Gina'S Kids First CDC

10A NCAC 09 .0604 · Violation

Name of Operation: GINA'S KIDS FIRST CDC Facility ID: 36000613 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 39 Completed Date: 3/18/2025 Age: From 0 To 5 Total Minutes: 248 Time In: 10:26 AM Time Out: 11:50 AM Time In: 12:06 PM Time Out: 02:50 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. You, Bianca Gandhi, Owner, assisted with today’s visit. Julia Stewart, Administrator, effective March 11, 2025, also assisted with the visit. I provided you with a copy of the Preservice Requirements for Administrator of a Child Care Center Form during the visit. I asked that Ms. Stewart complete this form and return to me by March 21, 2025. A checklist was used to note the requirements I monitored today. Your program currently operates with a four (4) star license issued February 14, 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 March 18, 2025, and your business, Carolina Kids Enrichment Center Inc, 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 learning environment. Children throughout the facility were participating in routines, lunch, free play, group time, outdoor play, nap, and snack during the visit. The last sanitation inspection was conducted on August 22, 2024. An “approved” classification was issued with eighteen (18) demerits noted on the grade card. The last fire inspection was conducted on November 20, 2024. The last fire drill was conducted on March 11, 2025. The last emergency drill was conducted on December 30, 2024. The last playground inspection was conducted on March 13, 2025. Seven (7) children’s files were reviewed during the visit. Seven (7) new staff files and one (1) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) child, enrolled on January 3, 2025, did not have a signed statement by the parent attesting that he or she received a copy of the summary of the North Carolina Child Care Law on file. GS 110-102 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #2, two (2) outlets on the outlet extender in the outlet on the wall to the right of the computer table were not covered with safety plugs. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) bottle of Great Value Toilet Bowl Cleaner, with multiple warnings, was in an unlocked cabinet above the toilet used by children, accessible to children, in the bathroom across from Space #2. .2820(b) 871 Center staff did not comply with the safe sleep policy. In Space #5, one (1) sleeping infant, nine (9) months of age, had a visual sleep check documented on March 5, 2025, at 11:58am and not again until 12:15pm. In Space #5, one sleeping (1) infant, ten (10) months of age, had a visual sleep check documented on March 4, 2025, at 10:45am and not again until 11:05am, on March 5, 2025, at 11:55am and not again until 12:15pm, and on March 11, 2025, at 12:55pm and not again until 1:15pm. In Space #5, one (1) sleeping infant, eleven (11) months of age, had a visual sleep check documented on March 6, 2025, at 11:50am and not again until 12:10pm, on March 11, 2025, at 12:25pm and not again until 12:45pm, and on March 13, 2025, at 12:55pm and not again until 1:15pm. 10A NCAC 09 .0606(a) The violation(s) documented must be corrected immediately. On or before April 1, 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 90%. 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. A summary of the NC Child Care Law must given to a parent of every child prior to enrollment. The child's parent, guardian, or full-time custodian must sign a statement attesting that he or she received a copy of the summary before the child's enrollment. I suggested you continue to use the signature sheet you have created for all required acknowledgements to give each parent prior to enrollment. I also suggested you review the signature page thoroughly to ensure the parent completes all lines completely before accepting it. Additionally, I suggested you require all signed documentation be returned prior to the child’s first day of care. 2. All electrical outlets and power strips not in use must be kept covered with safety plugs at all times unless located behind furniture that cannot be moved by a child. You had extra safety plugs in the office and placed them in the uncovered outlets during the visit. I suggested you keep extra outlet covers in each classroom to ensure outlets, outlet extenders, and power strips are kept covered at all times when not in use. 3. 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 remind all staff members to check their classroom thoroughly each morning to ensure all hazardous products are stored properly. I suggested you designate a staff member to check shared areas, such as restrooms used by children, daily to ensure all cleaning products and other hazardous products are stored properly. 4. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. Per your facility’s safe sleep policy, infants two (2) to four (4) months of age are checked more frequently. I suggested you review the facility’s safe sleep policy with all teachers who work in the infant classroom to ensure the policy is followed at all times. 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. 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 .0606 · Violation

Name of Operation: GINA'S KIDS FIRST CDC Facility ID: 36000613 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 39 Completed Date: 3/18/2025 Age: From 0 To 5 Total Minutes: 248 Time In: 10:26 AM Time Out: 11:50 AM Time In: 12:06 PM Time Out: 02:50 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. You, Bianca Gandhi, Owner, assisted with today’s visit. Julia Stewart, Administrator, effective March 11, 2025, also assisted with the visit. I provided you with a copy of the Preservice Requirements for Administrator of a Child Care Center Form during the visit. I asked that Ms. Stewart complete this form and return to me by March 21, 2025. A checklist was used to note the requirements I monitored today. Your program currently operates with a four (4) star license issued February 14, 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 March 18, 2025, and your business, Carolina Kids Enrichment Center Inc, 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 learning environment. Children throughout the facility were participating in routines, lunch, free play, group time, outdoor play, nap, and snack during the visit. The last sanitation inspection was conducted on August 22, 2024. An “approved” classification was issued with eighteen (18) demerits noted on the grade card. The last fire inspection was conducted on November 20, 2024. The last fire drill was conducted on March 11, 2025. The last emergency drill was conducted on December 30, 2024. The last playground inspection was conducted on March 13, 2025. Seven (7) children’s files were reviewed during the visit. Seven (7) new staff files and one (1) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) child, enrolled on January 3, 2025, did not have a signed statement by the parent attesting that he or she received a copy of the summary of the North Carolina Child Care Law on file. GS 110-102 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #2, two (2) outlets on the outlet extender in the outlet on the wall to the right of the computer table were not covered with safety plugs. