THE Nest School

NC GS 110-90 · Violation

Name of Operation: THE NEST SCHOOL Facility ID: 36000627 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 3/31/2026 Number Present: 148 Completed Date: 3/31/2026 Age: From 0 To 5 Total Minutes: 475 Time In: 10:15 AM Time Out: 06:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety, and to begin your rated license reassessment. You, Tonya Wyatt, Administrator, assisted me with the visit. The last annual compliance visit was conducted on April 23, 2025. The North Carolina Secretary of State website was reviewed on March 30, 2026, and The Nest Schools, Inc. was listed as active/current. This program currently operates with a two-star rated license issued on February 26, 2025. The permit restrictions include First Shift (daytime care) and meets enhanced space. This facility has earned two points in program standards, two points in staff education, and one quality point for staff benefit package and infrastructure of parent involvement. Your program currently uses Nest Play Curriculum for all ages served. A checklist was used to note the requirements I monitored. A walkthrough of the facility was completed and all licensed indoor and outdoor spaces were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratio in compliance. Children throughout the facility were participating in free play activities indoors, group-led activities, gross motor play outdoors, handwashing routines, lunch, nap, snack and departure. Infants in space #7a/7b were engaged in tummy time and observed during individual sleep and feeding schedules. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Inspections/Drills: The most recent approved fire inspection for your facility was conducted on May 9, 2025, for daytime care only. The most recent sanitation inspection for your facility was conducted on August 4, 2025. A “superior” classification was issued with four demerits noted on the grade card. The most recent monthly fire drill was conducted on March 12, 2026, at 7:25am. The most recent quarterly lockdown/shelter-in-place drill was a lockdown conducted on March 17, 2026, at 11:20am. The most recent monthly playground inspection was completed on March 13, 2026, by Tonya Wyatt. The last annual Emergency Preparedness and Response Plan was reviewed on March 24, 2026. Lead and Asbestos Testing: The analysis date for the most recent lead water test was April 29, 2025. Lead testing must be completed every three years. You may review your facility’s results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead-based paint testing. Files Reviewed: You provided me with applicable program, staff, and children’s records for review. Files for ten new staff, one existing staff, and applicable records for all staff were reviewed. All staff were listed on the ABCMS Provider Portal roster for this facility. A sample of sixteen children’s records were reviewed. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violation was observed: Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #9, the medication authorization form was not on file and available for review for one jar of A&D Prevent and Heal ointment. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance: -Medication Authorization I suggested you remind staff to complete a monthly medication authorization form review to ensure that there are no expired medications, and all authorization forms are current. This was corrected during the visit by the parent completing the medication authorization form for one tub of A&D Prevent and Heal ointment for a child enrolled in Space #9. Consultation: QRIS Modernization The program intends to follow Pathway #3, Head Start and Accreditation, for the rated license reassessment. I provided you with the required application documents for this pathway option during the visit. The facility has started the accreditation process with The National Association for the Education of Young Children. Reminders & Resources: Fire Inspections You must schedule and obtain a fire inspection within 12 months of your center's previous fire inspection and notify the local fire inspector when it is time for your center's annual fire inspection. You must submit the original of the approved annual fire inspection report to your Child Care Consultant within one week of the inspection visit on the form provided by the Division. Health & Safety Trainings All staff must complete on-going health and safety trainings every five years. Lead Water Testing Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. DCDEE Website For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Compliance History: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The program’s compliance history was reviewed with the administrator and legal designee. The program’s compliance history was ninety-six percent as of March 30, 2026. Thank you for your time today. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Farran M. Rhyne, Child Care Consultant, at 704-594-0003, farran.m.rhyne@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, 828-782-0718, Tammy.McGalliard@dhhs.nc.gov if you have any questions. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov 704-594-0003 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: THE NEST SCHOOL Facility ID: 36000627 Consultant: FARRAN RHYNE Operation Type: Center Case Number: 0725-424L Visit Date: 7/31/2025 Number Present: 95 Completed Date: 7/31/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 08:00 AM Time Out: 11:30 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. The visit was conducted with you, Kathy Goodman, Lead Teacher assisted me with the visit until 8:08am. At 8:08am Candice Adams, Interim Assistant Director and Legal Designee arrived to assist me with the visit. The Secretary of State website was checked on July 30, 2025, and your business, The Nest Schools Inc., is 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, Farran Rhyne, your consultant, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. On July 30, 2025, the following allegation was received: There are allegations of violations of child care requirements. The allegations were regarding safe sleep, sanitation/health, staff/child ratio, and supervision. The allegations were discussed with twenty (20) staff members. You and staff members had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. A walk through of the facility was completed. Staff and children were observed during arrival, breakfast, diapering changing routines, toileting, and handwashing. Staff were observed interacting with the infants during tummy time and during developmentally appropriate activities. Infants were observed during individual sleep schedules. Staff were observed completing infant sleep checks and documentation. Daily sign-in/out records, safe sleep policy, infant safe sleep logs, fire drill logs, and staff files were reviewed. Based on the walk through of the facility, records reviewed and staff interviews, the allegations for “There are allegations of violations of child care requirements regarding safe sleep” was unsubstantiated. “There are allegations of violations of child care requirements regarding staff/child ratio” was unsubstantiated. “There are allegations of violations of child care requirements regarding supervision” was unsubstantiated. “There are allegations of violations of child care requirements regarding sanitation/health” was substantiated. The following violations were observed: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #6b, two (2) infants did not wash their hands upon arrival. In space #6a, one (1) infant did not wash his hands upon arrival. In space #7a, one (1) child did not wash his hands upon arrival. In space #4, one (1) child did not wash her hands upon arrival. 15A NCAC 18A .2803(c) 9995 A violation was found for which there is no item number. On July 28, 2025, Environmental Health confirmed that squirrels are present in the attic. Per Sanitation Rule 15A NCAC 18A .2831 (b) Pests shall be excluded from the child care center. Traps set for pests shall only be placed in areas that are inaccessible to children. Technical Assistance: Safe Sleep 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. I suggested you post the sleep logs near the crib where infants sleep. I also suggested you review the facility’s safe sleep policy with your infant teachers when they are assigned to the classroom for infants and at least annually thereafter, to ensure the policy is followed at all times. Additionally, I suggested you contact Tara Knight, Child Care Health Consultant with the Gaston County Department of Health and Human Services at 704.913.3129 to request additional technical assistance regarding safe sleep. Staff/Child Ratio Your facility meets enhanced space requirements. You must have at least 30 square feet inside space per child. I reminded you that you should not combine groups when the number of children exceeds the space capacity required by your license restrictions. I suggested you review space capacity information for each classroom with all staff members to ensure space capacity is not exceeded at any time. I also suggested you refer staff members to reference the staff/child ratio sheet posted in each classroom. Supervision 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. I suggested you review this rule with all staff members at this time, and annually at a staff meeting. I also suggested you implement a head count checklist to ensure all children are accounted for throughout the day. All staff members should be aware of the number of children they are responsible for at all times. Additionally, I suggested you remind staff to be extra cautious during transitions to ensure all children are accounted for. Sanitation/Health Child care center employees must wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center, (2) before and after handling or preparing food, (3) before bottle feeding a child, (4) before providing food service, (5) before handling clean