floor during the visit. 4. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three (3) years of age. Jump ropes and rubber bands may not be accessible to children under five (5) years of age without adult supervision. You may keep these items on higher shelves (more than five feet off the ground) in classrooms used for care for children under three (3) years of age. Small toys, foam items and sponges may be used during supervised activities. I suggested you have staff immediately remove items stored in plastic bags from the bags before being placed in storage. 5. All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. For existing staff, I suggested that you schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. I also suggested you create a tracking system to ensure all staff members maintain active CPR/First Aid Certification. You stated the staff member is scheduled to complete CPR/First Aid Training on March 4, 2025. I reviewed the Training Calendar for the Partnership for Children of Lincoln and Gaston Counties during the visit and noted the first available CPR/Frist Aid training was scheduled for March 4, 2025. You stated you will reach out to your corporate training contact to find a training prior to March 4, 2025. Consultation As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, tammy.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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 .0302 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 8/29/2024 Number Present: 88 Completed Date: 8/29/2024 Age: From 0 To 4 Total Minutes: 393 Time In: 09:17 AM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during an annual compliance with rated license visit including health and safety requirements. When I arrived, the administrator was not onsite, and Lindsey Maupin, Assistant Administrator, conducted the walkthrough of the facility with me. You, Nasheika Glenn-Moore, Administrator assisted me with program records. The Secretary of State website was checked today, and your business Child Development Schools North Carolina, LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a provisional license issued on August 16, 2024, with the following restriction: daytime care only. The provisional license and the notice of administrative action, cover letter, and corrective action plan were posted in the lobby area of the facility. Fire drills, playground inspections, emergency drills: The last monthly fire drill was completed on July 24, 2024, at 10:06 am. The last monthly playground inspection was completed on July 31, 2024. The type of emergency drill was not documented on the log for June 14, 2024. Fire and Sanitation Inspections: The last fire inspection was conducted on February 20, 2024. The last sanitation inspection was conducted on January 8, 2024. A superior classification was issued and eight demerits notes on the sanitation grade card. A menu was posted for breakfast, lunch and snack and all food listed met the nutrition requirements. The daily schedule was posted. You have two buses that you use for transporting children. The buses were monitored. Staff files and children’s records were not monitored during today’s visit. As discussed, I will return tomorrow, August 30, 2024, to complete the annual monitoring process. The following violations were observed today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The departure time for four children was not maintained on August 28, 2024, in space #2. The arrival time for five infants was not maintained on August 29, 2024. The arrival time for two children, two years of age was not maintained on August 29, 2024, in space #12.The arrival time for one toddler was maintained on August 29, 2024, in space #15. 10A NCAC 09 .0302(d)(4) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in space #10, used to store prepared bottles for infants and toddlers, did not contain a thermometer to verify that the temperature was maintained at 45 degrees F. or less. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, two bottles of liquid essential oils were stored in the unlocked top drawer of the plastic container used to store the teachers personal effects. Air fresheners were observed hanging on the wall in the bathroom used by boys and girls enrolled in space #9a, 9b, and 9c. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #15, one tube of prescription Nystatin Ointment was not returned to the parent or discarded. The tube of Nystatin was stored in the locked cabinet under the diaper changing table and the signed authorization on file to administer the medication expired on August 6, 2024. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Seventy-seven (77) incident reports were observed in a file folder. The dates of the incident reports varied from October 2, 2017, until the most recent report in the file was dated December 26, 2023. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident reports that have been completed and logged from December 27, 2023, through August 18, 2024, were not available for review. .0802(g)(1-6) 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 #12, one container of small "googly" eyes, and a plastic bag containing foam paint stampers, were stored in an unlocked lower drawer to the right of the sink and accessible to twelve children, two years of age. .0604(q) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The vinyl upholstery on the back of the second seat on the driver's side of bus #12, was ripped and the foam material was exposed. .1002(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The child's photograph was not included on the emergency contact information for children that were transported. Staff that drove the bus did not have their emergency contact information in the file that was transferred from the facility to the bus when children were transported. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child with an enrollment date of May 9, 2022, had their emergency medical care information updated on April 19, 2022. One child with an enrollment date of August 28, 2019, had their emergency medical care information updated on August 28, 2019. .0802(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The type of emergency drill, (shelter-in-place or lockdown) that was conducted on June 14, 2024, was not documented on emergency drill log posted in the lobby. .0604(u);.0302(d)(8) Technical assistance was provided on the following: Arrival and Departure Records: Staff must maintain the arrival and departure times for children in attendance. I suggested that staff document the time the child arrives and departs at the time of their arrival and/or departure. I suggested you stress the importance of maintaining accurate records to staff. Medications: When the child’s medication permission form expires, the medication must be returned to the child’s parent or discarded. I suggested that you place a reminder on your calendar when parent’s authorization to administer a medication to their child is about to expire. If the medication is still needed, have the parent complete a new medication authorization form. Emergency Drills: You must document the type of emergency drill that is conducted at the time the drill is conducted. I suggested that you review emergency drill logs for accuracy and at the time you document the information on the log. Transportation: (.1002(b) and .1003(d)) Vehicles used to transport children must be kept in good repair. I suggested that you have staff monitor the buses daily to ensure that the upholstery is not ripped. I suggested that you review child care rule .1003(d) to ensure that staff are meeting all requirements regarding transportation. A copy of the child’s emergency medical care information and a picture to identify the child must be attached. Emergency Information on the bus driver must be on the bus when in operation. Child care Rule .0604(q) Foam paint stampers and a container of “googly” eyes were stored in the unlocked drawer to the right of the sink in space #12. You corrected this violation by removing the items and storing them in the locked storage closet that contains art supplies. Hazardous Products: Potentially hazardous products must be kept in locked storage. Air Fresheners and bottles of essential oils with multiple warnings on the label must be locked at all times. Remind staff to conduct safety checks of their “teacher” drawers to ensure that potentially hazardous products are stored appropriately. Air fresheners that are attached to the wall whether they are aerosol or not, are not permitted. Children’s lungs are developing and different smells could be potentially harmful. This was corrected during the visit. The air fresheners that were hanging on the wall in the boys and girl’s bathroom were removed and discarded in the trash. The two bottles of essential oils were stored in a locked cabinet. Refrigerator must maintain a temperature of less than 45 degrees F. Sanitation Requirement .2806(f)(2): The refrigerator in space #10, did not contain a thermometer to verify the temperature was less than 45 degrees F. I suggested that you purchase a thermometer to place in the refrigerator to ensure the required temperature is maintained. Status of Corrective Action Plan: I received a copy of the approved building inspection on August 6, 2024. You have completed the Corrective Action Plan. Rated License Status: I will transition the facility to a rated license once verification is received that all violations observed and documented have been corrected. You have requested to assume the rated license points from the previous owner. Consultation: I suggested that staff document if an infant does not sleep on the sleep chart. When an infant is in attendance, and the sleep chart is not documented with information, a violation may be cited. Staff in space #3, stated the infant that is eleven months of age did not sleep on Wednesday, August 28, 2024, and that is why the visual sleep chart for that date was blank. In space #3, one infant bottle filled with 4 oz. of apple juice was observed in the refrigerator and dated August 29, 2024. As a reminder per child care rule .0902(c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. The infant was not observed drinking the bottle with juice; however, the bottle was labeled with the child’s name and date and was stored in the refrigerator. Reminders: Lead Test for Water: You must complete the water test for lead every three years. Please review the water results on file to ensure that you do not need to complete the water test again. Asbestos and Lead Paint: You stated that you have completed the lead paint and asbestos survey. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 12, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 8/29/2024 Number Present: 88 Completed Date: 8/29/2024 Age: From 0 To 4 Total Minutes: 393 Time In: 09:17 AM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during an annual compliance with rated license visit including health and safety requirements. When I arrived, the administrator was not onsite, and Lindsey Maupin, Assistant Administrator, conducted the walkthrough of the facility with me. You, Nasheika Glenn-Moore, Administrator assisted me with program records. The Secretary of State website was checked today, and your business Child Development Schools North Carolina, LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a provisional license issued on August 16, 2024, with the following restriction: daytime care only. The provisional license and the notice of administrative action, cover letter, and corrective action plan were posted in the lobby area of the facility. Fire drills, playground inspections, emergency drills: The last monthly fire drill was completed on July 24, 2024, at 10:06 am. The last monthly playground inspection was completed on July 31, 2024. The type of emergency drill was not documented on the log for June 14, 2024. Fire and Sanitation Inspections: The last fire inspection was conducted on February 20, 2024. The last sanitation inspection was conducted on January 8, 2024. A superior classification was issued and eight demerits notes on the sanitation grade card. A menu was posted for breakfast, lunch and snack and all food listed met the nutrition requirements. The daily schedule was posted. You have two buses that you use for transporting children. The buses were monitored. Staff files and children’s records were not monitored during today’s visit. As discussed, I will return tomorrow, August 30, 2024, to complete the annual monitoring process. The following violations were observed today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The departure time for four children was not maintained on August 28, 2024, in space #2. The arrival time for five infants was not maintained on August 29, 2024. The arrival time for two children, two years of age was not maintained on August 29, 2024, in space #12.The arrival time for one toddler was maintained on August 29, 2024, in space #15. 10A NCAC 09 .0302(d)(4) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in space #10, used to store prepared bottles for infants and toddlers, did not contain a thermometer to verify that the temperature was maintained at 45 degrees F. or less. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, two bottles of liquid essential oils were stored in the unlocked top drawer of the plastic container used to store the teachers personal effects. Air fresheners were observed hanging on the wall in the bathroom used by boys and girls enrolled in space #9a, 9b, and 9c. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #15, one tube of prescription Nystatin Ointment was not returned to the parent or discarded. The tube of Nystatin was stored in the locked cabinet under the diaper changing table and the signed authorization on file to administer the medication expired on August 6, 2024. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Seventy-seven (77) incident reports were observed in a file folder. The dates of the incident reports varied from October 2, 2017, until the most recent report in the file was dated December 26, 2023. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident reports that have been completed and logged from December 27, 2023, through August 18, 2024, were not available for review. .0802(g)(1-6) 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 #12, one container of small "googly" eyes, and a plastic bag containing foam paint stampers, were stored in an unlocked lower drawer to the right of the sink and accessible to twelve children, two years of age. .0604(q) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The vinyl upholstery on the back of the second seat on the driver's side of bus #12, was ripped and the foam material was exposed. .1002(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The child's photograph was not included on the emergency contact information for children that were transported. Staff that drove the bus did not have their emergency contact information in the file that was transferred from the facility to the bus when children were transported. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child with an enrollment date of May 9, 2022, had their emergency medical care information updated on April 19, 2022. One child with an enrollment date of August 28, 2019, had their emergency medical care information updated on August 28, 2019. .0802(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The type of emergency drill, (shelter-in-place or lockdown) that was conducted on June 14, 2024, was not documented on emergency drill log posted in the lobby. .0604(u);.0302(d)(8) Technical assistance was provided on the following: Arrival and Departure Records: Staff must maintain the arrival and departure times for children in attendance. I suggested that staff document the time the child arrives and departs at the time of their arrival and/or departure. I suggested you stress the importance of maintaining accurate records to staff. Medications: When the child’s medication permission form expires, the medication must be returned to the child’s parent or discarded. I suggested that you place a reminder on your calendar when parent’s authorization to administer a medication to their child is about to expire. If the medication is still needed, have the parent complete a new medication authorization form. Emergency Drills: You must document the type of emergency drill that is conducted at the time the drill is conducted. I suggested that you review emergency drill logs for accuracy and at the time you document the information on the log. Transportation: (.1002(b) and .1003(d)) Vehicles used to transport children must be kept in good repair. I suggested that you have staff monitor the buses daily to ensure that the upholstery is not ripped. I suggested that you review child care rule .1003(d) to ensure that staff are meeting all requirements regarding transportation. A copy of the child’s emergency medical care information and a picture to identify the child must be attached. Emergency Information on the bus driver must be on the bus when in operation. Child care Rule .0604(q) Foam paint stampers and a container of “googly” eyes were stored in the unlocked drawer to the right of the sink in space #12. You corrected this violation by removing the items and storing them in the locked storage closet that contains art supplies. Hazardous Products: Potentially hazardous products must be kept in locked storage. Air Fresheners and bottles of essential oils with multiple warnings on the label must be locked at all times. Remind staff to conduct safety checks of their “teacher” drawers to ensure that potentially hazardous products are stored appropriately. Air fresheners that are attached to the wall whether they are aerosol or not, are not permitted. Children’s lungs are developing and different smells could be potentially harmful. This was corrected during the visit. The air fresheners that were hanging on the wall in the boys and girl’s bathroom were removed and discarded in the trash. The two bottles of essential oils were stored in a locked cabinet. Refrigerator must maintain a temperature of less than 45 degrees F. Sanitation Requirement .2806(f)(2): The refrigerator in space #10, did not contain a thermometer to verify the temperature was less than 45 degrees F. I suggested that you purchase a thermometer to place in the refrigerator to ensure the required temperature is maintained. Status of Corrective Action Plan: I received a copy of the approved building inspection on August 6, 2024. You have completed the Corrective Action Plan. Rated License Status: I will transition the facility to a rated license once verification is received that all violations observed and documented have been corrected. You have requested to assume the rated license points from the previous owner. Consultation: I suggested that staff document if an infant does not sleep on the sleep chart. When an infant is in attendance, and the sleep chart is not documented with information, a violation may be cited. Staff in space #3, stated the infant that is eleven months of age did not sleep on Wednesday, August 28, 2024, and that is why the visual sleep chart for that date was blank. In space #3, one infant bottle filled with 4 oz. of apple juice was observed in the refrigerator and dated August 29, 2024. As a reminder per child care rule .0902(c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. The infant was not observed drinking the bottle with juice; however, the bottle was labeled with the child’s name and date and was stored in the refrigerator. Reminders: Lead Test for Water: You must complete the water test for lead every three years. Please review the water results on file to ensure that you do not need to complete the water test again. Asbestos and Lead Paint: You stated that you have completed the lead paint and asbestos survey. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 12, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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. 110-90 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 8/29/2024 Number Present: 88 Completed Date: 8/29/2024 Age: From 0 To 4 Total Minutes: 393 Time In: 09:17 AM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during an annual compliance with rated license visit including health and safety requirements. When I arrived, the administrator was not onsite, and Lindsey Maupin, Assistant Administrator, conducted the walkthrough of the facility with me. You, Nasheika Glenn-Moore, Administrator assisted me with program records. The Secretary of State website was checked today, and your business Child Development Schools North Carolina, LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a provisional license issued on August 16, 2024, with the following restriction: daytime care only. The provisional license and the notice of administrative action, cover letter, and corrective action plan were posted in the lobby area of the facility. Fire drills, playground inspections, emergency drills: The last monthly fire drill was completed on July 24, 2024, at 10:06 am. The last monthly playground inspection was completed on July 31, 2024. The type of emergency drill was not documented on the log for June 14, 2024. Fire and Sanitation Inspections: The last fire inspection was conducted on February 20, 2024. The last sanitation inspection was conducted on January 8, 2024. A superior classification was issued and eight demerits notes on the sanitation grade card. A menu was posted for breakfast, lunch and snack and all food listed met the nutrition requirements. The daily schedule was posted. You have two buses that you use for transporting children. The buses were monitored. Staff files and children’s records were not monitored during today’s visit. As discussed, I will return tomorrow, August 30, 2024, to complete the annual monitoring process. The following violations were observed today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The departure time for four children was not maintained on August 28, 2024, in space #2. The arrival time for five infants was not maintained on August 29, 2024. The arrival time for two children, two years of age was not maintained on August 29, 2024, in space #12.The arrival time for one toddler was maintained on August 29, 2024, in space #15. 