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) bottle of Great Value Toilet Bowl Cleaner, with multiple warnings, was in an unlocked cabinet above the toilet used by children, accessible to children, in the bathroom across from Space #2. .2820(b) 871 Center staff did not comply with the safe sleep policy. In Space #5, one (1) sleeping infant, nine (9) months of age, had a visual sleep check documented on March 5, 2025, at 11:58am and not again until 12:15pm. In Space #5, one sleeping (1) infant, ten (10) months of age, had a visual sleep check documented on March 4, 2025, at 10:45am and not again until 11:05am, on March 5, 2025, at 11:55am and not again until 12:15pm, and on March 11, 2025, at 12:55pm and not again until 1:15pm. In Space #5, one (1) sleeping infant, eleven (11) months of age, had a visual sleep check documented on March 6, 2025, at 11:50am and not again until 12:10pm, on March 11, 2025, at 12:25pm and not again until 12:45pm, and on March 13, 2025, at 12:55pm and not again until 1:15pm. 10A NCAC 09 .0606(a) The violation(s) documented must be corrected immediately. On or before April 1, 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 90%. 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. A summary of the NC Child Care Law must given to a parent of every child prior to enrollment. The child's parent, guardian, or full-time custodian must sign a statement attesting that he or she received a copy of the summary before the child's enrollment. I suggested you continue to use the signature sheet you have created for all required acknowledgements to give each parent prior to enrollment. I also suggested you review the signature page thoroughly to ensure the parent completes all lines completely before accepting it. Additionally, I suggested you require all signed documentation be returned prior to the child’s first day of care. 2. All electrical outlets and power strips not in use must be kept covered with safety plugs at all times unless located behind furniture that cannot be moved by a child. You had extra safety plugs in the office and placed them in the uncovered outlets during the visit. I suggested you keep extra outlet covers in each classroom to ensure outlets, outlet extenders, and power strips are kept covered at all times when not in use. 3. 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 remind all staff members to check their classroom thoroughly each morning to ensure all hazardous products are stored properly. I suggested you designate a staff member to check shared areas, such as restrooms used by children, daily to ensure all cleaning products and other hazardous products are stored properly. 4. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. Per your facility’s safe sleep policy, infants two (2) to four (4) months of age are checked more frequently. I suggested you review the facility’s safe sleep policy with all teachers who work in the infant classroom to ensure the policy is followed at all times. 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. 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: GINA'S KIDS FIRST CDC Facility ID: 36000613 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 39 Completed Date: 3/18/2025 Age: From 0 To 5 Total Minutes: 248 Time In: 10:26 AM Time Out: 11:50 AM Time In: 12:06 PM Time Out: 02:50 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. You, Bianca Gandhi, Owner, assisted with today’s visit. Julia Stewart, Administrator, effective March 11, 2025, also assisted with the visit. I provided you with a copy of the Preservice Requirements for Administrator of a Child Care Center Form during the visit. I asked that Ms. Stewart complete this form and return to me by March 21, 2025. A checklist was used to note the requirements I monitored today. Your program currently operates with a four (4) star license issued February 14, 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 March 18, 2025, and your business, Carolina Kids Enrichment Center Inc, 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 learning environment. Children throughout the facility were participating in routines, lunch, free play, group time, outdoor play, nap, and snack during the visit. The last sanitation inspection was conducted on August 22, 2024. An “approved” classification was issued with eighteen (18) demerits noted on the grade card. The last fire inspection was conducted on November 20, 2024. The last fire drill was conducted on March 11, 2025. The last emergency drill was conducted on December 30, 2024. The last playground inspection was conducted on March 13, 2025. Seven (7) children’s files were reviewed during the visit. Seven (7) new staff files and one (1) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) child, enrolled on January 3, 2025, did not have a signed statement by the parent attesting that he or she received a copy of the summary of the North Carolina Child Care Law on file. GS 110-102 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #2, two (2) outlets on the outlet extender in the outlet on the wall to the right of the computer table were not covered with safety plugs. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) bottle of Great Value Toilet Bowl Cleaner, with multiple warnings, was in an unlocked cabinet above the toilet used by children, accessible to children, in the bathroom across from Space #2. .2820(b) 871 Center staff did not comply with the safe sleep policy. In Space #5, one (1) sleeping infant, nine (9) months of age, had a visual sleep check documented on March 5, 2025, at 11:58am and not again until 12:15pm. In Space #5, one sleeping (1) infant, ten (10) months of age, had a visual sleep check documented on March 4, 2025, at 10:45am and not again until 11:05am, on March 5, 2025, at 11:55am and not again until 12:15pm, and on March 11, 2025, at 12:55pm and not again until 1:15pm. In Space #5, one (1) sleeping infant, eleven (11) months of age, had a visual sleep check documented on March 6, 2025, at 11:50am and not again until 12:10pm, on March 11, 2025, at 12:25pm and not again until 12:45pm, and on March 13, 2025, at 12:55pm and not again until 1:15pm. 10A NCAC 09 .0606(a) The violation(s) documented must be corrected immediately. On or before April 1, 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 90%. 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. A summary of the NC Child Care Law must given to a parent of every child prior to enrollment. The child's parent, guardian, or full-time custodian must sign a statement attesting that he or she received a copy of the summary before the child's enrollment. I suggested you continue to use the signature sheet you have created for all required acknowledgements to give each parent prior to enrollment. I also suggested you review the signature page thoroughly to ensure the parent completes all lines completely before accepting it. Additionally, I suggested you require all signed documentation be returned prior to the child’s first day of care. 2. All electrical outlets and power strips not in use must be kept covered with safety plugs at all times unless located behind furniture that cannot be moved by a child. You had extra safety plugs in the office and placed them in the uncovered outlets during the visit. I suggested you keep extra outlet covers in each classroom to ensure outlets, outlet extenders, and power strips are kept covered at all times when not in use. 3. 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 remind all staff members to check their classroom thoroughly each morning to ensure all hazardous products are stored properly. I suggested you designate a staff member to check shared areas, such as restrooms used by children, daily to ensure all cleaning products and other hazardous products are stored properly. 4. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. Per your facility’s safe sleep policy, infants two (2) to four (4) months of age are checked more frequently. I suggested you review the facility’s safe sleep policy with all teachers who work in the infant classroom to ensure the policy is followed at all times. 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. 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 110-102 · Violation