utensils, (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge, (7) after diaper changing, (8) after handling soiled items that are not clean, (9) after being outdoors, (10) after handling animals or animal cages, and (11) after removing disposable gloves. Child care center employees must ensure that children wash their hands as follows: (1) upon arrival at the child care center, (2) after each diaper change or visit to the toilet, (3) before eating meals or snacks, (4) before and after water play, (5) after being outdoors, and (6) after handling animals or animal cages. I suggested you reach out to Tara Knight, Child Care Consultant with the Gaston County Department of Health and Human Services, at 704.913.3129, to request technical assistance and training regarding handwashing. I also suggested you review these requirements, as well as the handwashing poster with all staff members to ensure proper handwashing requirements are followed. Animal and Vermin Control Pests shall be excluded from the child care center. I suggested you contact your pest control management company to create a plan for the squirrels to be removed from the attic and a plan for on-going animal and vermin control. Please contact your Environmental Health Inspector at landon.snyder@gastongov.com regarding specific questions related to animal and vermin control. Reminders & Resources: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Compliance History The program’s compliance history was ninety-one percent (91%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by August 14, 2025. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0003. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE NEST SCHOOL Facility ID: 36000627 Consultant: FARRAN RHYNE Operation Type: Center Case Number: Visit Date: 11/20/2024 Number Present: 120 Completed Date: 11/20/2024 Age: From 0 To 5 Total Minutes: 373 Time In: 09:32 AM Time Out: 03:45 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 all applicable child care requirements for a routine unannounced visit. Your last annual compliance visit was completed on May 8, 2024. Upon arrival you, Tonya Wyatt, Administrator, assisted me with the visit. The North Carolina Secretary of State website was viewed on November 19, 2024, and The Nest Schools, Inc. was listed as current and in good standing. If you decide to sell your business, then you must notify me, Farran Rhyne, at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Your program operates with a two (2) star license issued on December 3, 2022, earning two (2) points in staff education, two (2) points in program standards, and one (1) quality point. The program’s permit restrictions, 1st shift and meets enhanced ratios, were in compliance. A walk-through was completed, and all licensed indoor and outdoor spaces were monitored. Staff and children were observed during teacher directed activities, diapering/toileting, handwashing & lunch. Inspections/Drills: The last fire inspection was completed on May 20, 2024. The last sanitation inspection was completed on January 23, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last monthly fire drill was completed on November 15, 2024, at 10:30am. The last emergency drill was a shelter in place completed on September 26, 2024, at 9:55am. The last playground inspection was completed on November 20, 2024. The Emergency Preparedness Plan on file was completed on June 6, 2024. Lead Testing: The last lead water test was completed on April 1, 2022. Your next lead water test is due by April 1, 2025. Files Reviewed: 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. You stated you have hired eleven (11) new staff since the last visit. The following violation was observed: Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, the medication authorization form was not on file and available for review for one (1) jar of Destin, one (1) bottle of Boogie Diaper Rash spray, and one (1) tube of Aquaphor. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance: As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance is provided to assist the child care provider in achieving compliance. Medication I suggested you remind staff to complete a monthly medication authorization form review to ensure that there are no expired medications, and all authorization forms are current. I also suggested you create a system to ensure all medications and medication authorization forms are moved with the child on the day the child is enrolled in a new classroom. This was corrected during the visit by the parent completing the medication authorization form for one (1) jar of Destin, one (1) bottle of Boogie Diaper Rash spray, and one (1) tube of Aquaphor for a child enrolled in Space #1. Consultation: Lead Testing: I reviewed with you the new child care rule for lead testing that went into effect on January 1, 2024. I also discussed with you that I had checked the Clean Water for Kids website and that your program has completed the lead water, and the lead-based paint and asbestos testing is in progress. I reminded you that your next lead water test is due by April 1, 2025. Reminders & Resources: * Under rule 15A NCAC 18A .2816, child care centers are required to complete lead water testing every three (3) years. * You must complete on-going health and safety trainings every five years. * 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. * For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. * Provider Access to ABCMS: 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. Compliance History: The program’s compliance history was eighty-eight percent (88%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0300. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 5/28/2024 Number Present: 122 Completed Date: 5/28/2024 Age: From 0 To 5 Total Minutes: 294 Time In: 12:06 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to confirm compliance with the violations that were observed and documented during the annual compliance visit conducted on May 8, 2024. Tonya Wyatt, Administrator, assisted with the visit. The Secretary of State website was checked on May 28, 2024, and the business, The Nest Schools, 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, 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. Your compliance letter was due to me no later than May 22, 2024. I received your compliance letter during the visit via email at 12:10 pm. Status of Violations: Item #428: Current activity plans were posted in each space during the visit. This violation was confirmed corrected. Item # 540: Written Feeding Plans were on file and available for review for ten toddlers under fifteen months of age in space #1, and nineteen infants in space #6a and 6b. This violation was confirmed corrected. Item #805: The most recent fire drill was conducted on May 20, 2024, at 5:45 pm. The time to evacuate thirteen children and eleven staff was 20 seconds. This violation was confirmed corrected. Item #840: Hazardous items were stored properly in all spaces. This violation was confirmed corrected. Item #849: The medication authorization for one tube of Desitin Diaper Cream, stored in the locked cabinet above the sink in space #2, was valid from April 1, 2023, until April 1, 2024. The Desitin Diaper Cream was not returned to the parent or discarded at the end of treatment. The medication authorization for one tube of Vaseline Healing Jelly All Over Body Balm, stored in the locked cabinet above the sink in space #2, was valid from April 18, 2023, until April 18, 2024. The Vaseline Healing Jelly All Over Body Balm was not returned to the parent or discarded at the end of treatment. This is a repeat violation from the visit conducted on May 8, 2024. Item #856: The debris and broken equipment on playgrounds # 1, 2, 3 and 4, were removed prior to initial use. This violation was confirmed corrected. Item #858: Plastic bags and toy parts small enough to be swallowed were not accessible to children under three years of age. This violation was confirmed corrected. Item #895: Based on the review of the Infant Sleep Charts, it was documented that nineteen infants enrolled in space #6a and 6b, were initially placed on their back to sleep. This violation was confirmed corrected. Item #1811: The most recent shelter-in-place drill was conducted on May 8, 2024, at 4:40pm. This violation has been confirmed corrected. Item #1812: You stated you have not completed the EPR Plan and need additional time to complete the plan. You have been granted an extension to correct this violation. I must receive written verification on or before 5pm, June 6, 2024. Item #1882: Medication authorizations on file met the requirements; therefore, this violation was confirmed corrected. Item #1052: The lead teacher with a hire date of September 22, 2022, received eight hours of ongoing training for a total of ten hours of the required ongoing training. This violation was confirmed corrected. Item #1232: The staff with hire dates of August 18, 2022, September 27, 2022, and April 4, 2023, had professional development plans/staff evaluations on file. This violation was confirmed corrected. Item #1897: Receipt of the compliance letter has corrected this violation. Item #1898: Verification of the completion of the health and safety trainings were on file for one staff with a hire date of April 4, 2023. The staff completed all the health and safety training by May 24, 2024. This violation has been confirmed corrected. The following violation was observed/documented during the visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The medication authorization for one tube of Desitin Diaper Cream, stored in the locked cabinet above the sink in space #2, was valid from April 1, 2023, until April 1, 2024. The Desitin Diaper Cream was not returned to the parent or discarded at the end of treatment. The medication authorization for one tube of Vaseline Healing Jelly All Over Body Balm, stored in the locked cabinet above the sink in space #2, was valid from April 18, 2023, until April 18, 2024. The Vaseline Healing Jelly All Over Body Balm was not returned to the parent or discarded at the end of treatment. .0803(12) 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 June 11, 2024. Please send your letter to jennifer.roberts@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 87%. 