10A NCAC 09 .0302(d)(4) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in space #10, used to store prepared bottles for infants and toddlers, did not contain a thermometer to verify that the temperature was maintained at 45 degrees F. or less. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, two bottles of liquid essential oils were stored in the unlocked top drawer of the plastic container used to store the teachers personal effects. Air fresheners were observed hanging on the wall in the bathroom used by boys and girls enrolled in space #9a, 9b, and 9c. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #15, one tube of prescription Nystatin Ointment was not returned to the parent or discarded. The tube of Nystatin was stored in the locked cabinet under the diaper changing table and the signed authorization on file to administer the medication expired on August 6, 2024. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Seventy-seven (77) incident reports were observed in a file folder. The dates of the incident reports varied from October 2, 2017, until the most recent report in the file was dated December 26, 2023. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident reports that have been completed and logged from December 27, 2023, through August 18, 2024, were not available for review. .0802(g)(1-6) 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 #12, one container of small "googly" eyes, and a plastic bag containing foam paint stampers, were stored in an unlocked lower drawer to the right of the sink and accessible to twelve children, two years of age. .0604(q) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The vinyl upholstery on the back of the second seat on the driver's side of bus #12, was ripped and the foam material was exposed. .1002(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The child's photograph was not included on the emergency contact information for children that were transported. Staff that drove the bus did not have their emergency contact information in the file that was transferred from the facility to the bus when children were transported. 10A NCAC 09 .1003(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child with an enrollment date of May 9, 2022, had their emergency medical care information updated on April 19, 2022. One child with an enrollment date of August 28, 2019, had their emergency medical care information updated on August 28, 2019. .0802(c) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The type of emergency drill, (shelter-in-place or lockdown) that was conducted on June 14, 2024, was not documented on emergency drill log posted in the lobby. .0604(u);.0302(d)(8) Technical assistance was provided on the following: Arrival and Departure Records: Staff must maintain the arrival and departure times for children in attendance. I suggested that staff document the time the child arrives and departs at the time of their arrival and/or departure. I suggested you stress the importance of maintaining accurate records to staff. Medications: When the child’s medication permission form expires, the medication must be returned to the child’s parent or discarded. I suggested that you place a reminder on your calendar when parent’s authorization to administer a medication to their child is about to expire. If the medication is still needed, have the parent complete a new medication authorization form. Emergency Drills: You must document the type of emergency drill that is conducted at the time the drill is conducted. I suggested that you review emergency drill logs for accuracy and at the time you document the information on the log. Transportation: (.1002(b) and .1003(d)) Vehicles used to transport children must be kept in good repair. I suggested that you have staff monitor the buses daily to ensure that the upholstery is not ripped. I suggested that you review child care rule .1003(d) to ensure that staff are meeting all requirements regarding transportation. A copy of the child’s emergency medical care information and a picture to identify the child must be attached. Emergency Information on the bus driver must be on the bus when in operation. Child care Rule .0604(q) Foam paint stampers and a container of “googly” eyes were stored in the unlocked drawer to the right of the sink in space #12. You corrected this violation by removing the items and storing them in the locked storage closet that contains art supplies. Hazardous Products: Potentially hazardous products must be kept in locked storage. Air Fresheners and bottles of essential oils with multiple warnings on the label must be locked at all times. Remind staff to conduct safety checks of their “teacher” drawers to ensure that potentially hazardous products are stored appropriately. Air fresheners that are attached to the wall whether they are aerosol or not, are not permitted. Children’s lungs are developing and different smells could be potentially harmful. This was corrected during the visit. The air fresheners that were hanging on the wall in the boys and girl’s bathroom were removed and discarded in the trash. The two bottles of essential oils were stored in a locked cabinet. Refrigerator must maintain a temperature of less than 45 degrees F. Sanitation Requirement .2806(f)(2): The refrigerator in space #10, did not contain a thermometer to verify the temperature was less than 45 degrees F. I suggested that you purchase a thermometer to place in the refrigerator to ensure the required temperature is maintained. Status of Corrective Action Plan: I received a copy of the approved building inspection on August 6, 2024. You have completed the Corrective Action Plan. Rated License Status: I will transition the facility to a rated license once verification is received that all violations observed and documented have been corrected. You have requested to assume the rated license points from the previous owner. Consultation: I suggested that staff document if an infant does not sleep on the sleep chart. When an infant is in attendance, and the sleep chart is not documented with information, a violation may be cited. Staff in space #3, stated the infant that is eleven months of age did not sleep on Wednesday, August 28, 2024, and that is why the visual sleep chart for that date was blank. In space #3, one infant bottle filled with 4 oz. of apple juice was observed in the refrigerator and dated August 29, 2024. As a reminder per child care rule .0902(c) Infants shall not be served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. The infant was not observed drinking the bottle with juice; however, the bottle was labeled with the child’s name and date and was stored in the refrigerator. Reminders: Lead Test for Water: You must complete the water test for lead every three years. Please review the water results on file to ensure that you do not need to complete the water test again. Asbestos and Lead Paint: You stated that you have completed the lead paint and asbestos survey. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 12, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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 .0606 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 6/13/2024 Number Present: 106 Completed Date: 6/13/2024 Age: From 0 To 12 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time period visit. You, Nasheika Glenn-Moore, administrator, assisted me with the visit. Currently this center operates with a temporary license issued on January 8, 2024, with the following restriction: Daytime care only. The Secretary of State website was checked on June 13, 2024, and the business, Child Development Schools North Carolina, LLC, is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last monthly fire drill completed was on May 31, 2024, at 11:14 am. The last monthly playground inspection was completed on May 15, 2024. A sample of five children’s files were reviewed. Seven staff files were reviewed. The menu for the week of June 10, 2024, through June 14, 2024, was posted and listed a variety of foods, and followed the Meal Patterns for Children in Child Care Programs. You said that you plan to apply for the rated license and request to use the points from the previous owner’s license at the conclusion of this six-month temporary time period. I reminded you that programs with less than a three-star license will not be able to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today and must be corrected immediately. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. The refrigerator in space #3, storing three (3) red sippy cups containing whole milk were not labeled with the child's name or dated. The refrigerator in space #10, storing four (4) bottles of prepared formula were not dated and one (1) bottle was dated June 7, 2024. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one (1) written feeding plan for one (1) infant, three (3) months of age was not signed by the parent and it was dated April 16, 2024. In space #10, one (1) written feeding plan for one (1) infant, ten (10) months of age was not signed by the parent and it was not dated when the facility received the plan. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, one (1) bag of Miracle Grow Potting Soil was stored under the sink in the unlocked cabinet. The bag of Miracle Grow Potting Soil had a warning, Keep out of reach of children, documented on the bag. The unlocked cabinet containing the Miracle Grow Potting Soil was accessible to two (2) children, two (2) years of age, and seven (7) children, four (4) years of age. One (1) package of Miracle Brands Electronic Wipes with multiple warnings in addition to keep out of reach of children was stored in the unlocked drawer to the right of the sink in space #7. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports with the following dates were completed but they were not signed or dated by the parent: March 21, 2024, April 5, 2024, April 25, 2024, May 2, 2024, and May 9, 2025.Two (2) incident reports dated April 25, 2024, and May 9, 2024, did not document the steps to prevent reoccurrence. .0802 (e) 853 Incident logs were not completed and maintained as required. The most recent incident report documented on the incident log was dated February 19, 2024. The administrator provided me with twenty-nine (29) incident reports that were stored in her "mailbox" to the right of the office door. The information located on the incident report was not documented on the incident log. The twenty-nine (29) incident reports were completed on two (2) dates in February 2024, two (2) dates in March 2024, five (5) dates in April 2024 and six (6) incident reports completed, ten (10) dates in May 2024 and sixteen (16) incident reports completed, and three (3) dates in June 2024. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. On June 3, 2024, one (1) infant, five (5) months of age was asleep at 10:17am, and the next visual check documented on the visual sleep chart was 10:35am in space #1. On June 4, 2024, one (1) infant, five (5) months of age was asleep at 12:27pm, and the next visual check documented on the visual sleep chart was 12:44pm in space #1. On June 10, 2024, the time was not documented when one (1) infant, five (5) months of age was placed in the crib to sleep, the next visual check did not document the time, but the third visual check documented a time of 11:11am. The teacher documented the date, her initials and the position the infant was placed in the crib and documented "sleep" in the comments section of the initial documentation on the visual sleep chart for June 10, 2024, in space #1. 10A NCAC 09 .0606(a) 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 (1) teacher employed on May 29, 2024, had a medical assessment dated June 3, 2024. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff with a hire date of April 30, 2024, the orientation documentation noted the staff received five (5) hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The Documentation of Staff Orientation documented one (1) staff with an employment date of May 29, 2024, received five (5) hours of orientation within the first two weeks of employment. .1101(a)(b) Technical assistance was provided on the following: Incident Reports Incident Reports must be completed and the following information must be documented on the report: .0802(e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. I suggested that you highlight the required information on a blank incident report and review with staff. Incident Logs .0802(g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723- 723. I suggested that you designate one (1) staff member to maintain the incident log as incident reports are completed and submitted by staff. Safe Sleep Policy When staff document the required information on the visual sleep charts, they must include the time the infant is placed in the crib for sleeping. I suggested that you assist staff with completing sleep charts and adding a timer to alert the staff to conduct a visual check when the infants are sleeping and document the required information on the sleep charts. You may add a clock in the spaces used by infants to ensure that staff have access to a clock. Written Feeding Plans The written feeding plans did not include the parent signature, and/or was not dated when received by the center. We discussed having staff review forms with parents to ensure all documents are signed and dated. I suggested that you review these forms when the child enrolls at the facility. New Staff Orientation Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas, and sixteen clock hours of training within the first six weeks. I suggested that you document the orientation as soon as you complete the training. You may want to place a reminder on your calendar to ensure you complete the required number of training hours of orientation for each new employee. Labeling Prepared Beverages brought from child’s home All bottles including sippy cups must be labeled with the child’s name and dated to ensure the beverage is consumed by the intended child. I suggested you have masking tape and a marker available to label a child’s bottle or sippy cup if the parent/guardian does not label the bottle/sippy cup upon the child’s arrival. Hazardous Items Provide guidance to staff regarding product labels to ensure potentially hazardous products with additional warnings are stored under lock and key. Potentially hazardous products with product labeled, keep out of reach of children, and no additional warnings may be stored five feet from the floor surface. Medical Reports 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. I suggested that you use the Staff File Checklist as a guide to staff requirements. Medical reports must be on file prior to employment. Consultation: We discussed child care rule .0302 (d), (3) daily attendance records; (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart, as discussed, you must maintain the arrival and departure times for children in attendance and you must maintain a daily attendance record. We discussed using the monthly attendance record on DCDEE’s website instead of the food program attendance since all children may not qualify for the CACFP food program. Reminders: You have completed the EPR training and EPR plan. A shelter-in-place drill was completed on April 9, 2024. Emergency drills must be completed at least every three months. Your facility will need to conduct the next emergency drill no later than July 9, 2024. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after July 8, 2024. I have not received the approved building inspection. I reminded you that I must receive the approved building inspection no later than Wednesday, June 19, 2024. I must receive the approved and completed building inspection prior to the issuance of a star-rated license. The star-rated license will not be issued and an administrative action may be recommended at the end of the six month temporary license. Stay updated with changes and new rule updates by visiting the DCDEE website at. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 27, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, 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: Jennifer.roberts@dhhs.nc.gov or mail to: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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: Childcare Network #240 Facility ID: 36000636 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 6/13/2024 Number Present: 106 Completed Date: 6/13/2024 Age: From 0 To 12 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time period visit. You, Nasheika Glenn-Moore, administrator, assisted me with the visit. Currently this center operates with a temporary license issued on January 8, 2024, with the following restriction: Daytime care only. The Secretary of State website was checked on June 13, 2024, and the business, Child Development Schools North Carolina, LLC, is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last monthly fire drill completed was on May 31, 2024, at 11:14 am. The last monthly playground inspection was completed on May 15, 2024. A sample of five children’s files were reviewed. Seven staff files were reviewed. The menu for the week of June 10, 2024, through June 14, 2024, was posted and listed a variety of foods, and followed the Meal Patterns for Children in Child Care Programs. You said that you plan to apply for the rated license and request to use the points from the previous owner’s license at the conclusion of this six-month temporary time period. I reminded you that programs with less than a three-star license will not be able to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today and must be corrected immediately. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. The refrigerator in space #3, storing three (3) red sippy cups containing whole milk were not labeled with the child's name or dated. The refrigerator in space #10, storing four (4) bottles of prepared formula were not dated and one (1) bottle was dated June 7, 2024. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one (1) written feeding plan for one (1) infant, three (3) months of age was not signed by the parent and it was dated April 16, 2024. In space #10, one (1) written feeding plan for one (1) infant, ten (10) months of age was not signed by the parent and it was not dated when the facility received the plan. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, one (1) bag of Miracle Grow Potting Soil was stored under the sink in the unlocked cabinet. The bag of Miracle Grow Potting Soil had a warning, Keep out of reach of children, documented on the bag. The unlocked cabinet containing the Miracle Grow Potting Soil was accessible to two (2) children, two (2) years of age, and seven (7) children, four (4) years of age. One (1) package of Miracle Brands Electronic Wipes with multiple warnings in addition to keep out of reach of children was stored in the unlocked drawer to the right of the sink in space #7. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports with the following dates were completed but they were not signed or dated by the parent: March 21, 2024, April 5, 2024, April 25, 2024, May 2, 2024, and May 9, 2025.Two (2) incident reports dated April 25, 2024, and May 9, 2024, did not document the steps to prevent reoccurrence. .0802 (e) 853 Incident logs were not completed and maintained as required. The most recent incident report documented on the incident log was dated February 19, 2024. The administrator provided me with twenty-nine (29) incident reports that were stored in her "mailbox" to the right of the office door. The information located on the incident report was not documented on the incident log. The twenty-nine (29) incident reports were completed on two (2) dates in February 2024, two (2) dates in March 2024, five (5) dates in April 2024 and six (6) incident reports completed, ten (10) dates in May 2024 and sixteen (16) incident reports completed, and three (3) dates in June 2024. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. On June 3, 2024, one (1) infant, five (5) months of age was asleep at 10:17am, and the next visual check documented on the visual sleep chart was 10:35am in space #1. On June 4, 2024, one (1) infant, five (5) months of age was asleep at 12:27pm, and the next visual check documented on the visual sleep chart was 12:44pm in space #1. On June 10, 2024, the time was not documented when one (1) infant, five (5) months of age was placed in the crib to sleep, the next visual check did not document the time, but the third visual check documented a time of 11:11am. The teacher documented the date, her initials and the position the infant was placed in the crib and documented "sleep" in the comments section of the initial documentation on the visual sleep chart for June 10, 2024, in space #1. 10A NCAC 09 .0606(a) 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 (1) teacher employed on May 29, 2024, had a medical assessment dated June 3, 2024. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff with a hire date of April 30, 2024, the orientation documentation noted the staff received five (5) hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The Documentation of Staff Orientation documented one (1) staff with an employment date of May 29, 2024, received five (5) hours of orientation within the first two weeks of employment. .1101(a)(b) Technical assistance was provided on the following: Incident Reports Incident Reports must be completed and the following information must be documented on the report: .0802(e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. I suggested that you highlight the required information on a blank incident report and review with staff. Incident Logs .0802(g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723- 723. I suggested that you designate one (1) staff member to maintain the incident log as incident reports are completed and submitted by staff. Safe Sleep Policy When staff document the required information on the visual sleep charts, they must include the time the infant is placed in the crib for sleeping. I suggested that you assist staff with completing sleep charts and adding a timer to alert the staff to conduct a visual check when the infants are sleeping and document the required information on the sleep charts. You may add a clock in the spaces used by infants to ensure that staff have access to a clock. Written Feeding Plans The written feeding plans did not include the parent signature, and/or was not dated when received by the center. We discussed having staff review forms with parents to ensure all documents are signed and dated. I suggested that you review these forms when the child enrolls at the facility. New Staff Orientation Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas, and sixteen clock hours of training within the first six weeks. I suggested that you document the orientation as soon as you complete the training. You may want to place a reminder on your calendar to ensure you complete the required number of training hours of orientation for each new employee. Labeling Prepared Beverages brought from child’s home All bottles including sippy cups must be labeled with the child’s name and dated to ensure the beverage is consumed by the intended child. I suggested you have masking tape and a marker available to label a child’s bottle or sippy cup if the parent/guardian does not label the bottle/sippy cup upon the child’s arrival. Hazardous Items Provide guidance to staff regarding product labels to ensure potentially hazardous products with additional warnings are stored under lock and key. Potentially hazardous products with product labeled, keep out of reach of children, and no additional warnings may be stored five feet from the floor surface. Medical Reports 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. I suggested that you use the Staff File Checklist as a guide to staff requirements. Medical reports must be on file prior to employment. Consultation: We discussed child care rule .0302 (d), (3) daily attendance records; (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart, as discussed, you must maintain the arrival and departure times for children in attendance and you must maintain a daily attendance record. We discussed using the monthly attendance record on DCDEE’s website instead of the food program attendance since all children may not qualify for the CACFP food program. Reminders: You have completed the EPR training and EPR plan. A shelter-in-place drill was completed on April 9, 2024. Emergency drills must be completed at least every three months. Your facility will need to conduct the next emergency drill no later than July 9, 2024. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after July 8, 2024. I have not received the approved building inspection. I reminded you that I must receive the approved building inspection no later than Wednesday, June 19, 2024. I must receive the approved and completed building inspection prior to the issuance of a star-rated license. The star-rated license will not be issued and an administrative action may be recommended at the end of the six month temporary license. Stay updated with changes and new rule updates by visiting the DCDEE website at. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 27, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, 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: Jennifer.roberts@dhhs.nc.gov or mail to: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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 .2201 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 6/13/2024 Number Present: 106 Completed Date: 6/13/2024 Age: From 0 To 12 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time period visit. You, Nasheika Glenn-Moore, administrator, assisted me with the visit. Currently this center operates with a temporary license issued on January 8, 2024, with the following restriction: Daytime care only. The Secretary of State website was checked on June 13, 2024, and the business, Child Development Schools North Carolina, LLC, is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last monthly fire drill completed was on May 31, 2024, at 11:14 am. The last monthly playground inspection was completed on May 15, 2024. A sample of five children’s files were reviewed. Seven staff files were reviewed. The menu for the week of June 10, 2024, through June 14, 2024, was posted and listed a variety of foods, and followed the Meal Patterns for Children in Child Care Programs. You said that you plan to apply for the rated license and request to use the points from the previous owner’s license at the conclusion of this six-month temporary time period. I reminded you that programs with less than a three-star license will not be able to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today and must be corrected immediately. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. The refrigerator in space #3, storing three (3) red sippy cups containing whole milk were not labeled with the child's name or dated. The refrigerator in space #10, storing four (4) bottles of prepared formula were not dated and one (1) bottle was dated June 7, 2024. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one (1) written feeding plan for one (1) infant, three (3) months of age was not signed by the parent and it was dated April 16, 2024. In space #10, one (1) written feeding plan for one (1) infant, ten (10) months of age was not signed by the parent and it was not dated when the facility received the plan. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, one (1) bag of Miracle Grow Potting Soil was stored under the sink in the unlocked cabinet. The bag of Miracle Grow Potting Soil had a warning, Keep out of reach of children, documented on the bag. The unlocked cabinet containing the Miracle Grow Potting Soil was accessible to two (2) children, two (2) years of age, and seven (7) children, four (4) years of age. One (1) package of Miracle Brands Electronic Wipes with multiple warnings in addition to keep out of reach of children was stored in the unlocked drawer to the right of the sink in space #7. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports with the following dates were completed but they were not signed or dated by the parent: March 21, 2024, April 5, 2024, April 25, 2024, May 2, 2024, and May 9, 2025.Two (2) incident reports dated April 25, 2024, and May 9, 2024, did not document the steps to prevent reoccurrence. .0802 (e) 853 Incident logs were not completed and maintained as required. The most recent incident report documented on the incident log was dated February 19, 2024. The administrator provided me with twenty-nine (29) incident reports that were stored in her "mailbox" to the right of the office door. The information located on the incident report was not documented on the incident log. The twenty-nine (29) incident reports were completed on two (2) dates in February 2024, two (2) dates in March 2024, five (5) dates in April 2024 and six (6) incident reports completed, ten (10) dates in May 2024 and sixteen (16) incident reports completed, and three (3) dates in June 2024. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. On June 3, 2024, one (1) infant, five (5) months of age was asleep at 10:17am, and the next visual check documented on the visual sleep chart was 10:35am in space #1. On June 4, 2024, one (1) infant, five (5) months of age was asleep at 12:27pm, and the next visual check documented on the visual sleep chart was 12:44pm in space #1. On June 10, 2024, the time was not documented when one (1) infant, five (5) months of age was placed in the crib to sleep, the next visual check did not document the time, but the third visual check documented a time of 11:11am. The teacher documented the date, her initials and the position the infant was placed in the crib and documented "sleep" in the comments section of the initial documentation on the visual sleep chart for June 10, 2024, in space #1. 10A NCAC 09 .0606(a) 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 (1) teacher employed on May 29, 2024, had a medical assessment dated June 3, 2024. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff with a hire date of April 30, 2024, the orientation documentation noted the staff received five (5) hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The Documentation of Staff Orientation documented one (1) staff with an employment date of May 29, 2024, received five (5) hours of orientation within the first two weeks of employment. .1101(a)(b) Technical assistance was provided on the following: Incident Reports Incident Reports must be completed and the following information must be documented on the report: .0802(e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. I suggested that you highlight the required information on a blank incident report and review with staff. Incident Logs .0802(g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723- 723. I suggested that you designate one (1) staff member to maintain the incident log as incident reports are completed and submitted by staff. Safe Sleep Policy When staff document the required information on the visual sleep charts, they must include the time the infant is placed in the crib for sleeping. I suggested that you assist staff with completing sleep charts and adding a timer to alert the staff to conduct a visual check when the infants are sleeping and document the required information on the sleep charts. You may add a clock in the spaces used by infants to ensure that staff have access to a clock. Written Feeding Plans The written feeding plans did not include the parent signature, and/or was not dated when received by the center. We discussed having staff review forms with parents to ensure all documents are signed and dated. I suggested that you review these forms when the child enrolls at the facility. New Staff Orientation Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas, and sixteen clock hours of training within the first six weeks. I suggested that you document the orientation as soon as you complete the training. You may want to place a reminder on your calendar to ensure you complete the required number of training hours of orientation for each new employee. Labeling Prepared Beverages brought from child’s home All bottles including sippy cups must be labeled with the child’s name and dated to ensure the beverage is consumed by the intended child. I suggested you have masking tape and a marker available to label a child’s bottle or sippy cup if the parent/guardian does not label the bottle/sippy cup upon the child’s arrival. Hazardous Items Provide guidance to staff regarding product labels to ensure potentially hazardous products with additional warnings are stored under lock and key. Potentially hazardous products with product labeled, keep out of reach of children, and no additional warnings may be stored five feet from the floor surface. Medical Reports 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. I suggested that you use the Staff File Checklist as a guide to staff requirements. Medical reports must be on file prior to employment. Consultation: We discussed child care rule .0302 (d), (3) daily attendance records; (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart, as discussed, you must maintain the arrival and departure times for children in attendance and you must maintain a daily attendance record. We discussed using the monthly attendance record on DCDEE’s website instead of the food program attendance since all children may not qualify for the CACFP food program. Reminders: You have completed the EPR training and EPR plan. A shelter-in-place drill was completed on April 9, 2024. Emergency drills must be completed at least every three months. Your facility will need to conduct the next emergency drill no later than July 9, 2024. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after July 8, 2024. I have not received the approved building inspection. I reminded you that I must receive the approved building inspection no later than Wednesday, June 19, 2024. I must receive the approved and completed building inspection prior to the issuance of a star-rated license. The star-rated license will not be issued and an administrative action may be recommended at the end of the six month temporary license. Stay updated with changes and new rule updates by visiting the DCDEE website at. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 27, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, 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: Jennifer.roberts@dhhs.nc.gov or mail to: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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. 110-90 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 6/13/2024 Number Present: 106 Completed Date: 6/13/2024 Age: From 0 To 12 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time period visit. You, Nasheika Glenn-Moore, administrator, assisted me with the visit. Currently this center operates with a temporary license issued on January 8, 2024, with the following restriction: Daytime care only. The Secretary of State website was checked on June 13, 2024, and the business, Child Development Schools North Carolina, LLC, is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last monthly fire drill completed was on May 31, 2024, at 11:14 am. The last monthly playground inspection was completed on May 15, 2024. A sample of five children’s files were reviewed. Seven staff files were reviewed. The menu for the week of June 10, 2024, through June 14, 2024, was posted and listed a variety of foods, and followed the Meal Patterns for Children in Child Care Programs. You said that you plan to apply for the rated license and request to use the points from the previous owner’s license at the conclusion of this six-month temporary time period. I reminded you that programs with less than a three-star license will not be able to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today and must be corrected immediately. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. The refrigerator in space #3, storing three (3) red sippy cups containing whole milk were not labeled with the child's name or dated. The refrigerator in space #10, storing four (4) bottles of prepared formula were not dated and one (1) bottle was dated June 7, 2024. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one (1) written feeding plan for one (1) infant, three (3) months of age was not signed by the parent and it was dated April 16, 2024. In space #10, one (1) written feeding plan for one (1) infant, ten (10) months of age was not signed by the parent and it was not dated when the facility received the plan. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, one (1) bag of Miracle Grow Potting Soil was stored under the sink in the unlocked cabinet. The bag of Miracle Grow Potting Soil had a warning, Keep out of reach of children, documented on the bag. The unlocked cabinet containing the Miracle Grow Potting Soil was accessible to two (2) children, two (2) years of age, and seven (7) children, four (4) years of age. One (1) package of Miracle Brands Electronic Wipes with multiple warnings in addition to keep out of reach of children was stored in the unlocked drawer to the right of the sink in space #7. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports with the following dates were completed but they were not signed or dated by the parent: March 21, 2024, April 5, 2024, April 25, 2024, May 2, 2024, and May 9, 2025.Two (2) incident reports dated April 25, 2024, and May 9, 2024, did not document the steps to prevent reoccurrence. .0802 (e) 853 Incident logs were not completed and maintained as required. The most recent incident report documented on the incident log was dated February 19, 2024. The administrator provided me with twenty-nine (29) incident reports that were stored in her "mailbox" to the right of the office door. The information located on the incident report was not documented on the incident log. The twenty-nine (29) incident reports were completed on two (2) dates in February 2024, two (2) dates in March 2024, five (5) dates in April 2024 and six (6) incident reports completed, ten (10) dates in May 2024 and sixteen (16) incident reports completed, and three (3) dates in June 2024. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. On June 3, 2024, one (1) infant, five (5) months of age was asleep at 10:17am, and the next visual check documented on the visual sleep chart was 10:35am in space #1. On June 4, 2024, one (1) infant, five (5) months of age was asleep at 12:27pm, and the next visual check documented on the visual sleep chart was 12:44pm in space #1. On June 10, 2024, the time was not documented when one (1) infant, five (5) months of age was placed in the crib to sleep, the next visual check did not document the time, but the third visual check documented a time of 11:11am. The teacher documented the date, her initials and the position the infant was placed in the crib and documented "sleep" in the comments section of the initial documentation on the visual sleep chart for June 10, 2024, in space #1. 10A NCAC 09 .0606(a) 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 (1) teacher employed on May 29, 2024, had a medical assessment dated June 3, 2024. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff with a hire date of April 30, 2024, the orientation documentation noted the staff received five (5) hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The Documentation of Staff Orientation documented one (1) staff with an employment date of May 29, 2024, received five (5) hours of orientation within the first two weeks of employment. .1101(a)(b) Technical assistance was provided on the following: Incident Reports Incident Reports must be completed and the following information must be documented on the report: .0802(e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. I suggested that you highlight the required information on a blank incident report and review with staff. Incident Logs .0802(g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723- 723. I suggested that you designate one (1) staff member to maintain the incident log as incident reports are completed and submitted by staff. Safe Sleep Policy When staff document the required information on the visual sleep charts, they must include the time the infant is placed in the crib for sleeping. I suggested that you assist staff with completing sleep charts and adding a timer to alert the staff to conduct a visual check when the infants are sleeping and document the required information on the sleep charts. You may add a clock in the spaces used by infants to ensure that staff have access to a clock. Written Feeding Plans The written feeding plans did not include the parent signature, and/or was not dated when received by the center. We discussed having staff review forms with parents to ensure all documents are signed and dated. I suggested that you review these forms when the child enrolls at the facility. New Staff Orientation Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas, and sixteen clock hours of training within the first six weeks. I suggested that you document the orientation as soon as you complete the training. You may want to place a reminder on your calendar to ensure you complete the required number of training hours of orientation for each new employee. Labeling Prepared Beverages brought from child’s home All bottles including sippy cups must be labeled with the child’s name and dated to ensure the beverage is consumed by the intended child. I suggested you have masking tape and a marker available to label a child’s bottle or sippy cup if the parent/guardian does not label the bottle/sippy cup upon the child’s arrival. Hazardous Items Provide guidance to staff regarding product labels to ensure potentially hazardous products with additional warnings are stored under lock and key. Potentially hazardous products with product labeled, keep out of reach of children, and no additional warnings may be stored five feet from the floor surface. Medical Reports 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. I suggested that you use the Staff File Checklist as a guide to staff requirements. Medical reports must be on file prior to employment. Consultation: We discussed child care rule .0302 (d), (3) daily attendance records; (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart, as discussed, you must maintain the arrival and departure times for children in attendance and you must maintain a daily attendance record. We discussed using the monthly attendance record on DCDEE’s website instead of the food program attendance since all children may not qualify for the CACFP food program. Reminders: You have completed the EPR training and EPR plan. A shelter-in-place drill was completed on April 9, 2024. Emergency drills must be completed at least every three months. Your facility will need to conduct the next emergency drill no later than July 9, 2024. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after July 8, 2024. I have not received the approved building inspection. I reminded you that I must receive the approved building inspection no later than Wednesday, June 19, 2024. I must receive the approved and completed building inspection prior to the issuance of a star-rated license. The star-rated license will not be issued and an administrative action may be recommended at the end of the six month temporary license. Stay updated with changes and new rule updates by visiting the DCDEE website at. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 27, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, 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: Jennifer.roberts@dhhs.nc.gov or mail to: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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: Childcare Network #240 Facility ID: 36000636 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 6/13/2024 Number Present: 106 Completed Date: 6/13/2024 Age: From 0 To 12 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time period visit. You, Nasheika Glenn-Moore, administrator, assisted me with the visit. Currently this center operates with a temporary license issued on January 8, 2024, with the following restriction: Daytime care only. The Secretary of State website was checked on June 13, 2024, and the business, Child Development Schools North Carolina, LLC, is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last monthly fire drill completed was on May 31, 2024, at 11:14 am. The last monthly playground inspection was completed on May 15, 2024. A sample of five children’s files were reviewed. Seven staff files were reviewed. The menu for the week of June 10, 2024, through June 14, 2024, was posted and listed a variety of foods, and followed the Meal Patterns for Children in Child Care Programs. You said that you plan to apply for the rated license and request to use the points from the previous owner’s license at the conclusion of this six-month temporary time period. I reminded you that programs with less than a three-star license will not be able to receive subsidy funding. All staff must establish a DCDEE WORKS account and have their education evaluations completed by Workforce. Documentation from Workforce on the results of the education evaluation must be on file for review for each staff member. The following violations were observed today and must be corrected immediately. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. The refrigerator in space #3, storing three (3) red sippy cups containing whole milk were not labeled with the child's name or dated. The refrigerator in space #10, storing four (4) bottles of prepared formula were not dated and one (1) bottle was dated June 7, 2024. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one (1) written feeding plan for one (1) infant, three (3) months of age was not signed by the parent and it was dated April 16, 2024. In space #10, one (1) written feeding plan for one (1) infant, ten (10) months of age was not signed by the parent and it was not dated when the facility received the plan. .0902(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #7, one (1) bag of Miracle Grow Potting Soil was stored under the sink in the unlocked cabinet. The bag of Miracle Grow Potting Soil had a warning, Keep out of reach of children, documented on the bag. The unlocked cabinet containing the Miracle Grow Potting Soil was accessible to two (2) children, two (2) years of age, and seven (7) children, four (4) years of age. One (1) package of Miracle Brands Electronic Wipes with multiple warnings in addition to keep out of reach of children was stored in the unlocked drawer to the right of the sink in space #7. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports with the following dates were completed but they were not signed or dated by the parent: March 21, 2024, April 5, 2024, April 25, 2024, May 2, 2024, and May 9, 2025.Two (2) incident reports dated April 25, 2024, and May 9, 2024, did not document the steps to prevent reoccurrence. .0802 (e) 853 Incident logs were not completed and maintained as required. The most recent incident report documented on the incident log was dated February 19, 2024. The administrator provided me with twenty-nine (29) incident reports that were stored in her "mailbox" to the right of the office door. The information located on the incident report was not documented on the incident log. The twenty-nine (29) incident reports were completed on two (2) dates in February 2024, two (2) dates in March 2024, five (5) dates in April 2024 and six (6) incident reports completed, ten (10) dates in May 2024 and sixteen (16) incident reports completed, and three (3) dates in June 2024. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. On June 3, 2024, one (1) infant, five (5) months of age was asleep at 10:17am, and the next visual check documented on the visual sleep chart was 10:35am in space #1. On June 4, 2024, one (1) infant, five (5) months of age was asleep at 12:27pm, and the next visual check documented on the visual sleep chart was 12:44pm in space #1. On June 10, 2024, the time was not documented when one (1) infant, five (5) months of age was placed in the crib to sleep, the next visual check did not document the time, but the third visual check documented a time of 11:11am. The teacher documented the date, her initials and the position the infant was placed in the crib and documented "sleep" in the comments section of the initial documentation on the visual sleep chart for June 10, 2024, in space #1. 10A NCAC 09 .0606(a) 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 (1) teacher employed on May 29, 2024, had a medical assessment dated June 3, 2024. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff with a hire date of April 30, 2024, the orientation documentation noted the staff received five (5) hours of orientation. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The Documentation of Staff Orientation documented one (1) staff with an employment date of May 29, 2024, received five (5) hours of orientation within the first two weeks of employment. .1101(a)(b) Technical assistance was provided on the following: Incident Reports Incident Reports must be completed and the following information must be documented on the report: .0802(e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. I suggested that you highlight the required information on a blank incident report and review with staff. Incident Logs .0802(g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/incident_log_i.pdf?ver=2017-05-16-105723- 723. I suggested that you designate one (1) staff member to maintain the incident log as incident reports are completed and submitted by staff. Safe Sleep Policy When staff document the required information on the visual sleep charts, they must include the time the infant is placed in the crib for sleeping. I suggested that you assist staff with completing sleep charts and adding a timer to alert the staff to conduct a visual check when the infants are sleeping and document the required information on the sleep charts. You may add a clock in the spaces used by infants to ensure that staff have access to a clock. Written Feeding Plans The written feeding plans did not include the parent signature, and/or was not dated when received by the center. We discussed having staff review forms with parents to ensure all documents are signed and dated. I suggested that you review these forms when the child enrolls at the facility. New Staff Orientation Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas, and sixteen clock hours of training within the first six weeks. I suggested that you document the orientation as soon as you complete the training. You may want to place a reminder on your calendar to ensure you complete the required number of training hours of orientation for each new employee. Labeling Prepared Beverages brought from child’s home All bottles including sippy cups must be labeled with the child’s name and dated to ensure the beverage is consumed by the intended child. I suggested you have masking tape and a marker available to label a child’s bottle or sippy cup if the parent/guardian does not label the bottle/sippy cup upon the child’s arrival. Hazardous Items Provide guidance to staff regarding product labels to ensure potentially hazardous products with additional warnings are stored under lock and key. Potentially hazardous products with product labeled, keep out of reach of children, and no additional warnings may be stored five feet from the floor surface. Medical Reports 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. I suggested that you use the Staff File Checklist as a guide to staff requirements. Medical reports must be on file prior to employment. Consultation: We discussed child care rule .0302 (d), (3) daily attendance records; (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart, as discussed, you must maintain the arrival and departure times for children in attendance and you must maintain a daily attendance record. We discussed using the monthly attendance record on DCDEE’s website instead of the food program attendance since all children may not qualify for the CACFP food program. Reminders: You have completed the EPR training and EPR plan. A shelter-in-place drill was completed on April 9, 2024. Emergency drills must be completed at least every three months. Your facility will need to conduct the next emergency drill no later than July 9, 2024. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after July 8, 2024. I have not received the approved building inspection. I reminded you that I must receive the approved building inspection no later than Wednesday, June 19, 2024. I must receive the approved and completed building inspection prior to the issuance of a star-rated license. The star-rated license will not be issued and an administrative action may be recommended at the end of the six month temporary license. Stay updated with changes and new rule updates by visiting the DCDEE website at. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 27, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, 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: Jennifer.roberts@dhhs.nc.gov or mail to: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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: Childcare Network #240 Facility ID: 36000636 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 82 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 455 Time In: 09:30 AM Time Out: 05:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Nasheika Glenn-Moore, Administrator assisted me with the visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit until 3:20 pm. The Secretary of State website was checked today, and your business Child Development Schools North Carolina, LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on January 8, 2024, with the following restriction: daytime care only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playgrounds, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on February 26, 2024, at 10:13 am. The last monthly playground inspection was completed on January 17, 2024. A sample of seven children’s files were reviewed. Thirteen staff files were reviewed. A menu was posted for breakfast, lunch and snack and all food listed met the nutrition requirements. The menu was not dated for the week. The daily schedule was posted. You have three buses that you use for transporting children. The buses were monitored. You said that you are going to apply for a rated license and assume the previous owner’s star rating. We discussed the cohort process. Your facility will be in cohort #1, and your prep year ends June 30, 2024. You will need an assessment conducted between July 1, 2024, and June 30, 2025. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete and return to me. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. The following violations were observed today. Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Per the assistant administrator's report, infants in space #1, 2, and 3 have not been going outside daily. GS 110-91(2);.0508(c) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in space #1. In space #5, the activity plan was dated February 19, 2024 through February 23, 2024. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted at the entrance and near the kitchen were not dated. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted menu listed diced ham/turkey, fresh broccoli, pears, pasta with cheese and milk for lunch on Tuesday. Children in space #10 were observed eating ravioli, green beans, pears, and milk for lunch. Children in space #12 were observed eating cheese pizza, green beans, pears, and milk for lunch. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan for one infant, seven weeks old, was not posted in space #1. 10A NCAC 09 .0902(a) 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. Plastic bags were stored in the bottom unlocked cabinet to the left of the refrigerator in space #1 and accessible to two infants. In space #10, seven plastic packages of baby wipes and one plastic package containing diapers were stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. .0604(q) 871 Center staff did not comply with the safe sleep policy. The visual sleep charts in space #2, documented that one infant, eight months of age, was initially placed on their side for sleeping at 2:45 pm on January 31, 2024. The same infant was initially placed on their side at 10:45 am on February 1, 2024 and again on February 9, 2024 at 11:48 am for sleeping. In space #2, one infant, seven months of age was initially placed on their tummy for sleeping at 11:15 am on January 31, 2024, and at 11:30 am on February 26, 2024.The visual sleep charts in space #3, documented the initial position of one infant, eight months of age, was placed on their side for sleeping at 11:30 am on February 1, 2024, and at 11:45 am on February 2, 2024. The visual sleep chart in space #3, did not document the initial placement of one infant, eleven months of age at 12 pm on February 7, 2024. The visual sleep chart in space #3, documented one infant, eleven months of age was initially placed on their tummy at 1:45 pm on February 21, 2024. 10A NCAC 09 .0606(a) 886 The temperature in a room where infants aged 12 months or younger where sleeping exceeded 75 degrees. The thermometer in space #1 was inoperable and was not able to monitor the temperature of the room when infants were sleeping. .0606(a)(5) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with an enrollment date of July 17, 2023, had a medical assessment on file dated January 30, 2024. One child with enrollment date of December 13, 2023, had a medical assessment on file dated January 16, 2024. GS110-91(1) Technical assistance was provided on the following: Item #428 General Statute (G.S.) 110-91(12); Child Care Rule .0508(a) In space #1, an activity plan was not posted. In space #5, a current activity plan was not posted. The activity plan was dated February 19, 2024, through February 23, 2024. Activity Plan I discussed with you that a current activity plan must be completed, dated, and posted and must include age-appropriate activities for the children. Establish a method for reviewing and ensuring that activity plans are completed, dated, and posted as required. You corrected this violation by posting the current activity plan for space #1, and space #5. Item # 858 Child care Rule .0604(q) In space #1, a roll of plastic bags was stored under the cabinet to the left of the refrigerator and accessible to two infants. This was corrected by removing the plastic bags and storing them on the top shelf hanging on the wall greater than five feet from the floor surface. In space #10, seven plastic packages of baby wipes and one plastic package of diapers was stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. This violation was corrected by removing the plastic packages of baby wipes and plastic package of diapers and storing them on a top shelf greater than five feet from the floor surface. We discussed proper storage of items that could be choking hazards for children under three years of age. Proper storage could include five free from the floor surface or in storage that has a lock and key, magnetic, or combination lock. Item #1321 G.S. 110-91(1) Two children’s medical assessments were not on file within thirty days of enrollment. One child with an enrollment date of July 11, 2023, had a medical assessment on file dated January 30, 2024. One child with an enrollment date of December 13, 2023, had a medical on file dated January 16, 2024. I suggested that you use the Children’s File Checklist as a guide for time sensitive documents. Item #525 Child Care Rule .0901(b) The menu posted near the kitchen and on the parent board at the entrance were not dated. I suggested that you date your menus for the next week at the close of business on Fridays and post them for opening on Monday’s. Menus must be posted and a current. Item #528 Child Care Rule .0901(b) The menu that was posted listed diced ham/turkey, fresh broccoli, pears, pasta with cheese, and milk. Children in space #10 were observed eating ravioli, green beans, pears and milk. Children in space #12 were observed eating cheese pizza, green beans, pears and milk. I suggested that menus be changed prior to serving the meal or snack if changes are needed. Kitchen staff can mark out the food that is not being served and add the correct component. Item #886 Child Care Rule .0606(a)(5) In space #1, the thermometer used to monitor the temperature of the space when infants were sleeping did not have batteries and was inoperable. I suggested that you purchase batteries or a new thermometer to ensure the temperature of the room does not exceed 75 degrees while infants are sleeping. We discussed having staff conduct daily safety checks to ensure thermometers are working properly. Item #871 Child Care Rule .0606(a) In space #2, the sleep chart documentation noted that two infants were not placed on their back for sleeping on several dates. In space #3, the sleep chart documentation noted that three infants were not placed on their back for sleeping on multiple dates. I discussed the importance of placing the infant initially on their back for sleeping and then allowing them to assume a comfortable position if they can roll over. Staff discussed that they were placing the infant on their back but as soon as they placed the infant in the crib, they rolled to an alternate position, so they thought they needed to document the side or tummy position. Item #410 G.S.110-91(2); Child Care Rule .0508(c) In space #1, 2, and 3, the infants were not taken outside when weather conditions permitted per the information received from the assistant administrator. Daily Outdoor Play Children must go outside daily, weather permitting, for at least thirty minutes per day for children under two years of age and one hour per day for children two years of age and older. If it is not actively precipitating, then the children go outside. The center shall provide space and time for vigorous indoor activities when children cannot play outdoors. Staff must follow the Weather Watch Chart to determine if the weather is appropriate. Today the weather was appropriate for outdoor play per the Weather Watch Chart. Consultation was provided on the following. I received your approved fire, and sanitation inspections during today’s visit. The fire inspection was conducted on February 20, 2024, and the sanitation inspection was completed on January 8, 2024. I must receive your approved building inspection no later than May 6, 2024. I requested that you email me a copy of your operational and personnel policies for review and approval as soon as possible and no later than March 15, 2024. As a reminder, we discussed conducting safety checks of spaces that are currently closed prior to reopening to ensure all outlets are covered and any hazardous items are stored accordingly. Space #13 is not being used at this time and was monitored during the visit. We discussed and I clarified child care rule .0606(c), A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. To accurately document the date of enrollment, the date should be documented as the date the child first attends the facility, not the date the parent tours the facility and completes the child’s enrollment paperwork. I suggested that staff document the time an infant wakes up on the visual sleep charts and if an infant does not sleep, I suggested that staff note that on the sleep charts as well. The EPR Plan was completed on February 20, 2024. I reminded you that you must update the plan as changes occur and at least annually. You will need to enter your business NCID into the Emergency Management Portal to update your EPR plan and if no changes are made to the current plan, you will print out the first page to verify you have reviewed and updated your EPR plan. The following is general information for you to review to prepare for the Environment Rating Scale Assessment. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after July 8, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by March 12, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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 .0902 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 82 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 455 Time In: 09:30 AM Time Out: 05:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Nasheika Glenn-Moore, Administrator assisted me with the visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit until 3:20 pm. The Secretary of State website was checked today, and your business Child Development Schools North Carolina, LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on January 8, 2024, with the following restriction: daytime care only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playgrounds, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on February 26, 2024, at 10:13 am. The last monthly playground inspection was completed on January 17, 2024. A sample of seven children’s files were reviewed. Thirteen staff files were reviewed. A menu was posted for breakfast, lunch and snack and all food listed met the nutrition requirements. The menu was not dated for the week. The daily schedule was posted. You have three buses that you use for transporting children. The buses were monitored. You said that you are going to apply for a rated license and assume the previous owner’s star rating. We discussed the cohort process. Your facility will be in cohort #1, and your prep year ends June 30, 2024. You will need an assessment conducted between July 1, 2024, and June 30, 2025. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete and return to me. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. The following violations were observed today. Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Per the assistant administrator's report, infants in space #1, 2, and 3 have not been going outside daily. GS 110-91(2);.0508(c) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in space #1. In space #5, the activity plan was dated February 19, 2024 through February 23, 2024. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted at the entrance and near the kitchen were not dated. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted menu listed diced ham/turkey, fresh broccoli, pears, pasta with cheese and milk for lunch on Tuesday. Children in space #10 were observed eating ravioli, green beans, pears, and milk for lunch. Children in space #12 were observed eating cheese pizza, green beans, pears, and milk for lunch. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan for one infant, seven weeks old, was not posted in space #1. 10A NCAC 09 .0902(a) 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. Plastic bags were stored in the bottom unlocked cabinet to the left of the refrigerator in space #1 and accessible to two infants. In space #10, seven plastic packages of baby wipes and one plastic package containing diapers were stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. .0604(q) 871 Center staff did not comply with the safe sleep policy. The visual sleep charts in space #2, documented that one infant, eight months of age, was initially placed on their side for sleeping at 2:45 pm on January 31, 2024. The same infant was initially placed on their side at 10:45 am on February 1, 2024 and again on February 9, 2024 at 11:48 am for sleeping. In space #2, one infant, seven months of age was initially placed on their tummy for sleeping at 11:15 am on January 31, 2024, and at 11:30 am on February 26, 2024.The visual sleep charts in space #3, documented the initial position of one infant, eight months of age, was placed on their side for sleeping at 11:30 am on February 1, 2024, and at 11:45 am on February 2, 2024. The visual sleep chart in space #3, did not document the initial placement of one infant, eleven months of age at 12 pm on February 7, 2024. The visual sleep chart in space #3, documented one infant, eleven months of age was initially placed on their tummy at 1:45 pm on February 21, 2024. 10A NCAC 09 .0606(a) 886 The temperature in a room where infants aged 12 months or younger where sleeping exceeded 75 degrees. The thermometer in space #1 was inoperable and was not able to monitor the temperature of the room when infants were sleeping. .0606(a)(5) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with an enrollment date of July 17, 2023, had a medical assessment on file dated January 30, 2024. One child with enrollment date of December 13, 2023, had a medical assessment on file dated January 16, 2024. GS110-91(1) Technical assistance was provided on the following: Item #428 General Statute (G.S.) 110-91(12); Child Care Rule .0508(a) In space #1, an activity plan was not posted. In space #5, a current activity plan was not posted. The activity plan was dated February 19, 2024, through February 23, 2024. Activity Plan I discussed with you that a current activity plan must be completed, dated, and posted and must include age-appropriate activities for the children. Establish a method for reviewing and ensuring that activity plans are completed, dated, and posted as required. You corrected this violation by posting the current activity plan for space #1, and space #5. Item # 858 Child care Rule .0604(q) In space #1, a roll of plastic bags was stored under the cabinet to the left of the refrigerator and accessible to two infants. This was corrected by removing the plastic bags and storing them on the top shelf hanging on the wall greater than five feet from the floor surface. In space #10, seven plastic packages of baby wipes and one plastic package of diapers was stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. This violation was corrected by removing the plastic packages of baby wipes and plastic package of diapers and storing them on a top shelf greater than five feet from the floor surface. We discussed proper storage of items that could be choking hazards for children under three years of age. Proper storage could include five free from the floor surface or in storage that has a lock and key, magnetic, or combination lock. Item #1321 G.S. 110-91(1) Two children’s medical assessments were not on file within thirty days of enrollment. One child with an enrollment date of July 11, 2023, had a medical assessment on file dated January 30, 2024. One child with an enrollment date of December 13, 2023, had a medical on file dated January 16, 2024. I suggested that you use the Children’s File Checklist as a guide for time sensitive documents. Item #525 Child Care Rule .0901(b) The menu posted near the kitchen and on the parent board at the entrance were not dated. I suggested that you date your menus for the next week at the close of business on Fridays and post them for opening on Monday’s. Menus must be posted and a current. Item #528 Child Care Rule .0901(b) The menu that was posted listed diced ham/turkey, fresh broccoli, pears, pasta with cheese, and milk. Children in space #10 were observed eating ravioli, green beans, pears and milk. Children in space #12 were observed eating cheese pizza, green beans, pears and milk. I suggested that menus be changed prior to serving the meal or snack if changes are needed. Kitchen staff can mark out the food that is not being served and add the correct component. Item #886 Child Care Rule .0606(a)(5) In space #1, the thermometer used to monitor the temperature of the space when infants were sleeping did not have batteries and was inoperable. I suggested that you purchase batteries or a new thermometer to ensure the temperature of the room does not exceed 75 degrees while infants are sleeping. We discussed having staff conduct daily safety checks to ensure thermometers are working properly. Item #871 Child Care Rule .0606(a) In space #2, the sleep chart documentation noted that two infants were not placed on their back for sleeping on several dates. In space #3, the sleep chart documentation noted that three infants were not placed on their back for sleeping on multiple dates. I discussed the importance of placing the infant initially on their back for sleeping and then allowing them to assume a comfortable position if they can roll over. Staff discussed that they were placing the infant on their back but as soon as they placed the infant in the crib, they rolled to an alternate position, so they thought they needed to document the side or tummy position. Item #410 G.S.110-91(2); Child Care Rule .0508(c) In space #1, 2, and 3, the infants were not taken outside when weather conditions permitted per the information received from the assistant administrator. Daily Outdoor Play Children must go outside daily, weather permitting, for at least thirty minutes per day for children under two years of age and one hour per day for children two years of age and older. If it is not actively precipitating, then the children go outside. The center shall provide space and time for vigorous indoor activities when children cannot play outdoors. Staff must follow the Weather Watch Chart to determine if the weather is appropriate. Today the weather was appropriate for outdoor play per the Weather Watch Chart. Consultation was provided on the following. I received your approved fire, and sanitation inspections during today’s visit. The fire inspection was conducted on February 20, 2024, and the sanitation inspection was completed on January 8, 2024. I must receive your approved building inspection no later than May 6, 2024. I requested that you email me a copy of your operational and personnel policies for review and approval as soon as possible and no later than March 15, 2024. As a reminder, we discussed conducting safety checks of spaces that are currently closed prior to reopening to ensure all outlets are covered and any hazardous items are stored accordingly. Space #13 is not being used at this time and was monitored during the visit. We discussed and I clarified child care rule .0606(c), A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. To accurately document the date of enrollment, the date should be documented as the date the child first attends the facility, not the date the parent tours the facility and completes the child’s enrollment paperwork. I suggested that staff document the time an infant wakes up on the visual sleep charts and if an infant does not sleep, I suggested that staff note that on the sleep charts as well. The EPR Plan was completed on February 20, 2024. I reminded you that you must update the plan as changes occur and at least annually. You will need to enter your business NCID into the Emergency Management Portal to update your EPR plan and if no changes are made to the current plan, you will print out the first page to verify you have reviewed and updated your EPR plan. The following is general information for you to review to prepare for the Environment Rating Scale Assessment. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after July 8, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by March 12, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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 .0606 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 82 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 455 Time In: 09:30 AM Time Out: 05:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Nasheika Glenn-Moore, Administrator assisted me with the visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit until 3:20 pm. The Secretary of State website was checked today, and your business Child Development Schools North Carolina, LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on January 8, 2024, with the following restriction: daytime care only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playgrounds, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on February 26, 2024, at 10:13 am. The last monthly playground inspection was completed on January 17, 2024. A sample of seven children’s files were reviewed. Thirteen staff files were reviewed. A menu was posted for breakfast, lunch and snack and all food listed met the nutrition requirements. The menu was not dated for the week. The daily schedule was posted. You have three buses that you use for transporting children. The buses were monitored. You said that you are going to apply for a rated license and assume the previous owner’s star rating. We discussed the cohort process. Your facility will be in cohort #1, and your prep year ends June 30, 2024. You will need an assessment conducted between July 1, 2024, and June 30, 2025. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete and return to me. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. The following violations were observed today. Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Per the assistant administrator's report, infants in space #1, 2, and 3 have not been going outside daily. GS 110-91(2);.0508(c) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in space #1. In space #5, the activity plan was dated February 19, 2024 through February 23, 2024. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted at the entrance and near the kitchen were not dated. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted menu listed diced ham/turkey, fresh broccoli, pears, pasta with cheese and milk for lunch on Tuesday. Children in space #10 were observed eating ravioli, green beans, pears, and milk for lunch. Children in space #12 were observed eating cheese pizza, green beans, pears, and milk for lunch. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan for one infant, seven weeks old, was not posted in space #1. 10A NCAC 09 .0902(a) 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. Plastic bags were stored in the bottom unlocked cabinet to the left of the refrigerator in space #1 and accessible to two infants. In space #10, seven plastic packages of baby wipes and one plastic package containing diapers were stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. .0604(q) 871 Center staff did not comply with the safe sleep policy. The visual sleep charts in space #2, documented that one infant, eight months of age, was initially placed on their side for sleeping at 2:45 pm on January 31, 2024. The same infant was initially placed on their side at 10:45 am on February 1, 2024 and again on February 9, 2024 at 11:48 am for sleeping. In space #2, one infant, seven months of age was initially placed on their tummy for sleeping at 11:15 am on January 31, 2024, and at 11:30 am on February 26, 2024.The visual sleep charts in space #3, documented the initial position of one infant, eight months of age, was placed on their side for sleeping at 11:30 am on February 1, 2024, and at 11:45 am on February 2, 2024. The visual sleep chart in space #3, did not document the initial placement of one infant, eleven months of age at 12 pm on February 7, 2024. The visual sleep chart in space #3, documented one infant, eleven months of age was initially placed on their tummy at 1:45 pm on February 21, 2024. 10A NCAC 09 .0606(a) 886 The temperature in a room where infants aged 12 months or younger where sleeping exceeded 75 degrees. The thermometer in space #1 was inoperable and was not able to monitor the temperature of the room when infants were sleeping. .0606(a)(5) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with an enrollment date of July 17, 2023, had a medical assessment on file dated January 30, 2024. One child with enrollment date of December 13, 2023, had a medical assessment on file dated January 16, 2024. GS110-91(1) Technical assistance was provided on the following: Item #428 General Statute (G.S.) 110-91(12); Child Care Rule .0508(a) In space #1, an activity plan was not posted. In space #5, a current activity plan was not posted. The activity plan was dated February 19, 2024, through February 23, 2024. Activity Plan I discussed with you that a current activity plan must be completed, dated, and posted and must include age-appropriate activities for the children. Establish a method for reviewing and ensuring that activity plans are completed, dated, and posted as required. You corrected this violation by posting the current activity plan for space #1, and space #5. Item # 858 Child care Rule .0604(q) In space #1, a roll of plastic bags was stored under the cabinet to the left of the refrigerator and accessible to two infants. This was corrected by removing the plastic bags and storing them on the top shelf hanging on the wall greater than five feet from the floor surface. In space #10, seven plastic packages of baby wipes and one plastic package of diapers was stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. This violation was corrected by removing the plastic packages of baby wipes and plastic package of diapers and storing them on a top shelf greater than five feet from the floor surface. We discussed proper storage of items that could be choking hazards for children under three years of age. Proper storage could include five free from the floor surface or in storage that has a lock and key, magnetic, or combination lock. Item #1321 G.S. 110-91(1) Two children’s medical assessments were not on file within thirty days of enrollment. One child with an enrollment date of July 11, 2023, had a medical assessment on file dated January 30, 2024. One child with an enrollment date of December 13, 2023, had a medical on file dated January 16, 2024. I suggested that you use the Children’s File Checklist as a guide for time sensitive documents. Item #525 Child Care Rule .0901(b) The menu posted near the kitchen and on the parent board at the entrance were not dated. I suggested that you date your menus for the next week at the close of business on Fridays and post them for opening on Monday’s. Menus must be posted and a current. Item #528 Child Care Rule .0901(b) The menu that was posted listed diced ham/turkey, fresh broccoli, pears, pasta with cheese, and milk. Children in space #10 were observed eating ravioli, green beans, pears and milk. Children in space #12 were observed eating cheese pizza, green beans, pears and milk. I suggested that menus be changed prior to serving the meal or snack if changes are needed. Kitchen staff can mark out the food that is not being served and add the correct component. Item #886 Child Care Rule .0606(a)(5) In space #1, the thermometer used to monitor the temperature of the space when infants were sleeping did not have batteries and was inoperable. I suggested that you purchase batteries or a new thermometer to ensure the temperature of the room does not exceed 75 degrees while infants are sleeping. We discussed having staff conduct daily safety checks to ensure thermometers are working properly. Item #871 Child Care Rule .0606(a) In space #2, the sleep chart documentation noted that two infants were not placed on their back for sleeping on several dates. In space #3, the sleep chart documentation noted that three infants were not placed on their back for sleeping on multiple dates. I discussed the importance of placing the infant initially on their back for sleeping and then allowing them to assume a comfortable position if they can roll over. Staff discussed that they were placing the infant on their back but as soon as they placed the infant in the crib, they rolled to an alternate position, so they thought they needed to document the side or tummy position. Item #410 G.S.110-91(2); Child Care Rule .0508(c) In space #1, 2, and 3, the infants were not taken outside when weather conditions permitted per the information received from the assistant administrator. Daily Outdoor Play Children must go outside daily, weather permitting, for at least thirty minutes per day for children under two years of age and one hour per day for children two years of age and older. If it is not actively precipitating, then the children go outside. The center shall provide space and time for vigorous indoor activities when children cannot play outdoors. Staff must follow the Weather Watch Chart to determine if the weather is appropriate. Today the weather was appropriate for outdoor play per the Weather Watch Chart. Consultation was provided on the following. I received your approved fire, and sanitation inspections during today’s visit. The fire inspection was conducted on February 20, 2024, and the sanitation inspection was completed on January 8, 2024. I must receive your approved building inspection no later than May 6, 2024. I requested that you email me a copy of your operational and personnel policies for review and approval as soon as possible and no later than March 15, 2024. As a reminder, we discussed conducting safety checks of spaces that are currently closed prior to reopening to ensure all outlets are covered and any hazardous items are stored accordingly. Space #13 is not being used at this time and was monitored during the visit. We discussed and I clarified child care rule .0606(c), A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. To accurately document the date of enrollment, the date should be documented as the date the child first attends the facility, not the date the parent tours the facility and completes the child’s enrollment paperwork. I suggested that staff document the time an infant wakes up on the visual sleep charts and if an infant does not sleep, I suggested that staff note that on the sleep charts as well. The EPR Plan was completed on February 20, 2024. I reminded you that you must update the plan as changes occur and at least annually. You will need to enter your business NCID into the Emergency Management Portal to update your EPR plan and if no changes are made to the current plan, you will print out the first page to verify you have reviewed and updated your EPR plan. The following is general information for you to review to prepare for the Environment Rating Scale Assessment. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after July 8, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by March 12, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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 .2201 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 82 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 455 Time In: 09:30 AM Time Out: 05:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Nasheika Glenn-Moore, Administrator assisted me with the visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit until 3:20 pm. The Secretary of State website was checked today, and your business Child Development Schools North Carolina, LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on January 8, 2024, with the following restriction: daytime care only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playgrounds, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on February 26, 2024, at 10:13 am. The last monthly playground inspection was completed on January 17, 2024. A sample of seven children’s files were reviewed. Thirteen staff files were reviewed. A menu was posted for breakfast, lunch and snack and all food listed met the nutrition requirements. The menu was not dated for the week. The daily schedule was posted. You have three buses that you use for transporting children. The buses were monitored. You said that you are going to apply for a rated license and assume the previous owner’s star rating. We discussed the cohort process. Your facility will be in cohort #1, and your prep year ends June 30, 2024. You will need an assessment conducted between July 1, 2024, and June 30, 2025. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete and return to me. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. The following violations were observed today. Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Per the assistant administrator's report, infants in space #1, 2, and 3 have not been going outside daily. GS 110-91(2);.0508(c) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in space #1. In space #5, the activity plan was dated February 19, 2024 through February 23, 2024. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted at the entrance and near the kitchen were not dated. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted menu listed diced ham/turkey, fresh broccoli, pears, pasta with cheese and milk for lunch on Tuesday. Children in space #10 were observed eating ravioli, green beans, pears, and milk for lunch. Children in space #12 were observed eating cheese pizza, green beans, pears, and milk for lunch. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan for one infant, seven weeks old, was not posted in space #1. 10A NCAC 09 .0902(a) 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. Plastic bags were stored in the bottom unlocked cabinet to the left of the refrigerator in space #1 and accessible to two infants. In space #10, seven plastic packages of baby wipes and one plastic package containing diapers were stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. .0604(q) 871 Center staff did not comply with the safe sleep policy. The visual sleep charts in space #2, documented that one infant, eight months of age, was initially placed on their side for sleeping at 2:45 pm on January 31, 2024. The same infant was initially placed on their side at 10:45 am on February 1, 2024 and again on February 9, 2024 at 11:48 am for sleeping. In space #2, one infant, seven months of age was initially placed on their tummy for sleeping at 11:15 am on January 31, 2024, and at 11:30 am on February 26, 2024.The visual sleep charts in space #3, documented the initial position of one infant, eight months of age, was placed on their side for sleeping at 11:30 am on February 1, 2024, and at 11:45 am on February 2, 2024. The visual sleep chart in space #3, did not document the initial placement of one infant, eleven months of age at 12 pm on February 7, 2024. The visual sleep chart in space #3, documented one infant, eleven months of age was initially placed on their tummy at 1:45 pm on February 21, 2024. 10A NCAC 09 .0606(a) 886 The temperature in a room where infants aged 12 months or younger where sleeping exceeded 75 degrees. The thermometer in space #1 was inoperable and was not able to monitor the temperature of the room when infants were sleeping. .0606(a)(5) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with an enrollment date of July 17, 2023, had a medical assessment on file dated January 30, 2024. One child with enrollment date of December 13, 2023, had a medical assessment on file dated January 16, 2024. GS110-91(1) Technical assistance was provided on the following: Item #428 General Statute (G.S.) 110-91(12); Child Care Rule .0508(a) In space #1, an activity plan was not posted. In space #5, a current activity plan was not posted. The activity plan was dated February 19, 2024, through February 23, 2024. Activity Plan I discussed with you that a current activity plan must be completed, dated, and posted and must include age-appropriate activities for the children. Establish a method for reviewing and ensuring that activity plans are completed, dated, and posted as required. You corrected this violation by posting the current activity plan for space #1, and space #5. Item # 858 Child care Rule .0604(q) In space #1, a roll of plastic bags was stored under the cabinet to the left of the refrigerator and accessible to two infants. This was corrected by removing the plastic bags and storing them on the top shelf hanging on the wall greater than five feet from the floor surface. In space #10, seven plastic packages of baby wipes and one plastic package of diapers was stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. This violation was corrected by removing the plastic packages of baby wipes and plastic package of diapers and storing them on a top shelf greater than five feet from the floor surface. We discussed proper storage of items that could be choking hazards for children under three years of age. Proper storage could include five free from the floor surface or in storage that has a lock and key, magnetic, or combination lock. Item #1321 G.S. 110-91(1) Two children’s medical assessments were not on file within thirty days of enrollment. One child with an enrollment date of July 11, 2023, had a medical assessment on file dated January 30, 2024. One child with an enrollment date of December 13, 2023, had a medical on file dated January 16, 2024. I suggested that you use the Children’s File Checklist as a guide for time sensitive documents. Item #525 Child Care Rule .0901(b) The menu posted near the kitchen and on the parent board at the entrance were not dated. I suggested that you date your menus for the next week at the close of business on Fridays and post them for opening on Monday’s. Menus must be posted and a current. Item #528 Child Care Rule .0901(b) The menu that was posted listed diced ham/turkey, fresh broccoli, pears, pasta with cheese, and milk. Children in space #10 were observed eating ravioli, green beans, pears and milk. Children in space #12 were observed eating cheese pizza, green beans, pears and milk. I suggested that menus be changed prior to serving the meal or snack if changes are needed. Kitchen staff can mark out the food that is not being served and add the correct component. Item #886 Child Care Rule .0606(a)(5) In space #1, the thermometer used to monitor the temperature of the space when infants were sleeping did not have batteries and was inoperable. I suggested that you purchase batteries or a new thermometer to ensure the temperature of the room does not exceed 75 degrees while infants are sleeping. We discussed having staff conduct daily safety checks to ensure thermometers are working properly. Item #871 Child Care Rule .0606(a) In space #2, the sleep chart documentation noted that two infants were not placed on their back for sleeping on several dates. In space #3, the sleep chart documentation noted that three infants were not placed on their back for sleeping on multiple dates. I discussed the importance of placing the infant initially on their back for sleeping and then allowing them to assume a comfortable position if they can roll over. Staff discussed that they were placing the infant on their back but as soon as they placed the infant in the crib, they rolled to an alternate position, so they thought they needed to document the side or tummy position. Item #410 G.S.110-91(2); Child Care Rule .0508(c) In space #1, 2, and 3, the infants were not taken outside when weather conditions permitted per the information received from the assistant administrator. Daily Outdoor Play Children must go outside daily, weather permitting, for at least thirty minutes per day for children under two years of age and one hour per day for children two years of age and older. If it is not actively precipitating, then the children go outside. The center shall provide space and time for vigorous indoor activities when children cannot play outdoors. Staff must follow the Weather Watch Chart to determine if the weather is appropriate. Today the weather was appropriate for outdoor play per the Weather Watch Chart. Consultation was provided on the following. I received your approved fire, and sanitation inspections during today’s visit. The fire inspection was conducted on February 20, 2024, and the sanitation inspection was completed on January 8, 2024. I must receive your approved building inspection no later than May 6, 2024. I requested that you email me a copy of your operational and personnel policies for review and approval as soon as possible and no later than March 15, 2024. As a reminder, we discussed conducting safety checks of spaces that are currently closed prior to reopening to ensure all outlets are covered and any hazardous items are stored accordingly. Space #13 is not being used at this time and was monitored during the visit. We discussed and I clarified child care rule .0606(c), A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. To accurately document the date of enrollment, the date should be documented as the date the child first attends the facility, not the date the parent tours the facility and completes the child’s enrollment paperwork. I suggested that staff document the time an infant wakes up on the visual sleep charts and if an infant does not sleep, I suggested that staff note that on the sleep charts as well. The EPR Plan was completed on February 20, 2024. I reminded you that you must update the plan as changes occur and at least annually. You will need to enter your business NCID into the Emergency Management Portal to update your EPR plan and if no changes are made to the current plan, you will print out the first page to verify you have reviewed and updated your EPR plan. The following is general information for you to review to prepare for the Environment Rating Scale Assessment. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after July 8, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by March 12, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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. 110-90 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 82 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 455 Time In: 09:30 AM Time Out: 05:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Nasheika Glenn-Moore, Administrator assisted me with the visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit until 3:20 pm. The Secretary of State website was checked today, and your business Child Development Schools North Carolina, LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on January 8, 2024, with the following restriction: daytime care only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playgrounds, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on February 26, 2024, at 10:13 am. The last monthly playground inspection was completed on January 17, 2024. A sample of seven children’s files were reviewed. Thirteen staff files were reviewed. A menu was posted for breakfast, lunch and snack and all food listed met the nutrition requirements. The menu was not dated for the week. The daily schedule was posted. You have three buses that you use for transporting children. The buses were monitored. You said that you are going to apply for a rated license and assume the previous owner’s star rating. We discussed the cohort process. Your facility will be in cohort #1, and your prep year ends June 30, 2024. You will need an assessment conducted between July 1, 2024, and June 30, 2025. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete and return to me. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. The following violations were observed today. Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Per the assistant administrator's report, infants in space #1, 2, and 3 have not been going outside daily. GS 110-91(2);.0508(c) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in space #1. In space #5, the activity plan was dated February 19, 2024 through February 23, 2024. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted at the entrance and near the kitchen were not dated. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted menu listed diced ham/turkey, fresh broccoli, pears, pasta with cheese and milk for lunch on Tuesday. Children in space #10 were observed eating ravioli, green beans, pears, and milk for lunch. Children in space #12 were observed eating cheese pizza, green beans, pears, and milk for lunch. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan for one infant, seven weeks old, was not posted in space #1. 10A NCAC 09 .0902(a) 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. Plastic bags were stored in the bottom unlocked cabinet to the left of the refrigerator in space #1 and accessible to two infants. In space #10, seven plastic packages of baby wipes and one plastic package containing diapers were stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. .0604(q) 871 Center staff did not comply with the safe sleep policy. The visual sleep charts in space #2, documented that one infant, eight months of age, was initially placed on their side for sleeping at 2:45 pm on January 31, 2024. The same infant was initially placed on their side at 10:45 am on February 1, 2024 and again on February 9, 2024 at 11:48 am for sleeping. In space #2, one infant, seven months of age was initially placed on their tummy for sleeping at 11:15 am on January 31, 2024, and at 11:30 am on February 26, 2024.The visual sleep charts in space #3, documented the initial position of one infant, eight months of age, was placed on their side for sleeping at 11:30 am on February 1, 2024, and at 11:45 am on February 2, 2024. The visual sleep chart in space #3, did not document the initial placement of one infant, eleven months of age at 12 pm on February 7, 2024. The visual sleep chart in space #3, documented one infant, eleven months of age was initially placed on their tummy at 1:45 pm on February 21, 2024. 10A NCAC 09 .0606(a) 886 The temperature in a room where infants aged 12 months or younger where sleeping exceeded 75 degrees. The thermometer in space #1 was inoperable and was not able to monitor the temperature of the room when infants were sleeping. .0606(a)(5) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with an enrollment date of July 17, 2023, had a medical assessment on file dated January 30, 2024. One child with enrollment date of December 13, 2023, had a medical assessment on file dated January 16, 2024. GS110-91(1) Technical assistance was provided on the following: Item #428 General Statute (G.S.) 110-91(12); Child Care Rule .0508(a) In space #1, an activity plan was not posted. In space #5, a current activity plan was not posted. The activity plan was dated February 19, 2024, through February 23, 2024. Activity Plan I discussed with you that a current activity plan must be completed, dated, and posted and must include age-appropriate activities for the children. Establish a method for reviewing and ensuring that activity plans are completed, dated, and posted as required. You corrected this violation by posting the current activity plan for space #1, and space #5. Item # 858 Child care Rule .0604(q) In space #1, a roll of plastic bags was stored under the cabinet to the left of the refrigerator and accessible to two infants. This was corrected by removing the plastic bags and storing them on the top shelf hanging on the wall greater than five feet from the floor surface. In space #10, seven plastic packages of baby wipes and one plastic package of diapers was stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. This violation was corrected by removing the plastic packages of baby wipes and plastic package of diapers and storing them on a top shelf greater than five feet from the floor surface. We discussed proper storage of items that could be choking hazards for children under three years of age. Proper storage could include five free from the floor surface or in storage that has a lock and key, magnetic, or combination lock. Item #1321 G.S. 110-91(1) Two children’s medical assessments were not on file within thirty days of enrollment. One child with an enrollment date of July 11, 2023, had a medical assessment on file dated January 30, 2024. One child with an enrollment date of December 13, 2023, had a medical on file dated January 16, 2024. I suggested that you use the Children’s File Checklist as a guide for time sensitive documents. Item #525 Child Care Rule .0901(b) The menu posted near the kitchen and on the parent board at the entrance were not dated. I suggested that you date your menus for the next week at the close of business on Fridays and post them for opening on Monday’s. Menus must be posted and a current. Item #528 Child Care Rule .0901(b) The menu that was posted listed diced ham/turkey, fresh broccoli, pears, pasta with cheese, and milk. Children in space #10 were observed eating ravioli, green beans, pears and milk. Children in space #12 were observed eating cheese pizza, green beans, pears and milk. I suggested that menus be changed prior to serving the meal or snack if changes are needed. Kitchen staff can mark out the food that is not being served and add the correct component. Item #886 Child Care Rule .0606(a)(5) In space #1, the thermometer used to monitor the temperature of the space when infants were sleeping did not have batteries and was inoperable. I suggested that you purchase batteries or a new thermometer to ensure the temperature of the room does not exceed 75 degrees while infants are sleeping. We discussed having staff conduct daily safety checks to ensure thermometers are working properly. Item #871 Child Care Rule .0606(a) In space #2, the sleep chart documentation noted that two infants were not placed on their back for sleeping on several dates. In space #3, the sleep chart documentation noted that three infants were not placed on their back for sleeping on multiple dates. I discussed the importance of placing the infant initially on their back for sleeping and then allowing them to assume a comfortable position if they can roll over. Staff discussed that they were placing the infant on their back but as soon as they placed the infant in the crib, they rolled to an alternate position, so they thought they needed to document the side or tummy position. Item #410 G.S.110-91(2); Child Care Rule .0508(c) In space #1, 2, and 3, the infants were not taken outside when weather conditions permitted per the information received from the assistant administrator. Daily Outdoor Play Children must go outside daily, weather permitting, for at least thirty minutes per day for children under two years of age and one hour per day for children two years of age and older. If it is not actively precipitating, then the children go outside. The center shall provide space and time for vigorous indoor activities when children cannot play outdoors. Staff must follow the Weather Watch Chart to determine if the weather is appropriate. Today the weather was appropriate for outdoor play per the Weather Watch Chart. Consultation was provided on the following. I received your approved fire, and sanitation inspections during today’s visit. The fire inspection was conducted on February 20, 2024, and the sanitation inspection was completed on January 8, 2024. I must receive your approved building inspection no later than May 6, 2024. I requested that you email me a copy of your operational and personnel policies for review and approval as soon as possible and no later than March 15, 2024. As a reminder, we discussed conducting safety checks of spaces that are currently closed prior to reopening to ensure all outlets are covered and any hazardous items are stored accordingly. Space #13 is not being used at this time and was monitored during the visit. We discussed and I clarified child care rule .0606(c), A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. To accurately document the date of enrollment, the date should be documented as the date the child first attends the facility, not the date the parent tours the facility and completes the child’s enrollment paperwork. I suggested that staff document the time an infant wakes up on the visual sleep charts and if an infant does not sleep, I suggested that staff note that on the sleep charts as well. The EPR Plan was completed on February 20, 2024. I reminded you that you must update the plan as changes occur and at least annually. You will need to enter your business NCID into the Emergency Management Portal to update your EPR plan and if no changes are made to the current plan, you will print out the first page to verify you have reviewed and updated your EPR plan. The following is general information for you to review to prepare for the Environment Rating Scale Assessment. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after July 8, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by March 12, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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: Childcare Network #240 Facility ID: 36000636 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 82 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 455 Time In: 09:30 AM Time Out: 05:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Nasheika Glenn-Moore, Administrator assisted me with the visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit until 3:20 pm. The Secretary of State website was checked today, and your business Child Development Schools North Carolina, LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on January 8, 2024, with the following restriction: daytime care only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playgrounds, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on February 26, 2024, at 10:13 am. The last monthly playground inspection was completed on January 17, 2024. A sample of seven children’s files were reviewed. Thirteen staff files were reviewed. A menu was posted for breakfast, lunch and snack and all food listed met the nutrition requirements. The menu was not dated for the week. The daily schedule was posted. You have three buses that you use for transporting children. The buses were monitored. You said that you are going to apply for a rated license and assume the previous owner’s star rating. We discussed the cohort process. Your facility will be in cohort #1, and your prep year ends June 30, 2024. You will need an assessment conducted between July 1, 2024, and June 30, 2025. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete and return to me. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. The following violations were observed today. Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Per the assistant administrator's report, infants in space #1, 2, and 3 have not been going outside daily. GS 110-91(2);.0508(c) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in space #1. In space #5, the activity plan was dated February 19, 2024 through February 23, 2024. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted at the entrance and near the kitchen were not dated. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted menu listed diced ham/turkey, fresh broccoli, pears, pasta with cheese and milk for lunch on Tuesday. Children in space #10 were observed eating ravioli, green beans, pears, and milk for lunch. Children in space #12 were observed eating cheese pizza, green beans, pears, and milk for lunch. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan for one infant, seven weeks old, was not posted in space #1. 10A NCAC 09 .0902(a) 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. Plastic bags were stored in the bottom unlocked cabinet to the left of the refrigerator in space #1 and accessible to two infants. In space #10, seven plastic packages of baby wipes and one plastic package containing diapers were stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. .0604(q) 871 Center staff did not comply with the safe sleep policy. The visual sleep charts in space #2, documented that one infant, eight months of age, was initially placed on their side for sleeping at 2:45 pm on January 31, 2024. The same infant was initially placed on their side at 10:45 am on February 1, 2024 and again on February 9, 2024 at 11:48 am for sleeping. In space #2, one infant, seven months of age was initially placed on their tummy for sleeping at 11:15 am on January 31, 2024, and at 11:30 am on February 26, 2024.The visual sleep charts in space #3, documented the initial position of one infant, eight months of age, was placed on their side for sleeping at 11:30 am on February 1, 2024, and at 11:45 am on February 2, 2024. The visual sleep chart in space #3, did not document the initial placement of one infant, eleven months of age at 12 pm on February 7, 2024. The visual sleep chart in space #3, documented one infant, eleven months of age was initially placed on their tummy at 1:45 pm on February 21, 2024. 10A NCAC 09 .0606(a) 886 The temperature in a room where infants aged 12 months or younger where sleeping exceeded 75 degrees. The thermometer in space #1 was inoperable and was not able to monitor the temperature of the room when infants were sleeping. .0606(a)(5) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with an enrollment date of July 17, 2023, had a medical assessment on file dated January 30, 2024. One child with enrollment date of December 13, 2023, had a medical assessment on file dated January 16, 2024. GS110-91(1) Technical assistance was provided on the following: Item #428 General Statute (G.S.) 110-91(12); Child Care Rule .0508(a) In space #1, an activity plan was not posted. In space #5, a current activity plan was not posted. The activity plan was dated February 19, 2024, through February 23, 2024. Activity Plan I discussed with you that a current activity plan must be completed, dated, and posted and must include age-appropriate activities for the children. Establish a method for reviewing and ensuring that activity plans are completed, dated, and posted as required. You corrected this violation by posting the current activity plan for space #1, and space #5. Item # 858 Child care Rule .0604(q) In space #1, a roll of plastic bags was stored under the cabinet to the left of the refrigerator and accessible to two infants. This was corrected by removing the plastic bags and storing them on the top shelf hanging on the wall greater than five feet from the floor surface. In space #10, seven plastic packages of baby wipes and one plastic package of diapers was stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. This violation was corrected by removing the plastic packages of baby wipes and plastic package of diapers and storing them on a top shelf greater than five feet from the floor surface. We discussed proper storage of items that could be choking hazards for children under three years of age. Proper storage could include five free from the floor surface or in storage that has a lock and key, magnetic, or combination lock. Item #1321 G.S. 110-91(1) Two children’s medical assessments were not on file within thirty days of enrollment. One child with an enrollment date of July 11, 2023, had a medical assessment on file dated January 30, 2024. One child with an enrollment date of December 13, 2023, had a medical on file dated January 16, 2024. I suggested that you use the Children’s File Checklist as a guide for time sensitive documents. Item #525 Child Care Rule .0901(b) The menu posted near the kitchen and on the parent board at the entrance were not dated. I suggested that you date your menus for the next week at the close of business on Fridays and post them for opening on Monday’s. Menus must be posted and a current. Item #528 Child Care Rule .0901(b) The menu that was posted listed diced ham/turkey, fresh broccoli, pears, pasta with cheese, and milk. Children in space #10 were observed eating ravioli, green beans, pears and milk. Children in space #12 were observed eating cheese pizza, green beans, pears and milk. I suggested that menus be changed prior to serving the meal or snack if changes are needed. Kitchen staff can mark out the food that is not being served and add the correct component. Item #886 Child Care Rule .0606(a)(5) In space #1, the thermometer used to monitor the temperature of the space when infants were sleeping did not have batteries and was inoperable. I suggested that you purchase batteries or a new thermometer to ensure the temperature of the room does not exceed 75 degrees while infants are sleeping. We discussed having staff conduct daily safety checks to ensure thermometers are working properly. Item #871 Child Care Rule .0606(a) In space #2, the sleep chart documentation noted that two infants were not placed on their back for sleeping on several dates. In space #3, the sleep chart documentation noted that three infants were not placed on their back for sleeping on multiple dates. I discussed the importance of placing the infant initially on their back for sleeping and then allowing them to assume a comfortable position if they can roll over. Staff discussed that they were placing the infant on their back but as soon as they placed the infant in the crib, they rolled to an alternate position, so they thought they needed to document the side or tummy position. Item #410 G.S.110-91(2); Child Care Rule .0508(c) In space #1, 2, and 3, the infants were not taken outside when weather conditions permitted per the information received from the assistant administrator. Daily Outdoor Play Children must go outside daily, weather permitting, for at least thirty minutes per day for children under two years of age and one hour per day for children two years of age and older. If it is not actively precipitating, then the children go outside. The center shall provide space and time for vigorous indoor activities when children cannot play outdoors. Staff must follow the Weather Watch Chart to determine if the weather is appropriate. Today the weather was appropriate for outdoor play per the Weather Watch Chart. Consultation was provided on the following. I received your approved fire, and sanitation inspections during today’s visit. The fire inspection was conducted on February 20, 2024, and the sanitation inspection was completed on January 8, 2024. I must receive your approved building inspection no later than May 6, 2024. I requested that you email me a copy of your operational and personnel policies for review and approval as soon as possible and no later than March 15, 2024. As a reminder, we discussed conducting safety checks of spaces that are currently closed prior to reopening to ensure all outlets are covered and any hazardous items are stored accordingly. Space #13 is not being used at this time and was monitored during the visit. We discussed and I clarified child care rule .0606(c), A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. To accurately document the date of enrollment, the date should be documented as the date the child first attends the facility, not the date the parent tours the facility and completes the child’s enrollment paperwork. I suggested that staff document the time an infant wakes up on the visual sleep charts and if an infant does not sleep, I suggested that staff note that on the sleep charts as well. The EPR Plan was completed on February 20, 2024. I reminded you that you must update the plan as changes occur and at least annually. You will need to enter your business NCID into the Emergency Management Portal to update your EPR plan and if no changes are made to the current plan, you will print out the first page to verify you have reviewed and updated your EPR plan. The following is general information for you to review to prepare for the Environment Rating Scale Assessment. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after July 8, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by March 12, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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: Childcare Network #240 Facility ID: 36000636 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 82 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 455 Time In: 09:30 AM Time Out: 05:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Nasheika Glenn-Moore, Administrator assisted me with the visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit until 3:20 pm. The Secretary of State website was checked today, and your business Child Development Schools North Carolina, LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on January 8, 2024, with the following restriction: daytime care only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playgrounds, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on February 26, 2024, at 10:13 am. The last monthly playground inspection was completed on January 17, 2024. A sample of seven children’s files were reviewed. Thirteen staff files were reviewed. A menu was posted for breakfast, lunch and snack and all food listed met the nutrition requirements. The menu was not dated for the week. The daily schedule was posted. You have three buses that you use for transporting children. The buses were monitored. You said that you are going to apply for a rated license and assume the previous owner’s star rating. We discussed the cohort process. Your facility will be in cohort #1, and your prep year ends June 30, 2024. You will need an assessment conducted between July 1, 2024, and June 30, 2025. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete and return to me. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. The following violations were observed today. Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Per the assistant administrator's report, infants in space #1, 2, and 3 have not been going outside daily. GS 110-91(2);.0508(c) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in space #1. In space #5, the activity plan was dated February 19, 2024 through February 23, 2024. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted at the entrance and near the kitchen were not dated. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted menu listed diced ham/turkey, fresh broccoli, pears, pasta with cheese and milk for lunch on Tuesday. Children in space #10 were observed eating ravioli, green beans, pears, and milk for lunch. Children in space #12 were observed eating cheese pizza, green beans, pears, and milk for lunch. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan for one infant, seven weeks old, was not posted in space #1. 10A NCAC 09 .0902(a) 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. Plastic bags were stored in the bottom unlocked cabinet to the left of the refrigerator in space #1 and accessible to two infants. In space #10, seven plastic packages of baby wipes and one plastic package containing diapers were stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. .0604(q) 871 Center staff did not comply with the safe sleep policy. The visual sleep charts in space #2, documented that one infant, eight months of age, was initially placed on their side for sleeping at 2:45 pm on January 31, 2024. The same infant was initially placed on their side at 10:45 am on February 1, 2024 and again on February 9, 2024 at 11:48 am for sleeping. In space #2, one infant, seven months of age was initially placed on their tummy for sleeping at 11:15 am on January 31, 2024, and at 11:30 am on February 26, 2024.The visual sleep charts in space #3, documented the initial position of one infant, eight months of age, was placed on their side for sleeping at 11:30 am on February 1, 2024, and at 11:45 am on February 2, 2024. The visual sleep chart in space #3, did not document the initial placement of one infant, eleven months of age at 12 pm on February 7, 2024. The visual sleep chart in space #3, documented one infant, eleven months of age was initially placed on their tummy at 1:45 pm on February 21, 2024. 10A NCAC 09 .0606(a) 886 The temperature in a room where infants aged 12 months or younger where sleeping exceeded 75 degrees. The thermometer in space #1 was inoperable and was not able to monitor the temperature of the room when infants were sleeping. .0606(a)(5) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with an enrollment date of July 17, 2023, had a medical assessment on file dated January 30, 2024. One child with enrollment date of December 13, 2023, had a medical assessment on file dated January 16, 2024. GS110-91(1) Technical assistance was provided on the following: Item #428 General Statute (G.S.) 110-91(12); Child Care Rule .0508(a) In space #1, an activity plan was not posted. In space #5, a current activity plan was not posted. The activity plan was dated February 19, 2024, through February 23, 2024. Activity Plan I discussed with you that a current activity plan must be completed, dated, and posted and must include age-appropriate activities for the children. Establish a method for reviewing and ensuring that activity plans are completed, dated, and posted as required. You corrected this violation by posting the current activity plan for space #1, and space #5. Item # 858 Child care Rule .0604(q) In space #1, a roll of plastic bags was stored under the cabinet to the left of the refrigerator and accessible to two infants. This was corrected by removing the plastic bags and storing them on the top shelf hanging on the wall greater than five feet from the floor surface. In space #10, seven plastic packages of baby wipes and one plastic package of diapers was stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. This violation was corrected by removing the plastic packages of baby wipes and plastic package of diapers and storing them on a top shelf greater than five feet from the floor surface. We discussed proper storage of items that could be choking hazards for children under three years of age. Proper storage could include five free from the floor surface or in storage that has a lock and key, magnetic, or combination lock. Item #1321 G.S. 110-91(1) Two children’s medical assessments were not on file within thirty days of enrollment. One child with an enrollment date of July 11, 2023, had a medical assessment on file dated January 30, 2024. One child with an enrollment date of December 13, 2023, had a medical on file dated January 16, 2024. I suggested that you use the Children’s File Checklist as a guide for time sensitive documents. Item #525 Child Care Rule .0901(b) The menu posted near the kitchen and on the parent board at the entrance were not dated. I suggested that you date your menus for the next week at the close of business on Fridays and post them for opening on Monday’s. Menus must be posted and a current. Item #528 Child Care Rule .0901(b) The menu that was posted listed diced ham/turkey, fresh broccoli, pears, pasta with cheese, and milk. Children in space #10 were observed eating ravioli, green beans, pears and milk. Children in space #12 were observed eating cheese pizza, green beans, pears and milk. I suggested that menus be changed prior to serving the meal or snack if changes are needed. Kitchen staff can mark out the food that is not being served and add the correct component. Item #886 Child Care Rule .0606(a)(5) In space #1, the thermometer used to monitor the temperature of the space when infants were sleeping did not have batteries and was inoperable. I suggested that you purchase batteries or a new thermometer to ensure the temperature of the room does not exceed 75 degrees while infants are sleeping. We discussed having staff conduct daily safety checks to ensure thermometers are working properly. Item #871 Child Care Rule .0606(a) In space #2, the sleep chart documentation noted that two infants were not placed on their back for sleeping on several dates. In space #3, the sleep chart documentation noted that three infants were not placed on their back for sleeping on multiple dates. I discussed the importance of placing the infant initially on their back for sleeping and then allowing them to assume a comfortable position if they can roll over. Staff discussed that they were placing the infant on their back but as soon as they placed the infant in the crib, they rolled to an alternate position, so they thought they needed to document the side or tummy position. Item #410 G.S.110-91(2); Child Care Rule .0508(c) In space #1, 2, and 3, the infants were not taken outside when weather conditions permitted per the information received from the assistant administrator. Daily Outdoor Play Children must go outside daily, weather permitting, for at least thirty minutes per day for children under two years of age and one hour per day for children two years of age and older. If it is not actively precipitating, then the children go outside. The center shall provide space and time for vigorous indoor activities when children cannot play outdoors. Staff must follow the Weather Watch Chart to determine if the weather is appropriate. Today the weather was appropriate for outdoor play per the Weather Watch Chart. Consultation was provided on the following. I received your approved fire, and sanitation inspections during today’s visit. The fire inspection was conducted on February 20, 2024, and the sanitation inspection was completed on January 8, 2024. I must receive your approved building inspection no later than May 6, 2024. I requested that you email me a copy of your operational and personnel policies for review and approval as soon as possible and no later than March 15, 2024. As a reminder, we discussed conducting safety checks of spaces that are currently closed prior to reopening to ensure all outlets are covered and any hazardous items are stored accordingly. Space #13 is not being used at this time and was monitored during the visit. We discussed and I clarified child care rule .0606(c), A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. To accurately document the date of enrollment, the date should be documented as the date the child first attends the facility, not the date the parent tours the facility and completes the child’s enrollment paperwork. I suggested that staff document the time an infant wakes up on the visual sleep charts and if an infant does not sleep, I suggested that staff note that on the sleep charts as well. The EPR Plan was completed on February 20, 2024. I reminded you that you must update the plan as changes occur and at least annually. You will need to enter your business NCID into the Emergency Management Portal to update your EPR plan and if no changes are made to the current plan, you will print out the first page to verify you have reviewed and updated your EPR plan. The following is general information for you to review to prepare for the Environment Rating Scale Assessment. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after July 8, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by March 12, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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