Name of Operation: GINA'S KIDS FIRST CDC Facility ID: 36000613 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 39 Completed Date: 3/18/2025 Age: From 0 To 5 Total Minutes: 248 Time In: 10:26 AM Time Out: 11:50 AM Time In: 12:06 PM Time Out: 02:50 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. You, Bianca Gandhi, Owner, assisted with today’s visit. Julia Stewart, Administrator, effective March 11, 2025, also assisted with the visit. I provided you with a copy of the Preservice Requirements for Administrator of a Child Care Center Form during the visit. I asked that Ms. Stewart complete this form and return to me by March 21, 2025. A checklist was used to note the requirements I monitored today. Your program currently operates with a four (4) star license issued February 14, 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 March 18, 2025, and your business, Carolina Kids Enrichment Center Inc, 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 learning environment. Children throughout the facility were participating in routines, lunch, free play, group time, outdoor play, nap, and snack during the visit. The last sanitation inspection was conducted on August 22, 2024. An “approved” classification was issued with eighteen (18) demerits noted on the grade card. The last fire inspection was conducted on November 20, 2024. The last fire drill was conducted on March 11, 2025. The last emergency drill was conducted on December 30, 2024. The last playground inspection was conducted on March 13, 2025. Seven (7) children’s files were reviewed during the visit. Seven (7) new staff files and one (1) existing staff file were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) child, enrolled on January 3, 2025, did not have a signed statement by the parent attesting that he or she received a copy of the summary of the North Carolina Child Care Law on file. GS 110-102 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #2, two (2) outlets on the outlet extender in the outlet on the wall to the right of the computer table were not covered with safety plugs. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) bottle of Great Value Toilet Bowl Cleaner, with multiple warnings, was in an unlocked cabinet above the toilet used by children, accessible to children, in the bathroom across from Space #2. .2820(b) 871 Center staff did not comply with the safe sleep policy. In Space #5, one (1) sleeping infant, nine (9) months of age, had a visual sleep check documented on March 5, 2025, at 11:58am and not again until 12:15pm. In Space #5, one sleeping (1) infant, ten (10) months of age, had a visual sleep check documented on March 4, 2025, at 10:45am and not again until 11:05am, on March 5, 2025, at 11:55am and not again until 12:15pm, and on March 11, 2025, at 12:55pm and not again until 1:15pm. In Space #5, one (1) sleeping infant, eleven (11) months of age, had a visual sleep check documented on March 6, 2025, at 11:50am and not again until 12:10pm, on March 11, 2025, at 12:25pm and not again until 12:45pm, and on March 13, 2025, at 12:55pm and not again until 1:15pm. 10A NCAC 09 .0606(a) The violation(s) documented must be corrected immediately. On or before April 1, 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 90%. 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. A summary of the NC Child Care Law must given to a parent of every child prior to enrollment. The child's parent, guardian, or full-time custodian must sign a statement attesting that he or she received a copy of the summary before the child's enrollment. I suggested you continue to use the signature sheet you have created for all required acknowledgements to give each parent prior to enrollment. I also suggested you review the signature page thoroughly to ensure the parent completes all lines completely before accepting it. Additionally, I suggested you require all signed documentation be returned prior to the child’s first day of care. 2. All electrical outlets and power strips not in use must be kept covered with safety plugs at all times unless located behind furniture that cannot be moved by a child. You had extra safety plugs in the office and placed them in the uncovered outlets during the visit. I suggested you keep extra outlet covers in each classroom to ensure outlets, outlet extenders, and power strips are kept covered at all times when not in use. 3. 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 remind all staff members to check their classroom thoroughly each morning to ensure all hazardous products are stored properly. I suggested you designate a staff member to check shared areas, such as restrooms used by children, daily to ensure all cleaning products and other hazardous products are stored properly. 4. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. Per your facility’s safe sleep policy, infants two (2) to four (4) months of age are checked more frequently. I suggested you review the facility’s safe sleep policy with all teachers who work in the infant classroom to ensure the policy is followed at all times. 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. 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 .0604 · Violation

Name of Operation: GINA'S KIDS FIRST CDC Facility ID: 36000613 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 9/24/2024 Number Present: 40 Completed Date: 9/24/2024 Age: From 0 To 4 Total Minutes: 122 Time In: 09:58 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Nichol Camp, Administrator, assisted me with today’s visit. Your program currently operates with a four (4) star license issued February 14, 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 September 24, 2024, and your business, Carolina Kids Enrichment Center Inc, 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 August 22, 2024. An “approved” classification was issued with eighteen (18) demerits noted on the grade card. The last fire inspection was conducted on November 9, 2023. The most recent fire drill was conducted on August 18, 2024, the most recent emergency drill was conducted on July 16, 2024, and the most recent playground inspection was conducted on August 12, 2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines, lunch, free play, nap and group time 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. Four (4) new staff members were hired since the last visit. The following violations were observed/documented during the 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 #5, three (3) bottles of formula were not labeled with a date, and five (5) bottles of formula were not labeled with a name or date. In Space #5, two (2) bottles of formula were labeled September 23, 2024, one (1) bottle of formula was labeled September 22, 2024, and one (1) bottle of formula was labeled September 21, 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 #5, the infant feeding plan for one (1) infant, eight (8) months of age, was not updated to allow the infant to be fed baby food and table food at the facility. Per staff report, the child is consuming bottles, baby food, and table foods while present at the facility. .0902(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. On playground #1, there was a broken, wooden train track with sharp shards of wood protruding out from the broken pieces. On playground #3, there were two (2) broken, plastic buckets, one (1) broken, plastic cone, and one (1) piece of plastic broken off of a toy. .0601(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #2, two (2) outlets on an outlet extender on the wall to the right of the teacher’s desk were not covered with safety plugs. 