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: Item #849: When the authorization to administer a medication has expired, the medication needs to be discarded or returned to the parent within 72 hours. I suggested that you have staff conduct monthly medication checks to ensure that all medication has current medication authorization on file and any medication that is no longer being administered to the child, can be discarded or returned to the parent. Item #1812: As discussed, the completion of the EPR Plan has been granted an extension and verification to be received on or before 5pm, June 6, 2024. You may email me your verification of compliance and please copy my supervisor, Tammy McGalliard on the email. Her email address is tammy.mcgalliard@dhhs.nc.gov. 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 828-782-0945. Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Jennifer.roberts@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: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 122 Completed Date: 5/8/2024 Age: From 0 To 5 Total Minutes: 327 Time In: 10:35 AM Time Out: 02:28 PM Time In: 03:38 PM Time Out: 05:12 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess 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, Tonya Wyatt, Administrator, assisted with today’s visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a two (2) star license issued December 3, 2022. The permit restrictions listed on the license include daytime care only and meets enhanced ratios. The Secretary of State website was checked on May 7, 2024, and the business, The Nest Schools, 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, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on January 24, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on May 25, 2023. The facility was approved for day time only. Please submit the annual fire inspection to me within one week after it is completed. The last emergency drill was conducted on December 20, 2023. The Administrative Action, Cover Letter, and Corrective Action Plan were posted on the wall in the lobby at the entrance to the facility. Status of Corrective Action Plan: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records 2. The training was conducted on Thursday, February 22, 2024. 3. Your written procedures were approved on April 24, 2024. 4. You conducted a staff meeting on May 7, 2024. You provided me with a copy of the attendance roster, agenda, and minutes of the meeting today. Due to time constraints and a sever weather warning, a hand written visit summary was completed and the computer-generated visit summary will be emailed to you. As discussed, children’s files and staff files will be monitored on Monday, May 13, 2024. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #10, the posted activity plan was dated April 29, 2024 to May 3, 2024. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space #1, the written feeding plan was not posted for two toddlers, twelve months of age. In space #6a, the written feeding plan for one infant, ten months of age was not signed by the parent and dated when the facility received the written feeding plan. In space #6b, the written feeding plan that was posted for one infant, four months of age, did not include page #2 that documented the parent signature, date received by the facility and information regarding the type and amount of food/formula/human milk to serve the infant. 10A NCAC 09 .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill conducted on February 20, 2024, at 5:45pm did not document the time required to evacuate. The fire drill conducted on March 11, 2024, at 10:45am did not document the time required to evacuate. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, one basket was stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing and contained children's over-the-counter topical ointments. In space #2, one box of Care Science Antibacterial Flexible Fabric Adhesive Bandages was stored fifty-six inches from the floor surface, in the unlocked cabinet above the handwashing sink. In space #5, two 18 ounce bottles of Vivante Expert/Care Conditioner with multiple warnings on the label, and one 1.7 ounce bottle of Betta Fix API that noted Danger: Harmful if swallowed, causes eye irritation, causes skin irritation, If swallowed: call a Poison Center or Physician was stored on the top shelf in the unlocked cabinet above the sink used for handwashing. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2, the medication authorization for one 4 ounce tube of Desitin Diaper Cream that was monitored was valid from April 1, 2023, to April 1, 2024. The medication authorization for one, 1.4 ounce tube of Vaseline Healing Jelly All-Over Body Balm that was monitored was valid from April 18, 2023 to April 18, 2024. . The medication authorization for one, 3.5 ounce tube of Auquaphor Baby 3 in 1 Diaper Rash Cream that was monitored and had an expiration date of November 2023, was valid from June 14, 2022 to December 14, 2022. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Upon arrival, children were observed on playground #4. One plastic cup, one white tissue, one plastic wrapper and one paper plate were observed on playground #4. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, one (1) sixty-four ounce bottle of Bubble Solution with Funnel Bubble Play that listed a warning regarding small parts and not suitable for children under three years of age and one Ziploc plastic bag was stored in the unlocked cabinet below the sink used for handwashing. In space #6b, two plastic packages of Cuties Sensitive Unscented Baby Wipes and one plastic package of Pampers Sensitive Baby Wipes stored fifty-six inches from the floor surface in the unlocked middle cabinet above the handwashing sink. The warning on the plastic packages listed to avoid danger of suffocation, keep outer wrapper and plastic bags away from babies and children. In space #7b, one plastic package of Cuties Sensitive Unscented Baby Wipes was stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing. In space #8, one box of Gallon sized Ziploc Storage bags were stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing. .0604(q) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. In space 6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on the tummy to sleep at 12:45pm on April 30, 2024, and at 12:15pm on May 7, 2024. In space #6a, the Infant Sleep Chart documented that one infant, nine months of age was initially placed on their tummy to sleep at 12:15pm on May 7, 2024. In space #6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on their side to sleep at 12pm on May 3, 2024, on their tummy to sleep at 12:35pm on May 6, 2024, and on their side to sleep at 1:30pm on May 7, 2024, and on their tummy to sleep at 12:15pm on May 8, 2024. In space 6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on their tummy to sleep at 12:07pm on May 6, 2024, at 12:45pm on May 7, 2024, and at 12:30pm on May 8, 2024. In space #6a, the Infant Sleep Chart documented that one infant, eleven months of age was initially placed on their side to sleep at 1:30pm on May 7, 2024. .0606(a)(1)(A-B) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One lead teacher with a hire date of September 22, 2022, received two of the required ten hours of ongoing training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One lead teacher with a hire date of April 4, 2023, did not have an annual staff evaluation on file for review. One lead teacher with a hire date of September 27, 2022, had a staff development plan on file dated October 7, 2022. One lead teacher with a hire date of August 18, 2022, had a staff development plan on file dated August 16, 2022. One lead teacher with a hire date of August 18, 2022, had a staff development plan on file dated August 16, 2022. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent emergency drill, shelter-in-place, documented on the drill record was conducted on December 20, 2023. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The EPR Plan was not available for review. .0607(c) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, the medication authorization was not dated when the parent signed the form giving authorization to administer Boudreaux's Butt Paste. In space #8, the medication authorization for one, 1.75 ounce container of Vaseline did not document the dates the authorization was valid. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 employee with a hire date of January 8, 2024, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on April 15, 2024. One employee with a hire date of November 7, 2023, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on April 15, 2024. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One lead teacher with a hire date of April 4, 2023, did not complete the required health and safety training. .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 22, 2024. Please send your letter to jennifer.roberts@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 89%. 