GS 110-91 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 82 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 455 Time In: 09:30 AM Time Out: 05:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Nasheika Glenn-Moore, Administrator assisted me with the visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit until 3:20 pm. The Secretary of State website was checked today, and your business Child Development Schools North Carolina, LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on January 8, 2024, with the following restriction: daytime care only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playgrounds, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on February 26, 2024, at 10:13 am. The last monthly playground inspection was completed on January 17, 2024. A sample of seven children’s files were reviewed. Thirteen staff files were reviewed. A menu was posted for breakfast, lunch and snack and all food listed met the nutrition requirements. The menu was not dated for the week. The daily schedule was posted. You have three buses that you use for transporting children. The buses were monitored. You said that you are going to apply for a rated license and assume the previous owner’s star rating. We discussed the cohort process. Your facility will be in cohort #1, and your prep year ends June 30, 2024. You will need an assessment conducted between July 1, 2024, and June 30, 2025. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete and return to me. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. The following violations were observed today. Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Per the assistant administrator's report, infants in space #1, 2, and 3 have not been going outside daily. GS 110-91(2);.0508(c) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in space #1. In space #5, the activity plan was dated February 19, 2024 through February 23, 2024. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted at the entrance and near the kitchen were not dated. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted menu listed diced ham/turkey, fresh broccoli, pears, pasta with cheese and milk for lunch on Tuesday. Children in space #10 were observed eating ravioli, green beans, pears, and milk for lunch. Children in space #12 were observed eating cheese pizza, green beans, pears, and milk for lunch. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan for one infant, seven weeks old, was not posted in space #1. 10A NCAC 09 .0902(a) 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. Plastic bags were stored in the bottom unlocked cabinet to the left of the refrigerator in space #1 and accessible to two infants. In space #10, seven plastic packages of baby wipes and one plastic package containing diapers were stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. .0604(q) 871 Center staff did not comply with the safe sleep policy. The visual sleep charts in space #2, documented that one infant, eight months of age, was initially placed on their side for sleeping at 2:45 pm on January 31, 2024. The same infant was initially placed on their side at 10:45 am on February 1, 2024 and again on February 9, 2024 at 11:48 am for sleeping. In space #2, one infant, seven months of age was initially placed on their tummy for sleeping at 11:15 am on January 31, 2024, and at 11:30 am on February 26, 2024.The visual sleep charts in space #3, documented the initial position of one infant, eight months of age, was placed on their side for sleeping at 11:30 am on February 1, 2024, and at 11:45 am on February 2, 2024. The visual sleep chart in space #3, did not document the initial placement of one infant, eleven months of age at 12 pm on February 7, 2024. The visual sleep chart in space #3, documented one infant, eleven months of age was initially placed on their tummy at 1:45 pm on February 21, 2024. 10A NCAC 09 .0606(a) 886 The temperature in a room where infants aged 12 months or younger where sleeping exceeded 75 degrees. The thermometer in space #1 was inoperable and was not able to monitor the temperature of the room when infants were sleeping. .0606(a)(5) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with an enrollment date of July 17, 2023, had a medical assessment on file dated January 30, 2024. One child with enrollment date of December 13, 2023, had a medical assessment on file dated January 16, 2024. GS110-91(1) Technical assistance was provided on the following: Item #428 General Statute (G.S.) 110-91(12); Child Care Rule .0508(a) In space #1, an activity plan was not posted. In space #5, a current activity plan was not posted. The activity plan was dated February 19, 2024, through February 23, 2024. Activity Plan I discussed with you that a current activity plan must be completed, dated, and posted and must include age-appropriate activities for the children. Establish a method for reviewing and ensuring that activity plans are completed, dated, and posted as required. You corrected this violation by posting the current activity plan for space #1, and space #5. Item # 858 Child care Rule .0604(q) In space #1, a roll of plastic bags was stored under the cabinet to the left of the refrigerator and accessible to two infants. This was corrected by removing the plastic bags and storing them on the top shelf hanging on the wall greater than five feet from the floor surface. In space #10, seven plastic packages of baby wipes and one plastic package of diapers was stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. This violation was corrected by removing the plastic packages of baby wipes and plastic package of diapers and storing them on a top shelf greater than five feet from the floor surface. We discussed proper storage of items that could be choking hazards for children under three years of age. Proper storage could include five free from the floor surface or in storage that has a lock and key, magnetic, or combination lock. Item #1321 G.S. 110-91(1) Two children’s medical assessments were not on file within thirty days of enrollment. One child with an enrollment date of July 11, 2023, had a medical assessment on file dated January 30, 2024. One child with an enrollment date of December 13, 2023, had a medical on file dated January 16, 2024. I suggested that you use the Children’s File Checklist as a guide for time sensitive documents. Item #525 Child Care Rule .0901(b) The menu posted near the kitchen and on the parent board at the entrance were not dated. I suggested that you date your menus for the next week at the close of business on Fridays and post them for opening on Monday’s. Menus must be posted and a current. Item #528 Child Care Rule .0901(b) The menu that was posted listed diced ham/turkey, fresh broccoli, pears, pasta with cheese, and milk. Children in space #10 were observed eating ravioli, green beans, pears and milk. Children in space #12 were observed eating cheese pizza, green beans, pears and milk. I suggested that menus be changed prior to serving the meal or snack if changes are needed. Kitchen staff can mark out the food that is not being served and add the correct component. Item #886 Child Care Rule .0606(a)(5) In space #1, the thermometer used to monitor the temperature of the space when infants were sleeping did not have batteries and was inoperable. I suggested that you purchase batteries or a new thermometer to ensure the temperature of the room does not exceed 75 degrees while infants are sleeping. We discussed having staff conduct daily safety checks to ensure thermometers are working properly. Item #871 Child Care Rule .0606(a) In space #2, the sleep chart documentation noted that two infants were not placed on their back for sleeping on several dates. In space #3, the sleep chart documentation noted that three infants were not placed on their back for sleeping on multiple dates. I discussed the importance of placing the infant initially on their back for sleeping and then allowing them to assume a comfortable position if they can roll over. Staff discussed that they were placing the infant on their back but as soon as they placed the infant in the crib, they rolled to an alternate position, so they thought they needed to document the side or tummy position. Item #410 G.S.110-91(2); Child Care Rule .0508(c) In space #1, 2, and 3, the infants were not taken outside when weather conditions permitted per the information received from the assistant administrator. Daily Outdoor Play Children must go outside daily, weather permitting, for at least thirty minutes per day for children under two years of age and one hour per day for children two years of age and older. If it is not actively precipitating, then the children go outside. The center shall provide space and time for vigorous indoor activities when children cannot play outdoors. Staff must follow the Weather Watch Chart to determine if the weather is appropriate. Today the weather was appropriate for outdoor play per the Weather Watch Chart. Consultation was provided on the following. I received your approved fire, and sanitation inspections during today’s visit. The fire inspection was conducted on February 20, 2024, and the sanitation inspection was completed on January 8, 2024. I must receive your approved building inspection no later than May 6, 2024. I requested that you email me a copy of your operational and personnel policies for review and approval as soon as possible and no later than March 15, 2024. As a reminder, we discussed conducting safety checks of spaces that are currently closed prior to reopening to ensure all outlets are covered and any hazardous items are stored accordingly. Space #13 is not being used at this time and was monitored during the visit. We discussed and I clarified child care rule .0606(c), A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. To accurately document the date of enrollment, the date should be documented as the date the child first attends the facility, not the date the parent tours the facility and completes the child’s enrollment paperwork. I suggested that staff document the time an infant wakes up on the visual sleep charts and if an infant does not sleep, I suggested that staff note that on the sleep charts as well. The EPR Plan was completed on February 20, 2024. I reminded you that you must update the plan as changes occur and at least annually. You will need to enter your business NCID into the Emergency Management Portal to update your EPR plan and if no changes are made to the current plan, you will print out the first page to verify you have reviewed and updated your EPR plan. The following is general information for you to review to prepare for the Environment Rating Scale Assessment. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after July 8, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by March 12, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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

GS110-91 · Violation

Name of Operation: Childcare Network #240 Facility ID: 36000636 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 82 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 455 Time In: 09:30 AM Time Out: 05:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Nasheika Glenn-Moore, Administrator assisted me with the visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit until 3:20 pm. The Secretary of State website was checked today, and your business Child Development Schools North Carolina, LLC., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Currently this center operates with a temporary license issued on January 8, 2024, with the following restriction: daytime care only. During this first Temporary Time Period visit, the classrooms were monitored as well as the playgrounds, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was completed on February 26, 2024, at 10:13 am. The last monthly playground inspection was completed on January 17, 2024. A sample of seven children’s files were reviewed. Thirteen staff files were reviewed. A menu was posted for breakfast, lunch and snack and all food listed met the nutrition requirements. The menu was not dated for the week. The daily schedule was posted. You have three buses that you use for transporting children. The buses were monitored. You said that you are going to apply for a rated license and assume the previous owner’s star rating. We discussed the cohort process. Your facility will be in cohort #1, and your prep year ends June 30, 2024. You will need an assessment conducted between July 1, 2024, and June 30, 2025. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete and return to me. We reviewed and discussed Program Standard points, Staff Education points and Quality point options. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. The following violations were observed today. Violation Number Comment Rule 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Per the assistant administrator's report, infants in space #1, 2, and 3 have not been going outside daily. GS 110-91(2);.0508(c) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted in space #1. In space #5, the activity plan was dated February 19, 2024 through February 23, 2024. GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu posted at the entrance and near the kitchen were not dated. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted menu listed diced ham/turkey, fresh broccoli, pears, pasta with cheese and milk for lunch on Tuesday. Children in space #10 were observed eating ravioli, green beans, pears, and milk for lunch. Children in space #12 were observed eating cheese pizza, green beans, pears, and milk for lunch. 10A NCAC 09 .0901(b) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) The written feeding plan for one infant, seven weeks old, was not posted in space #1. 10A NCAC 09 .0902(a) 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. Plastic bags were stored in the bottom unlocked cabinet to the left of the refrigerator in space #1 and accessible to two infants. In space #10, seven plastic packages of baby wipes and one plastic package containing diapers were stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. .0604(q) 871 Center staff did not comply with the safe sleep policy. The visual sleep charts in space #2, documented that one infant, eight months of age, was initially placed on their side for sleeping at 2:45 pm on January 31, 2024. The same infant was initially placed on their side at 10:45 am on February 1, 2024 and again on February 9, 2024 at 11:48 am for sleeping. In space #2, one infant, seven months of age was initially placed on their tummy for sleeping at 11:15 am on January 31, 2024, and at 11:30 am on February 26, 2024.The visual sleep charts in space #3, documented the initial position of one infant, eight months of age, was placed on their side for sleeping at 11:30 am on February 1, 2024, and at 11:45 am on February 2, 2024. The visual sleep chart in space #3, did not document the initial placement of one infant, eleven months of age at 12 pm on February 7, 2024. The visual sleep chart in space #3, documented one infant, eleven months of age was initially placed on their tummy at 1:45 pm on February 21, 2024. 10A NCAC 09 .0606(a) 886 The temperature in a room where infants aged 12 months or younger where sleeping exceeded 75 degrees. The thermometer in space #1 was inoperable and was not able to monitor the temperature of the room when infants were sleeping. .0606(a)(5) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child with an enrollment date of July 17, 2023, had a medical assessment on file dated January 30, 2024. One child with enrollment date of December 13, 2023, had a medical assessment on file dated January 16, 2024. GS110-91(1) Technical assistance was provided on the following: Item #428 General Statute (G.S.) 110-91(12); Child Care Rule .0508(a) In space #1, an activity plan was not posted. In space #5, a current activity plan was not posted. The activity plan was dated February 19, 2024, through February 23, 2024. Activity Plan I discussed with you that a current activity plan must be completed, dated, and posted and must include age-appropriate activities for the children. Establish a method for reviewing and ensuring that activity plans are completed, dated, and posted as required. You corrected this violation by posting the current activity plan for space #1, and space #5. Item # 858 Child care Rule .0604(q) In space #1, a roll of plastic bags was stored under the cabinet to the left of the refrigerator and accessible to two infants. This was corrected by removing the plastic bags and storing them on the top shelf hanging on the wall greater than five feet from the floor surface. In space #10, seven plastic packages of baby wipes and one plastic package of diapers was stored under the unlocked diaper changing table and accessible to six children, one year of age and two children, two years of age. This violation was corrected by removing the plastic packages of baby wipes and plastic package of diapers and storing them on a top shelf greater than five feet from the floor surface. We discussed proper storage of items that could be choking hazards for children under three years of age. Proper storage could include five free from the floor surface or in storage that has a lock and key, magnetic, or combination lock. Item #1321 G.S. 110-91(1) Two children’s medical assessments were not on file within thirty days of enrollment. One child with an enrollment date of July 11, 2023, had a medical assessment on file dated January 30, 2024. One child with an enrollment date of December 13, 2023, had a medical on file dated January 16, 2024. I suggested that you use the Children’s File Checklist as a guide for time sensitive documents. Item #525 Child Care Rule .0901(b) The menu posted near the kitchen and on the parent board at the entrance were not dated. I suggested that you date your menus for the next week at the close of business on Fridays and post them for opening on Monday’s. Menus must be posted and a current. Item #528 Child Care Rule .0901(b) The menu that was posted listed diced ham/turkey, fresh broccoli, pears, pasta with cheese, and milk. Children in space #10 were observed eating ravioli, green beans, pears and milk. Children in space #12 were observed eating cheese pizza, green beans, pears and milk. I suggested that menus be changed prior to serving the meal or snack if changes are needed. Kitchen staff can mark out the food that is not being served and add the correct component. Item #886 Child Care Rule .0606(a)(5) In space #1, the thermometer used to monitor the temperature of the space when infants were sleeping did not have batteries and was inoperable. I suggested that you purchase batteries or a new thermometer to ensure the temperature of the room does not exceed 75 degrees while infants are sleeping. We discussed having staff conduct daily safety checks to ensure thermometers are working properly. Item #871 Child Care Rule .0606(a) In space #2, the sleep chart documentation noted that two infants were not placed on their back for sleeping on several dates. In space #3, the sleep chart documentation noted that three infants were not placed on their back for sleeping on multiple dates. I discussed the importance of placing the infant initially on their back for sleeping and then allowing them to assume a comfortable position if they can roll over. Staff discussed that they were placing the infant on their back but as soon as they placed the infant in the crib, they rolled to an alternate position, so they thought they needed to document the side or tummy position. Item #410 G.S.110-91(2); Child Care Rule .0508(c) In space #1, 2, and 3, the infants were not taken outside when weather conditions permitted per the information received from the assistant administrator. Daily Outdoor Play Children must go outside daily, weather permitting, for at least thirty minutes per day for children under two years of age and one hour per day for children two years of age and older. If it is not actively precipitating, then the children go outside. The center shall provide space and time for vigorous indoor activities when children cannot play outdoors. Staff must follow the Weather Watch Chart to determine if the weather is appropriate. Today the weather was appropriate for outdoor play per the Weather Watch Chart. Consultation was provided on the following. I received your approved fire, and sanitation inspections during today’s visit. The fire inspection was conducted on February 20, 2024, and the sanitation inspection was completed on January 8, 2024. I must receive your approved building inspection no later than May 6, 2024. I requested that you email me a copy of your operational and personnel policies for review and approval as soon as possible and no later than March 15, 2024. As a reminder, we discussed conducting safety checks of spaces that are currently closed prior to reopening to ensure all outlets are covered and any hazardous items are stored accordingly. Space #13 is not being used at this time and was monitored during the visit. We discussed and I clarified child care rule .0606(c), A copy of the center's safe sleep policy shall be given and explained to the parents of an infant aged 12 months or younger on or before the first day the infant attends the center. The parent shall sign a statement acknowledging the receipt and explanation of the policy. The acknowledgement shall contain: (1) the infant's name; (2) the date the infant first attended the center; (3) the date the center's safe sleep policy was given and explained to the parent; and (4) the date the parent signed the acknowledgement. The center shall retain the acknowledgement in the child's record as long as the child is enrolled at the center. To accurately document the date of enrollment, the date should be documented as the date the child first attends the facility, not the date the parent tours the facility and completes the child’s enrollment paperwork. I suggested that staff document the time an infant wakes up on the visual sleep charts and if an infant does not sleep, I suggested that staff note that on the sleep charts as well. The EPR Plan was completed on February 20, 2024. I reminded you that you must update the plan as changes occur and at least annually. You will need to enter your business NCID into the Emergency Management Portal to update your EPR plan and if no changes are made to the current plan, you will print out the first page to verify you have reviewed and updated your EPR plan. The following is general information for you to review to prepare for the Environment Rating Scale Assessment. ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. I suggested that books that portray violence be removed. A variety of books that portray real animal pictures, families, disabilities, and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. I suggested that you have or purchase hats; boys dress shirts, ties, jerseys and dress coats from a consignment shop, yard sale or dollar store to enhance the dramatic play center. Other items that enhance dramatic play are telephone books, cooking aprons, restaurant menus, calculators, cash registers, cookbooks, and baby doll accessories. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Review your daily schedule and free play allotted times. Free play times need to be listed separate from all other activities such as hand washing, preparing to go home etc. All centers/materials should be accessible to children during free play. Water must be available to children throughout the day. Always have a pitcher of water and cups for children available. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space, and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, write letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departing - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. Since you want to have the Environment Rating Scale completed, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Your temporary license will end after July 8, 2024. Stay updated with changes and new rule updates by visiting the DCDEE website at: https://ncchildcare.ncdhhs.gov COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by March 12, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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