10A NCAC 09 .0604(c) 871 Center staff did not comply with the safe sleep policy. In Space #5, there were no infant safe sleep checks documented since August 2, 2024. 10A NCAC 09 .0606(a) 1301 Center did not maintain a record of daily attendance. In Space #1, attendance was not documented on September 23, 2024. In Space #3, attendance was not documented on September 23, 2024. GS 110-91(9) The violation(s) documented must be corrected immediately. On or before October 8, 2024, 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 parent or health care provider of each child under 15 months of age must provide the center an individual written feeding plan for the child. This plan must be followed at the center. This plan must include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan is to be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff members assigned to the infant room review the infant feeding plans with the parents of children enrolled in the infant classroom on a regular basis to ensure all feeding information is accurate and documented on the written feeding plan. 2. 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. Parents should place labels with all required information on bottles or sippy cups prior to bringing them to the facility. I suggested you review this information with your infant room staff, as well as with the parents of children enrolled in the infant classroom to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. I also 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 could not be reused. 3. All equipment and furnishings both indoors and outdoors must be kept in good repair. Broken equipment or furnishings be removed from the premises immediately or made inaccessible to the children. I reminded you to check the playground each time it is used to ensure there are no broken toys. I also reminded you to note any broken equipment on the playground inspection forms when conducting the monthly playground inspection. You removed the broken toys from the playgrounds during the visit. 4. All electrical outlets and power strips not in use must be kept covered with outlet covers at all times unless located behind furniture that cannot be moved by a child. You had extra outlet covers in the office and placed them in the uncovered outlets during the visit. I suggested you keep extra outlet covers in each classroom to ensure outlets and power strips are kept covered at all times when not in use. 5. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. Blank safe sleep logs were placed on a clipboard during the visit and the safe sleep check requirement was reviewed with the two (2) staff members present in the infant classroom during the visit. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. I also suggested you review infant safe sleep checks on a regular basis to ensure they are being completed and infant safe sleep checks are being conducted as required by the facility’s safe sleep policy. 6. Daily attendance must be maintained for each child every day. When a child is absent, they must be marked absent on the attendance sheet. I suggested you create a daily checklist for each classroom to ensure all required records are maintained. Consultation 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 .0606 · Violation

Name of Operation: GINA'S KIDS FIRST CDC Facility ID: 36000613 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 9/24/2024 Number Present: 40 Completed Date: 9/24/2024 Age: From 0 To 4 Total Minutes: 122 Time In: 09:58 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Nichol Camp, Administrator, assisted me with today’s visit. Your program currently operates with a four (4) star license issued February 14, 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 September 24, 2024, and your business, Carolina Kids Enrichment Center Inc, 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 August 22, 2024. An “approved” classification was issued with eighteen (18) demerits noted on the grade card. The last fire inspection was conducted on November 9, 2023. The most recent fire drill was conducted on August 18, 2024, the most recent emergency drill was conducted on July 16, 2024, and the most recent playground inspection was conducted on August 12, 2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines, lunch, free play, nap and group time 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. Four (4) new staff members were hired since the last visit. The following violations were observed/documented during the 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 #5, three (3) bottles of formula were not labeled with a date, and five (5) bottles of formula were not labeled with a name or date. In Space #5, two (2) bottles of formula were labeled September 23, 2024, one (1) bottle of formula was labeled September 22, 2024, and one (1) bottle of formula was labeled September 21, 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 #5, the infant feeding plan for one (1) infant, eight (8) months of age, was not updated to allow the infant to be fed baby food and table food at the facility. Per staff report, the child is consuming bottles, baby food, and table foods while present at the facility. .0902(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. On playground #1, there was a broken, wooden train track with sharp shards of wood protruding out from the broken pieces. On playground #3, there were two (2) broken, plastic buckets, one (1) broken, plastic cone, and one (1) piece of plastic broken off of a toy. .0601(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #2, two (2) outlets on an outlet extender on the wall to the right of the teacher’s desk were not covered with safety plugs. 10A NCAC 09 .0604(c) 871 Center staff did not comply with the safe sleep policy. In Space #5, there were no infant safe sleep checks documented since August 2, 2024. 10A NCAC 09 .0606(a) 1301 Center did not maintain a record of daily attendance. In Space #1, attendance was not documented on September 23, 2024. In Space #3, attendance was not documented on September 23, 2024. GS 110-91(9) The violation(s) documented must be corrected immediately. On or before October 8, 2024, 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 parent or health care provider of each child under 15 months of age must provide the center an individual written feeding plan for the child. This plan must be followed at the center. This plan must include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan is to be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff members assigned to the infant room review the infant feeding plans with the parents of children enrolled in the infant classroom on a regular basis to ensure all feeding information is accurate and documented on the written feeding plan. 2. 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. Parents should place labels with all required information on bottles or sippy cups prior to bringing them to the facility. I suggested you review this information with your infant room staff, as well as with the parents of children enrolled in the infant classroom to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. I also 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 could not be reused. 