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: Item # 1811 The most recent emergency drill was conducted on December 20, 2023. We discussed conducting emergency drills every three months. I suggested you place a reminder on your calendar to alert you to conduct an emergency drill. As a reminder, either a shelter-in-place or lockdown drill must be conducted on or before the date of the most current drill within the three months. Example: a shelter-in-place was conducted on March 19, 2024, the next emergency drill must be conducted on or before June 19, 2024. Item #805 When a fire drill is conducted, you must document all the required information. Per child care rule .0302(d)(5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5. Item #895 We discussed that infants must be initially placed on their back for sleeping and documented on the infant sleep chart. I suggested that you review the safe sleep policy with staff and remind them to document the position the infant was initially placed for sleeping. Item #858 Plastic bags and items stored in plastic packaging must be stored at least five feet from the floor surface in classrooms that care is provided for children under three years of age. I suggested that teachers store plastic bags and items stored in plastic packaging on the second shelf of the white cabinets hanging on the wall instead of the bottom shelf. Plastic packaging and plastic bags must be inaccessible to children under three years of age. I suggested that you review child care rule .0604 (q) with staff regarding plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. Item #856 Child care rule .0604 (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. I suggested that you remind staff to check all playgrounds for debris. I suggested that you create a daily checklist for the playgrounds to remind staff to conduct visual checks and remove any debris or broken equipment. Item #540 Infant feeding plans must be completed for each child under fifteen months of age and posted. Child care rule .902(a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall 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 shall 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 shall 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 you review all written feeding plans to ensure that all the required information is documented prior to staff posting the written feeding plan. Item #849 Leftover medications must be returned to the parent at the end of treatment or when the permission to administer has expired. I suggested that staff review all medications and authorization forms monthly to ensure that medications that are about to expire and/or the medication authorization form is not current to ensure that medications are returned to the parent within 72 hours. As children are moved to a different classroom, I suggested that you remind staff to check for medications and if the child has a medication that they transfer the medication to the new classroom. Item #1812 The Emergency Preparedness and Response Plan was not available for review. You stated that you had not updated the EPR Plan and you could not find the EPR Plan that was previously created. I reminded you that the EPR Plan must be updated as changes occur and at least annually. You will need to create a plan and print it out and place it on file for review. Item #428 Activity plans must be current and posted for parents to review. I suggested that staff update their activity plan at the close of business on Fridays to ensure that current activity plans are posted for the upcoming week. Item #1882 As parents’ complete medication authorization forms, I suggested that staff review the information on the form to ensure that all information is documented and specific. Child care rule .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. I suggested that you review the rule with staff so they understand the requirements for over-the-counter topical medications. Item #840 Potentially hazardous items must be stored properly. Potentially hazardous items that list additional warning must be stored in locked cabinets, closets, containers, etc. If the only warning is “Keep out of Reach of Children,” then the item must be stored inaccessible to children and at least five feet from the floor surface. Remind staff to read all labels prior to storing the item. Consultation: We discussed and I clarified approved and unapproved spaces. Unapproved spaces are the office, behind the desk in the front lobby, and the staff lounge. Children must arrive in their classroom and they are not permitted to “hang out” in unapproved spaces. I suggested that you use the activity plan that is posted on DCDEE’s website or document the activities on the current activity plan in detail to align with the requirements. Document what books are being read, the gross motor activities, activities to support the theme instead of broad activities. We discussed and I clarified that medication authorization forms for over-the-counter topical ointments must be specific with the amount to be administered to their child. For example, pea sized amount of Orajel Teething Gel, or quarter sized amount of Boudreaux’s Butt Paste. Remind parents to document the name of the medication, for example, Desitin Diaper Rash Cream and not diaper rash cream. Thirty days of Infant Sleep Charts must be available for review. I suggested that staff remove Infant Sleep Charts that are more than thirty days old to eliminate excessive documents in the Infant Sleep Chart binder. I suggested that staff place on file the previous month of the Infant Sleep Chart and the current month. Rated License Status: You have requested a review of staff education to increase your star rating. Staff education will be monitored during the announced visit that will be conducted on Monday, May 13, 2024. Please ensure that all staff have current and up-to-date Works accounts and their current education levels have been evaluated by the education unit in the Raleigh office. You did not request to have the environment rating scale conducted. 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 828-782-0945. Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Jennifer.roberts@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 122 Completed Date: 5/8/2024 Age: From 0 To 5 Total Minutes: 327 Time In: 10:35 AM Time Out: 02:28 PM Time In: 03:38 PM Time Out: 05:12 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess 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, Tonya Wyatt, Administrator, assisted with today’s visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a two (2) star license issued December 3, 2022. The permit restrictions listed on the license include daytime care only and meets enhanced ratios. The Secretary of State website was checked on May 7, 2024, and the business, The Nest Schools, 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, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on January 24, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on May 25, 2023. The facility was approved for day time only. Please submit the annual fire inspection to me within one week after it is completed. The last emergency drill was conducted on December 20, 2023. The Administrative Action, Cover Letter, and Corrective Action Plan were posted on the wall in the lobby at the entrance to the facility. Status of Corrective Action Plan: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records 2. The training was conducted on Thursday, February 22, 2024. 3. Your written procedures were approved on April 24, 2024. 4. You conducted a staff meeting on May 7, 2024. You provided me with a copy of the attendance roster, agenda, and minutes of the meeting today. Due to time constraints and a sever weather warning, a hand written visit summary was completed and the computer-generated visit summary will be emailed to you. As discussed, children’s files and staff files will be monitored on Monday, May 13, 2024. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #10, the posted activity plan was dated April 29, 2024 to May 3, 2024. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space #1, the written feeding plan was not posted for two toddlers, twelve months of age. In space #6a, the written feeding plan for one infant, ten months of age was not signed by the parent and dated when the facility received the written feeding plan. In space #6b, the written feeding plan that was posted for one infant, four months of age, did not include page #2 that documented the parent signature, date received by the facility and information regarding the type and amount of food/formula/human milk to serve the infant. 10A NCAC 09 .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill conducted on February 20, 2024, at 5:45pm did not document the time required to evacuate. The fire drill conducted on March 11, 2024, at 10:45am did not document the time required to evacuate. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, one basket was stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing and contained children's over-the-counter topical ointments. In space #2, one box of Care Science Antibacterial Flexible Fabric Adhesive Bandages was stored fifty-six inches from the floor surface, in the unlocked cabinet above the handwashing sink. In space #5, two 18 ounce bottles of Vivante Expert/Care Conditioner with multiple warnings on the label, and one 1.7 ounce bottle of Betta Fix API that noted Danger: Harmful if swallowed, causes eye irritation, causes skin irritation, If swallowed: call a Poison Center or Physician was stored on the top shelf in the unlocked cabinet above the sink used for handwashing. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2, the medication authorization for one 4 ounce tube of Desitin Diaper Cream that was monitored was valid from April 1, 2023, to April 1, 2024. The medication authorization for one, 1.4 ounce tube of Vaseline Healing Jelly All-Over Body Balm that was monitored was valid from April 18, 2023 to April 18, 2024. . The medication authorization for one, 3.5 ounce tube of Auquaphor Baby 3 in 1 Diaper Rash Cream that was monitored and had an expiration date of November 2023, was valid from June 14, 2022 to December 14, 2022. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Upon arrival, children were observed on playground #4. One plastic cup, one white tissue, one plastic wrapper and one paper plate were observed on playground #4. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, one (1) sixty-four ounce bottle of Bubble Solution with Funnel Bubble Play that listed a warning regarding small parts and not suitable for children under three years of age and one Ziploc plastic bag was stored in the unlocked cabinet below the sink used for handwashing. In space #6b, two plastic packages of Cuties Sensitive Unscented Baby Wipes and one plastic package of Pampers Sensitive Baby Wipes stored fifty-six inches from the floor surface in the unlocked middle cabinet above the handwashing sink. The warning on the plastic packages listed to avoid danger of suffocation, keep outer wrapper and plastic bags away from babies and children. In space #7b, one plastic package of Cuties Sensitive Unscented Baby Wipes was stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing. In space #8, one box of Gallon sized Ziploc Storage bags were stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing. .0604(q) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. In space 6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on the tummy to sleep at 12:45pm on April 30, 2024, and at 12:15pm on May 7, 2024. In space #6a, the Infant Sleep Chart documented that one infant, nine months of age was initially placed on their tummy to sleep at 12:15pm on May 7, 2024. In space #6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on their side to sleep at 12pm on May 3, 2024, on their tummy to sleep at 12:35pm on May 6, 2024, and on their side to sleep at 1:30pm on May 7, 2024, and on their tummy to sleep at 12:15pm on May 8, 2024. In space 6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on their tummy to sleep at 12:07pm on May 6, 2024, at 12:45pm on May 7, 2024, and at 12:30pm on May 8, 2024. In space #6a, the Infant Sleep Chart documented that one infant, eleven months of age was initially placed on their side to sleep at 1:30pm on May 7, 2024. .0606(a)(1)(A-B) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One lead teacher with a hire date of September 22, 2022, received two of the required ten hours of ongoing training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One lead teacher with a hire date of April 4, 2023, did not have an annual staff evaluation on file for review. One lead teacher with a hire date of September 27, 2022, had a staff development plan on file dated October 7, 2022. One lead teacher with a hire date of August 18, 2022, had a staff development plan on file dated August 16, 2022. One lead teacher with a hire date of August 18, 2022, had a staff development plan on file dated August 16, 2022. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent emergency drill, shelter-in-place, documented on the drill record was conducted on December 20, 2023. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The EPR Plan was not available for review. .0607(c) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, the medication authorization was not dated when the parent signed the form giving authorization to administer Boudreaux's Butt Paste. In space #8, the medication authorization for one, 1.75 ounce container of Vaseline did not document the dates the authorization was valid. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 employee with a hire date of January 8, 2024, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on April 15, 2024. One employee with a hire date of November 7, 2023, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on April 15, 2024. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One lead teacher with a hire date of April 4, 2023, did not complete the required health and safety training. .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 22, 2024. Please send your letter to jennifer.roberts@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 89%. 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: Item # 1811 The most recent emergency drill was conducted on December 20, 2023. We discussed conducting emergency drills every three months. I suggested you place a reminder on your calendar to alert you to conduct an emergency drill. As a reminder, either a shelter-in-place or lockdown drill must be conducted on or before the date of the most current drill within the three months. Example: a shelter-in-place was conducted on March 19, 2024, the next emergency drill must be conducted on or before June 19, 2024. Item #805 When a fire drill is conducted, you must document all the required information. Per child care rule .0302(d)(5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5. Item #895 We discussed that infants must be initially placed on their back for sleeping and documented on the infant sleep chart. I suggested that you review the safe sleep policy with staff and remind them to document the position the infant was initially placed for sleeping. Item #858 Plastic bags and items stored in plastic packaging must be stored at least five feet from the floor surface in classrooms that care is provided for children under three years of age. I suggested that teachers store plastic bags and items stored in plastic packaging on the second shelf of the white cabinets hanging on the wall instead of the bottom shelf. Plastic packaging and plastic bags must be inaccessible to children under three years of age. I suggested that you review child care rule .0604 (q) with staff regarding plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. Item #856 Child care rule .0604 (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. I suggested that you remind staff to check all playgrounds for debris. I suggested that you create a daily checklist for the playgrounds to remind staff to conduct visual checks and remove any debris or broken equipment. Item #540 Infant feeding plans must be completed for each child under fifteen months of age and posted. Child care rule .902(a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall 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 shall 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 shall 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 you review all written feeding plans to ensure that all the required information is documented prior to staff posting the written feeding plan. Item #849 Leftover medications must be returned to the parent at the end of treatment or when the permission to administer has expired. I suggested that staff review all medications and authorization forms monthly to ensure that medications that are about to expire and/or the medication authorization form is not current to ensure that medications are returned to the parent within 72 hours. As children are moved to a different classroom, I suggested that you remind staff to check for medications and if the child has a medication that they transfer the medication to the new classroom. Item #1812 The Emergency Preparedness and Response Plan was not available for review. You stated that you had not updated the EPR Plan and you could not find the EPR Plan that was previously created. I reminded you that the EPR Plan must be updated as changes occur and at least annually. You will need to create a plan and print it out and place it on file for review. Item #428 Activity plans must be current and posted for parents to review. I suggested that staff update their activity plan at the close of business on Fridays to ensure that current activity plans are posted for the upcoming week. Item #1882 As parents’ complete medication authorization forms, I suggested that staff review the information on the form to ensure that all information is documented and specific. Child care rule .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. I suggested that you review the rule with staff so they understand the requirements for over-the-counter topical medications. Item #840 Potentially hazardous items must be stored properly. Potentially hazardous items that list additional warning must be stored in locked cabinets, closets, containers, etc. If the only warning is “Keep out of Reach of Children,” then the item must be stored inaccessible to children and at least five feet from the floor surface. Remind staff to read all labels prior to storing the item. Consultation: We discussed and I clarified approved and unapproved spaces. Unapproved spaces are the office, behind the desk in the front lobby, and the staff lounge. Children must arrive in their classroom and they are not permitted to “hang out” in unapproved spaces. I suggested that you use the activity plan that is posted on DCDEE’s website or document the activities on the current activity plan in detail to align with the requirements. Document what books are being read, the gross motor activities, activities to support the theme instead of broad activities. We discussed and I clarified that medication authorization forms for over-the-counter topical ointments must be specific with the amount to be administered to their child. For example, pea sized amount of Orajel Teething Gel, or quarter sized amount of Boudreaux’s Butt Paste. Remind parents to document the name of the medication, for example, Desitin Diaper Rash Cream and not diaper rash cream. Thirty days of Infant Sleep Charts must be available for review. I suggested that staff remove Infant Sleep Charts that are more than thirty days old to eliminate excessive documents in the Infant Sleep Chart binder. I suggested that staff place on file the previous month of the Infant Sleep Chart and the current month. Rated License Status: You have requested a review of staff education to increase your star rating. Staff education will be monitored during the announced visit that will be conducted on Monday, May 13, 2024. Please ensure that all staff have current and up-to-date Works accounts and their current education levels have been evaluated by the education unit in the Raleigh office. You did not request to have the environment rating scale conducted. 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 828-782-0945. Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Jennifer.roberts@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 .0514 · Violation