3. All equipment and furnishings both indoors and outdoors must be kept in good repair. Broken equipment or furnishings be removed from the premises immediately or made inaccessible to the children. I reminded you to check the playground each time it is used to ensure there are no broken toys. I also reminded you to note any broken equipment on the playground inspection forms when conducting the monthly playground inspection. You removed the broken toys from the playgrounds during the visit. 4. All electrical outlets and power strips not in use must be kept covered with outlet covers at all times unless located behind furniture that cannot be moved by a child. You had extra outlet covers in the office and placed them in the uncovered outlets during the visit. I suggested you keep extra outlet covers in each classroom to ensure outlets and power strips are kept covered at all times when not in use. 5. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. Blank safe sleep logs were placed on a clipboard during the visit and the safe sleep check requirement was reviewed with the two (2) staff members present in the infant classroom during the visit. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. I also suggested you review infant safe sleep checks on a regular basis to ensure they are being completed and infant safe sleep checks are being conducted as required by the facility’s safe sleep policy. 6. Daily attendance must be maintained for each child every day. When a child is absent, they must be marked absent on the attendance sheet. I suggested you create a daily checklist for each classroom to ensure all required records are maintained. Consultation 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

G.S. 110-90 · Violation

Name of Operation: GINA'S KIDS FIRST CDC Facility ID: 36000613 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 9/24/2024 Number Present: 40 Completed Date: 9/24/2024 Age: From 0 To 4 Total Minutes: 122 Time In: 09:58 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Nichol Camp, Administrator, assisted me with today’s visit. Your program currently operates with a four (4) star license issued February 14, 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 September 24, 2024, and your business, Carolina Kids Enrichment Center Inc, 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 August 22, 2024. An “approved” classification was issued with eighteen (18) demerits noted on the grade card. The last fire inspection was conducted on November 9, 2023. The most recent fire drill was conducted on August 18, 2024, the most recent emergency drill was conducted on July 16, 2024, and the most recent playground inspection was conducted on August 12, 2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines, lunch, free play, nap and group time 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. Four (4) new staff members were hired since the last visit. The following violations were observed/documented during the 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 #5, three (3) bottles of formula were not labeled with a date, and five (5) bottles of formula were not labeled with a name or date. In Space #5, two (2) bottles of formula were labeled September 23, 2024, one (1) bottle of formula was labeled September 22, 2024, and one (1) bottle of formula was labeled September 21, 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 #5, the infant feeding plan for one (1) infant, eight (8) months of age, was not updated to allow the infant to be fed baby food and table food at the facility. Per staff report, the child is consuming bottles, baby food, and table foods while present at the facility. .0902(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. On playground #1, there was a broken, wooden train track with sharp shards of wood protruding out from the broken pieces. On playground #3, there were two (2) broken, plastic buckets, one (1) broken, plastic cone, and one (1) piece of plastic broken off of a toy. .0601(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #2, two (2) outlets on an outlet extender on the wall to the right of the teacher’s desk were not covered with safety plugs. 10A NCAC 09 .0604(c) 871 Center staff did not comply with the safe sleep policy. In Space #5, there were no infant safe sleep checks documented since August 2, 2024. 10A NCAC 09 .0606(a) 1301 Center did not maintain a record of daily attendance. In Space #1, attendance was not documented on September 23, 2024. In Space #3, attendance was not documented on September 23, 2024. GS 110-91(9) The violation(s) documented must be corrected immediately. On or before October 8, 2024, 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 parent or health care provider of each child under 15 months of age must provide the center an individual written feeding plan for the child. This plan must be followed at the center. This plan must include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan is to be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff members assigned to the infant room review the infant feeding plans with the parents of children enrolled in the infant classroom on a regular basis to ensure all feeding information is accurate and documented on the written feeding plan. 2. 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. Parents should place labels with all required information on bottles or sippy cups prior to bringing them to the facility. I suggested you review this information with your infant room staff, as well as with the parents of children enrolled in the infant classroom to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. I also 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 could not be reused. 3. All equipment and furnishings both indoors and outdoors must be kept in good repair. Broken equipment or furnishings be removed from the premises immediately or made inaccessible to the children. I reminded you to check the playground each time it is used to ensure there are no broken toys. I also reminded you to note any broken equipment on the playground inspection forms when conducting the monthly playground inspection. You removed the broken toys from the playgrounds during the visit. 4. All electrical outlets and power strips not in use must be kept covered with outlet covers at all times unless located behind furniture that cannot be moved by a child. You had extra outlet covers in the office and placed them in the uncovered outlets during the visit. I suggested you keep extra outlet covers in each classroom to ensure outlets and power strips are kept covered at all times when not in use. 5. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. Blank safe sleep logs were placed on a clipboard during the visit and the safe sleep check requirement was reviewed with the two (2) staff members present in the infant classroom during the visit. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. I also suggested you review infant safe sleep checks on a regular basis to ensure they are being completed and infant safe sleep checks are being conducted as required by the facility’s safe sleep policy. 6. Daily attendance must be maintained for each child every day. When a child is absent, they must be marked absent on the attendance sheet. I suggested you create a daily checklist for each classroom to ensure all required records are maintained. Consultation 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

GS 110-91 · Violation

Name of Operation: GINA'S KIDS FIRST CDC Facility ID: 36000613 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 9/24/2024 Number Present: 40 Completed Date: 9/24/2024 Age: From 0 To 4 Total Minutes: 122 Time In: 09:58 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Nichol Camp, Administrator, assisted me with today’s visit. Your program currently operates with a four (4) star license issued February 14, 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 September 24, 2024, and your business, Carolina Kids Enrichment Center Inc, 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 August 22, 2024. An “approved” classification was issued with eighteen (18) demerits noted on the grade card. The last fire inspection was conducted on November 9, 2023. The most recent fire drill was conducted on August 18, 2024, the most recent emergency drill was conducted on July 16, 2024, and the most recent playground inspection was conducted on August 12, 2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines, lunch, free play, nap and group time 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. Four (4) new staff members were hired since the last visit. The following violations were observed/documented during the 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 #5, three (3) bottles of formula were not labeled with a date, and five (5) bottles of formula were not labeled with a name or date. In Space #5, two (2) bottles of formula were labeled September 23, 2024, one (1) bottle of formula was labeled September 22, 2024, and one (1) bottle of formula was labeled September 21, 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 #5, the infant feeding plan for one (1) infant, eight (8) months of age, was not updated to allow the infant to be fed baby food and table food at the facility. Per staff report, the child is consuming bottles, baby food, and table foods while present at the facility. .0902(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. On playground #1, there was a broken, wooden train track with sharp shards of wood protruding out from the broken pieces. On playground #3, there were two (2) broken, plastic buckets, one (1) broken, plastic cone, and one (1) piece of plastic broken off of a toy. .0601(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #2, two (2) outlets on an outlet extender on the wall to the right of the teacher’s desk were not covered with safety plugs. 10A NCAC 09 .0604(c) 871 Center staff did not comply with the safe sleep policy. In Space #5, there were no infant safe sleep checks documented since August 2, 2024. 10A NCAC 09 .0606(a) 1301 Center did not maintain a record of daily attendance. In Space #1, attendance was not documented on September 23, 2024. In Space #3, attendance was not documented on September 23, 2024. GS 110-91(9) The violation(s) documented must be corrected immediately. On or before October 8, 2024, 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 parent or health care provider of each child under 15 months of age must provide the center an individual written feeding plan for the child. This plan must be followed at the center. This plan must include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan is to be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. I suggested that staff members assigned to the infant room review the infant feeding plans with the parents of children enrolled in the infant classroom on a regular basis to ensure all feeding information is accurate and documented on the written feeding plan. 2. 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. Parents should place labels with all required information on bottles or sippy cups prior to bringing them to the facility. I suggested you review this information with your infant room staff, as well as with the parents of children enrolled in the infant classroom to ensure all bottles and sippy cups are labeled correctly prior to being brought into the facility. I also 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 could not be reused. 3. All equipment and furnishings both indoors and outdoors must be kept in good repair. Broken equipment or furnishings be removed from the premises immediately or made inaccessible to the children. I reminded you to check the playground each time it is used to ensure there are no broken toys. I also reminded you to note any broken equipment on the playground inspection forms when conducting the monthly playground inspection. You removed the broken toys from the playgrounds during the visit. 4. All electrical outlets and power strips not in use must be kept covered with outlet covers at all times unless located behind furniture that cannot be moved by a child. You had extra outlet covers in the office and placed them in the uncovered outlets during the visit. I suggested you keep extra outlet covers in each classroom to ensure outlets and power strips are kept covered at all times when not in use. 5. Your facility’s safe sleep policy must be followed at all times. Per rule and your facility’s safe sleep policy, sleeping infants must be visually checked at least once every fifteen (15) minutes and the check documented on a safe sleep log. Blank safe sleep logs were placed on a clipboard during the visit and the safe sleep check requirement was reviewed with the two (2) staff members present in the infant classroom during the visit. I suggested you review the facility’s safe sleep policy with your infant teachers to ensure the policy is followed at all times. I also suggested you review infant safe sleep checks on a regular basis to ensure they are being completed and infant safe sleep checks are being conducted as required by the facility’s safe sleep policy. 6. Daily attendance must be maintained for each child every day. When a child is absent, they must be marked absent on the attendance sheet. I suggested you create a daily checklist for each classroom to ensure all required records are maintained. Consultation 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: GINA'S KIDS FIRST CDC Facility ID: 36000613 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 4/22/2024 Number Present: 46 Completed Date: 4/22/2024 Age: From 0 To 5 Total Minutes: 241 Time In: 10:34 AM Time Out: 02:35 PM Time In: Time Out: 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. You, Nichol Camp, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four (4) star license issued February 14, 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 April 22, 2024, and your business, Carolina Kids Enrichment Center Inc, 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 September 1, 2023. A “superior” classification was issued with ten (10) demerits noted on the grade card. The last fire inspection was conducted on November 9, 2023. The last fire drill was conducted on April 17, 2024. The last emergency drill was conducted on March 25, 2024. The last playground inspection was conducted on March 24, 2024. Six (6) children’s files were reviewed during the visit. Seven (7) new staff files and four (4) existing staff file 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 enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, one (1) child was not signed out on April 19, 2024. In Space #5, one (1) child was not signed out on April 19, 2024. In Space #6, one (1) child was not signed out on April 19, 2024. 10A NCAC 09 .0302(d)(4) 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 #5, four (4) bottles, containing formula, in the refrigerator, and one (1) bottle, containing formula, on top of the cubbies, were not marked with the date they were received by the child care center. 