Name of Operation: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 122 Completed Date: 5/8/2024 Age: From 0 To 5 Total Minutes: 327 Time In: 10:35 AM Time Out: 02:28 PM Time In: 03:38 PM Time Out: 05:12 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess 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, Tonya Wyatt, Administrator, assisted with today’s visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a two (2) star license issued December 3, 2022. The permit restrictions listed on the license include daytime care only and meets enhanced ratios. The Secretary of State website was checked on May 7, 2024, and the business, The Nest Schools, 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, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on January 24, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on May 25, 2023. The facility was approved for day time only. Please submit the annual fire inspection to me within one week after it is completed. The last emergency drill was conducted on December 20, 2023. The Administrative Action, Cover Letter, and Corrective Action Plan were posted on the wall in the lobby at the entrance to the facility. Status of Corrective Action Plan: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records 2. The training was conducted on Thursday, February 22, 2024. 3. Your written procedures were approved on April 24, 2024. 4. You conducted a staff meeting on May 7, 2024. You provided me with a copy of the attendance roster, agenda, and minutes of the meeting today. Due to time constraints and a sever weather warning, a hand written visit summary was completed and the computer-generated visit summary will be emailed to you. As discussed, children’s files and staff files will be monitored on Monday, May 13, 2024. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #10, the posted activity plan was dated April 29, 2024 to May 3, 2024. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space #1, the written feeding plan was not posted for two toddlers, twelve months of age. In space #6a, the written feeding plan for one infant, ten months of age was not signed by the parent and dated when the facility received the written feeding plan. In space #6b, the written feeding plan that was posted for one infant, four months of age, did not include page #2 that documented the parent signature, date received by the facility and information regarding the type and amount of food/formula/human milk to serve the infant. 10A NCAC 09 .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill conducted on February 20, 2024, at 5:45pm did not document the time required to evacuate. The fire drill conducted on March 11, 2024, at 10:45am did not document the time required to evacuate. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, one basket was stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing and contained children's over-the-counter topical ointments. In space #2, one box of Care Science Antibacterial Flexible Fabric Adhesive Bandages was stored fifty-six inches from the floor surface, in the unlocked cabinet above the handwashing sink. In space #5, two 18 ounce bottles of Vivante Expert/Care Conditioner with multiple warnings on the label, and one 1.7 ounce bottle of Betta Fix API that noted Danger: Harmful if swallowed, causes eye irritation, causes skin irritation, If swallowed: call a Poison Center or Physician was stored on the top shelf in the unlocked cabinet above the sink used for handwashing. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2, the medication authorization for one 4 ounce tube of Desitin Diaper Cream that was monitored was valid from April 1, 2023, to April 1, 2024. The medication authorization for one, 1.4 ounce tube of Vaseline Healing Jelly All-Over Body Balm that was monitored was valid from April 18, 2023 to April 18, 2024. . The medication authorization for one, 3.5 ounce tube of Auquaphor Baby 3 in 1 Diaper Rash Cream that was monitored and had an expiration date of November 2023, was valid from June 14, 2022 to December 14, 2022. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Upon arrival, children were observed on playground #4. One plastic cup, one white tissue, one plastic wrapper and one paper plate were observed on playground #4. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, one (1) sixty-four ounce bottle of Bubble Solution with Funnel Bubble Play that listed a warning regarding small parts and not suitable for children under three years of age and one Ziploc plastic bag was stored in the unlocked cabinet below the sink used for handwashing. In space #6b, two plastic packages of Cuties Sensitive Unscented Baby Wipes and one plastic package of Pampers Sensitive Baby Wipes stored fifty-six inches from the floor surface in the unlocked middle cabinet above the handwashing sink. The warning on the plastic packages listed to avoid danger of suffocation, keep outer wrapper and plastic bags away from babies and children. In space #7b, one plastic package of Cuties Sensitive Unscented Baby Wipes was stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing. In space #8, one box of Gallon sized Ziploc Storage bags were stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing. .0604(q) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. In space 6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on the tummy to sleep at 12:45pm on April 30, 2024, and at 12:15pm on May 7, 2024. In space #6a, the Infant Sleep Chart documented that one infant, nine months of age was initially placed on their tummy to sleep at 12:15pm on May 7, 2024. In space #6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on their side to sleep at 12pm on May 3, 2024, on their tummy to sleep at 12:35pm on May 6, 2024, and on their side to sleep at 1:30pm on May 7, 2024, and on their tummy to sleep at 12:15pm on May 8, 2024. In space 6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on their tummy to sleep at 12:07pm on May 6, 2024, at 12:45pm on May 7, 2024, and at 12:30pm on May 8, 2024. In space #6a, the Infant Sleep Chart documented that one infant, eleven months of age was initially placed on their side to sleep at 1:30pm on May 7, 2024. .0606(a)(1)(A-B) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One lead teacher with a hire date of September 22, 2022, received two of the required ten hours of ongoing training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One lead teacher with a hire date of April 4, 2023, did not have an annual staff evaluation on file for review. One lead teacher with a hire date of September 27, 2022, had a staff development plan on file dated October 7, 2022. One lead teacher with a hire date of August 18, 2022, had a staff development plan on file dated August 16, 2022. One lead teacher with a hire date of August 18, 2022, had a staff development plan on file dated August 16, 2022. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent emergency drill, shelter-in-place, documented on the drill record was conducted on December 20, 2023. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The EPR Plan was not available for review. .0607(c) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, the medication authorization was not dated when the parent signed the form giving authorization to administer Boudreaux's Butt Paste. In space #8, the medication authorization for one, 1.75 ounce container of Vaseline did not document the dates the authorization was valid. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 employee with a hire date of January 8, 2024, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on April 15, 2024. One employee with a hire date of November 7, 2023, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on April 15, 2024. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One lead teacher with a hire date of April 4, 2023, did not complete the required health and safety training. .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 22, 2024. Please send your letter to jennifer.roberts@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 89%. 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: Item # 1811 The most recent emergency drill was conducted on December 20, 2023. We discussed conducting emergency drills every three months. I suggested you place a reminder on your calendar to alert you to conduct an emergency drill. As a reminder, either a shelter-in-place or lockdown drill must be conducted on or before the date of the most current drill within the three months. Example: a shelter-in-place was conducted on March 19, 2024, the next emergency drill must be conducted on or before June 19, 2024. Item #805 When a fire drill is conducted, you must document all the required information. Per child care rule .0302(d)(5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5. Item #895 We discussed that infants must be initially placed on their back for sleeping and documented on the infant sleep chart. I suggested that you review the safe sleep policy with staff and remind them to document the position the infant was initially placed for sleeping. Item #858 Plastic bags and items stored in plastic packaging must be stored at least five feet from the floor surface in classrooms that care is provided for children under three years of age. I suggested that teachers store plastic bags and items stored in plastic packaging on the second shelf of the white cabinets hanging on the wall instead of the bottom shelf. Plastic packaging and plastic bags must be inaccessible to children under three years of age. I suggested that you review child care rule .0604 (q) with staff regarding plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. Item #856 Child care rule .0604 (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. I suggested that you remind staff to check all playgrounds for debris. I suggested that you create a daily checklist for the playgrounds to remind staff to conduct visual checks and remove any debris or broken equipment. Item #540 Infant