15A NCAC 18A .2804(d) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. On Playground #1, there were sixteen (16) pieces of broken plastic toys. On Playground #2, there was two (2) pieces of broken plastic toys. On Playground #4, there was one (1) broken, cracked, plastic frisbee and four (4) additional pieces of broken plastic toys. .0601(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. One (1) package of Sparkle City Air Freshener, and one (1) container of Great Value Low Streaking Wet Mopping Cloths, both with multiple warnings, were on the shelf above the handwashing sink in the bathroom, used by children, across from Space #4. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent health questionnaire on file for one (1) staff member, employed on January 31, 2023, was completed on January 31, 2023. The most recent health questionnaire on file for one (1) staff member, employed on April 12, 2023, was completed on April 11, 2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The most recent emergency information form on file for one (1) staff member, employed on September 1, 2021, was completed on March 1, 2023. The most recent emergency information form on file for one (1) staff member, employed on January 31, 2023, was completed on January 31, 2023. The most recent emergency information form on file for one (1) staff member, employed on April 12, 2023, was completed on April 11, 2023. .0701(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on July 25, 2023, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training until January 25, 2024. One (1) staff member, employed on November 6, 2023, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training until March 19, 2024. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member, employed on April 12, 2023, did not complete the health and safety trainings. .1102(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each 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. I must receive your compliance statement by May 6, 2024. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. 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 86%. 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 have sign in/out sheets printed and placed at the entrance to the facility. Use these forms to document arrival and departure of each child each day. I suggested you create a daily checklist to ensure all required tasks are completed each day. 2. 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. Parents should place labels with all required information on bottles or sippy cups prior to bringing them to the facility. I suggested you review this information with your infant room staff, as well as parents of children enrolled in the classroom for infants to ensure all bottles and sippy cups are labeled correctly. 3. All equipment and furnishings both indoors and outdoors must be kept in good repair. Broken equipment or furnishings be removed from the premises immediately or made inaccessible to the children. I reminded you to check the playground each time it is used to ensure there are no broken toys. I also reminded you to note any broken equipment on the playground inspection forms when conducting the monthly playground inspection. You removed the broken toys from the playgrounds during the visit. 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. Staff should check their classroom, and all spaces used by children, including the bathrooms, thoroughly each morning to ensure all hazardous products are stored properly. You locked both hazardous products in a closet during the visit. You stated all hazardous products will remain in locked storage. 5. All staff members, including the director, must have a Health Questionnaire, signed by the staff member, that indicates that the person is emotionally and physically fit to care for children annually following the initial medical statement. I suggested you place all annual form updates in each staff member’s file immediately once they are completed to ensure no forms are misplaced. I also suggested you have all staff members complete the form at the same time each year to ensure forms for all staff members are updated in a timely manner. 6. Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. I suggested you have all staff members complete the form at the same time each year to ensure forms for all staff members are updated in a timely manner. 7. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within their first 90 days of employment. This training can be found at https://www.preventchildabusenc.org/recognizing-responding-online-course/ I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. 8. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. 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

G.S. 110-90 · Violation

Name of Operation: GINA'S KIDS FIRST CDC Facility ID: 36000613 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 4/22/2024 Number Present: 46 Completed Date: 4/22/2024 Age: From 0 To 5 Total Minutes: 241 Time In: 10:34 AM Time Out: 02:35 PM Time In: Time Out: 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. You, Nichol Camp, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a four (4) star license issued February 14, 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 April 22, 2024, and your business, Carolina Kids Enrichment Center Inc, 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 September 1, 2023. A “superior” classification was issued with ten (10) demerits noted on the grade card. The last fire inspection was conducted on November 9, 2023. The last fire drill was conducted on April 17, 2024. The last emergency drill was conducted on March 25, 2024. The last playground inspection was conducted on March 24, 2024. Six (6) children’s files were reviewed during the visit. Seven (7) new staff files and four (4) existing staff file 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 enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #1, one (1) child was not signed out on April 19, 2024. In Space #5, one (1) child was not signed out on April 19, 2024. In Space #6, one (1) child was not signed out on April 19, 2024. 10A NCAC 09 .0302(d)(4) 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 #5, four (4) bottles, containing formula, in the refrigerator, and one (1) bottle, containing formula, on top of the cubbies, were not marked with the date they were received by the child care center. 15A NCAC 18A .2804(d) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. On Playground #1, there were sixteen (16) pieces of broken plastic toys. On Playground #2, there was two (2) pieces of broken plastic toys. On Playground #4, there was one (1) broken, cracked, plastic frisbee and four (4) additional pieces of broken plastic toys. .0601(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. One (1) package of Sparkle City Air Freshener, and one (1) container of Great Value Low Streaking Wet Mopping Cloths, both with multiple warnings, were on the shelf above the handwashing sink in the bathroom, used by children, across from Space #4. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent health questionnaire on file for one (1) staff member, employed on January 31, 2023, was completed on January 31, 2023. The most recent health questionnaire on file for one (1) staff member, employed on April 12, 2023, was completed on April 11, 2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The most recent emergency information form on file for one (1) staff member, employed on September 1, 2021, was completed on March 1, 2023. The most recent emergency information form on file for one (1) staff member, employed on January 31, 2023, was completed on January 31, 2023. The most recent emergency information form on file for one (1) staff member, employed on April 12, 2023, was completed on April 11, 2023. .0701(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on July 25, 2023, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training until January 25, 2024. One (1) staff member, employed on November 6, 2023, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training until March 19, 2024. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member, employed on April 12, 2023, did not complete the health and safety trainings. .1102(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each 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. I must receive your compliance statement by May 6, 2024. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. 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 86%. 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 have sign in/out sheets printed and placed at the entrance to the facility. Use these forms to document arrival and departure of each child each day. I suggested you create a daily checklist to ensure all required tasks are completed each day. 2. 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. Parents should place labels with all required information on bottles or sippy cups prior to bringing them to the facility. I suggested you review this information with your infant room staff, as well as parents of children enrolled in the classroom for infants to ensure all bottles and sippy cups are labeled correctly. 3. All equipment and furnishings both indoors and outdoors must be kept in good repair. Broken equipment or furnishings be removed from the premises immediately or made inaccessible to the children. I reminded you to check the playground each time it is used to ensure there are no broken toys. I also reminded you to note any broken equipment on the playground inspection forms when conducting the monthly playground inspection. You removed the broken toys from the playgrounds during the visit. 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. Staff should check their classroom, and all spaces used by children, including the bathrooms, thoroughly each morning to ensure all hazardous products are stored properly. You locked both hazardous products in a closet during the visit. You stated all hazardous products will remain in locked storage. 5. All staff members, including the director, must have a Health Questionnaire, signed by the staff member, that indicates that the person is emotionally and physically fit to care for children annually following the initial medical statement. I suggested you place all annual form updates in each staff member’s file immediately once they are completed to ensure no forms are misplaced. I also suggested you have all staff members complete the form at the same time each year to ensure forms for all staff members are updated in a timely manner. 6. Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. I suggested you have all staff members complete the form at the same time each year to ensure forms for all staff members are updated in a timely manner. 7. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within their first 90 days of employment. This training can be found at https://www.preventchildabusenc.org/recognizing-responding-online-course/ I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. 8. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. 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

G.S. 110-90 · Violation

Name of Operation: GINA'S KIDS FIRST CDC Facility ID: 36000613 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0823-404L Visit Date: 9/5/2023 Number Present: 34 Completed Date: 9/5/2023 Age: From 1 To 4 Total Minutes: 112 Time In: 08:48 AM Time Out: 10:40 AM 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 alleging violations of child care requirements regarding supervision. You, Nichol Camp, Administrator, assisted with the visit. The Secretary of State website was reviewed and your business, Carolina Kids Enrichment Center Inc 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 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. There are concerns that a child was left unsupervised in the restroom. When I arrived at 8:48am, I observed one (1) staff member and ten (10) children, three (3) and four (4) years of age, lined up in the hallway. The children were using the restroom one at a time while the staff member stood in the doorway of the hallway and the restroom observing all children. I observed this procedure to occur two (2) additional times during today’s visit. A walkthrough of the facility was conducted, and observation was conducted in all spaces that were operating during the visit. I observed the restrooms to be separate rooms, located in the hallway outside the classrooms. The allegations were discussed with you and one (1) additional staff member during today’s visit. You and the additional staff member 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 stated that on August 30, 2023, Kim Ward, Technical Assistant from the Partnership for Children of Lincoln and Gaston Counties, was visiting the facility. You and staff interviewed stated Ms. Ward was preparing to leave the facility when she found one (1) child, four (4) years of age, unattended in the restroom across the hall from Space #4. You and staff interviewed stated the child is enrolled in Space #5. You and staff interviewed stated the door to Space #5 was closed and Ms. Ward observed the child leaving the restroom and re-entering Space #5 unattended. You and staff interviewed stated Ms. Ward entered Space #5 after the child returned to the classroom and discussed the supervision concern with the staff member present. You and staff interviewed stated Ms. Ward also addressed the concern with you, Nichol Camp, who was preparing lunch in the kitchen at the time the incident occurred. Based on staff interviews, the allegations regarding supervision were substantiated. The following violation was observed/documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On August 30, 2023, one (1) child, four (4) years of age, assigned to Space #5, was unattended while going to the restroom across the hall from Space #4. The door to Space #5 was closed and no staff members were present in the hallway or the restroom while the child went to the restroom. .1801(a)(1-5) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each 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. I must receive your compliance statement by September 19, 2023. Please send your letter to christine.rosinski@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. 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. Children must be adequately supervised at all times in child care centers. Adequate supervision means that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Since the restrooms in the facility are located outside of the classrooms, a staff member must accompany each child to the restroom every time. I suggested you have staff call for a floater to take children to the restroom, or take all children to the restroom at one time, lining children up in the hallway and allowing children to use the restroom one at a time while the staff member stands in the doorway of the restroom and the hallway providing supervision to all children. 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