feeding plans must be completed for each child under fifteen months of age and posted. Child care rule .902(a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall 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 shall 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 shall 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 you review all written feeding plans to ensure that all the required information is documented prior to staff posting the written feeding plan. Item #849 Leftover medications must be returned to the parent at the end of treatment or when the permission to administer has expired. I suggested that staff review all medications and authorization forms monthly to ensure that medications that are about to expire and/or the medication authorization form is not current to ensure that medications are returned to the parent within 72 hours. As children are moved to a different classroom, I suggested that you remind staff to check for medications and if the child has a medication that they transfer the medication to the new classroom. Item #1812 The Emergency Preparedness and Response Plan was not available for review. You stated that you had not updated the EPR Plan and you could not find the EPR Plan that was previously created. I reminded you that the EPR Plan must be updated as changes occur and at least annually. You will need to create a plan and print it out and place it on file for review. Item #428 Activity plans must be current and posted for parents to review. I suggested that staff update their activity plan at the close of business on Fridays to ensure that current activity plans are posted for the upcoming week. Item #1882 As parents’ complete medication authorization forms, I suggested that staff review the information on the form to ensure that all information is documented and specific. Child care rule .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. I suggested that you review the rule with staff so they understand the requirements for over-the-counter topical medications. Item #840 Potentially hazardous items must be stored properly. Potentially hazardous items that list additional warning must be stored in locked cabinets, closets, containers, etc. If the only warning is “Keep out of Reach of Children,” then the item must be stored inaccessible to children and at least five feet from the floor surface. Remind staff to read all labels prior to storing the item. Consultation: We discussed and I clarified approved and unapproved spaces. Unapproved spaces are the office, behind the desk in the front lobby, and the staff lounge. Children must arrive in their classroom and they are not permitted to “hang out” in unapproved spaces. I suggested that you use the activity plan that is posted on DCDEE’s website or document the activities on the current activity plan in detail to align with the requirements. Document what books are being read, the gross motor activities, activities to support the theme instead of broad activities. We discussed and I clarified that medication authorization forms for over-the-counter topical ointments must be specific with the amount to be administered to their child. For example, pea sized amount of Orajel Teething Gel, or quarter sized amount of Boudreaux’s Butt Paste. Remind parents to document the name of the medication, for example, Desitin Diaper Rash Cream and not diaper rash cream. Thirty days of Infant Sleep Charts must be available for review. I suggested that staff remove Infant Sleep Charts that are more than thirty days old to eliminate excessive documents in the Infant Sleep Chart binder. I suggested that staff place on file the previous month of the Infant Sleep Chart and the current month. Rated License Status: You have requested a review of staff education to increase your star rating. Staff education will be monitored during the announced visit that will be conducted on Monday, May 13, 2024. Please ensure that all staff have current and up-to-date Works accounts and their current education levels have been evaluated by the education unit in the Raleigh office. You did not request to have the environment rating scale conducted. 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 828-782-0945. Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Jennifer.roberts@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 .0802 · Violation

Name of Operation: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 122 Completed Date: 5/8/2024 Age: From 0 To 5 Total Minutes: 327 Time In: 10:35 AM Time Out: 02:28 PM Time In: 03:38 PM Time Out: 05:12 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess 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, Tonya Wyatt, Administrator, assisted with today’s visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a two (2) star license issued December 3, 2022. The permit restrictions listed on the license include daytime care only and meets enhanced ratios. The Secretary of State website was checked on May 7, 2024, and the business, The Nest Schools, 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, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on January 24, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on May 25, 2023. The facility was approved for day time only. Please submit the annual fire inspection to me within one week after it is completed. The last emergency drill was conducted on December 20, 2023. The Administrative Action, Cover Letter, and Corrective Action Plan were posted on the wall in the lobby at the entrance to the facility. Status of Corrective Action Plan: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records 2. The training was conducted on Thursday, February 22, 2024. 3. Your written procedures were approved on April 24, 2024. 4. You conducted a staff meeting on May 7, 2024. You provided me with a copy of the attendance roster, agenda, and minutes of the meeting today. Due to time constraints and a sever weather warning, a hand written visit summary was completed and the computer-generated visit summary will be emailed to you. As discussed, children’s files and staff files will be monitored on Monday, May 13, 2024. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #10, the posted activity plan was dated April 29, 2024 to May 3, 2024. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space #1, the written feeding plan was not posted for two toddlers, twelve months of age. In space #6a, the written feeding plan for one infant, ten months of age was not signed by the parent and dated when the facility received the written feeding plan. In space #6b, the written feeding plan that was posted for one infant, four months of age, did not include page #2 that documented the parent signature, date received by the facility and information regarding the type and amount of food/formula/human milk to serve the infant. 10A NCAC 09 .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill conducted on February 20, 2024, at 5:45pm did not document the time required to evacuate. The fire drill conducted on March 11, 2024, at 10:45am did not document the time required to evacuate. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, one basket was stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing and contained children's over-the-counter topical ointments. In space #2, one box of Care Science Antibacterial Flexible Fabric Adhesive Bandages was stored fifty-six inches from the floor surface, in the unlocked cabinet above the handwashing sink. In space #5, two 18 ounce bottles of Vivante Expert/Care Conditioner with multiple warnings on the label, and one 1.7 ounce bottle of Betta Fix API that noted Danger: Harmful if swallowed, causes eye irritation, causes skin irritation, If swallowed: call a Poison Center or Physician was stored on the top shelf in the unlocked cabinet above the sink used for handwashing. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2, the medication authorization for one 4 ounce tube of Desitin Diaper Cream that was monitored was valid from April 1, 2023, to April 1, 2024. The medication authorization for one, 1.4 ounce tube of Vaseline Healing Jelly All-Over Body Balm that was monitored was valid from April 18, 2023 to April 18, 2024. . The medication authorization for one, 3.5 ounce tube of Auquaphor Baby 3 in 1 Diaper Rash Cream that was monitored and had an expiration date of November 2023, was valid from June 14, 2022 to December 14, 2022. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Upon arrival, children were observed on playground #4. One plastic cup, one white tissue, one plastic wrapper and one paper plate were observed on playground #4. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, one (1) sixty-four ounce bottle of Bubble Solution with Funnel Bubble Play that listed a warning regarding small parts and not suitable for children under three years of age and one Ziploc plastic bag was stored in the unlocked cabinet below the sink used for handwashing. In space #6b, two plastic packages of Cuties Sensitive Unscented Baby Wipes and one plastic package of Pampers Sensitive Baby Wipes stored fifty-six inches from the floor surface in the unlocked middle cabinet above the handwashing sink. The warning on the plastic packages listed to avoid danger of suffocation, keep outer wrapper and plastic bags away from babies and children. In space #7b, one plastic package of Cuties Sensitive Unscented Baby Wipes was stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing. In space #8, one box of Gallon sized Ziploc Storage bags were stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing. .0604(q) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. In space 6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on the tummy to sleep at 12:45pm on April 30, 2024, and at 12:15pm on May 7, 2024. In space #6a, the Infant Sleep Chart documented that one infant, nine months of age was initially placed on their tummy to sleep at 12:15pm on May 7, 2024. In space #6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on their side to sleep at 12pm on May 3, 2024, on their tummy to sleep at 12:35pm on May 6, 2024, and on their side to sleep at 1:30pm on May 7, 2024, and on their tummy to sleep at 12:15pm on May 8, 2024. In space 6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on their tummy to sleep at 12:07pm on May 6, 2024, at 12:45pm on May 7, 2024, and at 12:30pm on May 8, 2024. In space #6a, the Infant Sleep Chart documented that one infant, eleven months of age was initially placed on their side to sleep at 1:30pm on May 7, 2024. .0606(a)(1)(A-B) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One lead teacher with a hire date of September 22, 2022, received two of the required ten hours of ongoing training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One lead teacher with a hire date of April 4, 2023, did not have an annual staff evaluation on file for review. One lead teacher with a hire date of September 27, 2022, had a staff development plan on file dated October 7, 2022. One lead teacher with a hire date of August 18, 2022, had a staff development plan on file dated August 16, 2022. One lead teacher with a hire date of August 18, 2022, had a staff development plan on file dated August 16, 2022. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent emergency drill, shelter-in-place, documented on the drill record was conducted on December 20, 2023. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The EPR Plan was not available for review. .0607(c) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, the medication authorization was not dated when the parent signed the form giving authorization to administer Boudreaux's Butt Paste. In space #8, the medication authorization for one, 1.75 ounce container of Vaseline did not document the dates the authorization was valid. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 employee with a hire date of January 8, 2024, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on April 15, 2024. One employee with a hire date of November 7, 2023, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on April 15, 2024. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One lead teacher with a hire date of April 4, 2023, did not complete the required health and safety training. .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 22, 2024. Please send your letter to jennifer.roberts@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 89%. 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: Item # 1811 The most recent emergency drill was conducted on December 20, 2023. We discussed conducting emergency drills every three months. I suggested you place a reminder on your calendar to alert you to conduct an emergency drill. As a reminder, either a shelter-in-place or lockdown drill must be conducted on or before the date of the most current drill within the three months. Example: a shelter-in-place was conducted on March 19, 2024, the next emergency drill must be conducted on or before June 19, 2024. Item #805 When a fire drill is conducted, you must document all the required information. Per child care rule .0302(d)(5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5. Item #895 We discussed that infants must be initially placed on their back for sleeping and documented on the infant sleep chart. I suggested that you review the safe sleep policy with staff and remind them to document the position the infant was initially placed for sleeping. Item #858 Plastic bags and items stored in plastic packaging must be stored at least five feet from the floor surface in classrooms that care is provided for children under three years of age. I suggested that teachers store plastic bags and items stored in plastic packaging on the second shelf of the white cabinets hanging on the wall instead of the bottom shelf. Plastic packaging and plastic bags must be inaccessible to children under three years of age. I suggested that you review child care rule .0604 (q) with staff regarding plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. Item #856 Child care rule .0604 (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. I suggested that you remind staff to check all playgrounds for debris. I suggested that you create a daily checklist for the playgrounds to remind staff to conduct visual checks and remove any debris or broken equipment. Item #540 Infant feeding plans must be completed for each child under fifteen months of age and posted. Child care rule .902(a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall 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 shall 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 shall 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 you review all written feeding plans to ensure that all the required information is documented prior to staff posting the written feeding plan. Item #849 Leftover medications must be returned to the parent at the end of treatment or when the permission to administer has expired. I suggested that staff review all medications and authorization forms monthly to ensure that medications that are about to expire and/or the medication authorization form is not current to ensure that medications are returned to the parent within 72 hours. As children are moved to a different classroom, I suggested that you remind staff to check for medications and if the child has a medication that they transfer the medication to the new classroom. Item #1812 The Emergency Preparedness and Response Plan was not available for review. You stated that you had not updated the EPR Plan and you could not find the EPR Plan that was previously created. I reminded you that the EPR Plan must be updated as changes occur and at least annually. You will need to create a plan and print it out and place it on file for review. Item #428 Activity plans must be current and posted for parents to review. I suggested that staff update their activity plan at the close of business on Fridays to ensure that current activity plans are posted for the upcoming week. Item #1882 As parents’ complete medication authorization forms, I suggested that staff review the information on the form to ensure that all information is documented and specific. Child care rule .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. I suggested that you review the rule with staff so they understand the requirements for over-the-counter topical medications. Item #840 Potentially hazardous items must be stored properly. Potentially hazardous items that list additional warning must be stored in locked cabinets, closets, containers, etc. If the only warning is “Keep out of Reach of Children,” then the item must be stored inaccessible to children and at least five feet from the floor surface. Remind staff to read all labels prior to storing the item. Consultation: We discussed and I clarified approved and unapproved spaces. Unapproved spaces are the office, behind the desk in the front lobby, and the staff lounge. Children must arrive in their classroom and they are not permitted to “hang out” in unapproved spaces. I suggested that you use the activity plan that is posted on DCDEE’s website or document the activities on the current activity plan in detail to align with the requirements. Document what books are being read, the gross motor activities, activities to support the theme instead of broad activities. We discussed and I clarified that medication authorization forms for over-the-counter topical ointments must be specific with the amount to be administered to their child. For example, pea sized amount of Orajel Teething Gel, or quarter sized amount of Boudreaux’s Butt Paste. Remind parents to document the name of the medication, for example, Desitin Diaper Rash Cream and not diaper rash cream. Thirty days of Infant Sleep Charts must be available for review. I suggested that staff remove Infant Sleep Charts that are more than thirty days old to eliminate excessive documents in the Infant Sleep Chart binder. I suggested that staff place on file the previous month of the Infant Sleep Chart and the current month. Rated License Status: You have requested a review of staff education to increase your star rating. Staff education will be monitored during the announced visit that will be conducted on Monday, May 13, 2024. Please ensure that all staff have current and up-to-date Works accounts and their current education levels have been evaluated by the education unit in the Raleigh office. You did not request to have the environment rating scale conducted. 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 828-782-0945. Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Jennifer.roberts@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 122 Completed Date: 5/8/2024 Age: From 0 To 5 Total Minutes: 327 Time In: 10:35 AM Time Out: 02:28 PM Time In: 03:38 PM Time Out: 05:12 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess 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, Tonya Wyatt, Administrator, assisted with today’s visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a two (2) star license issued December 3, 2022. The permit restrictions listed on the license include daytime care only and meets enhanced ratios. The Secretary of State website was checked on May 7, 2024, and the business, The Nest Schools, 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, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on January 24, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on May 25, 2023. The facility was approved for day time only. Please submit the annual fire inspection to me within one week after it is completed. The last emergency drill was conducted on December 20, 2023. The Administrative Action, Cover Letter, and Corrective Action Plan were posted on the wall in the lobby at the entrance to the facility. Status of Corrective Action Plan: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records 2. The training was conducted on Thursday, February 22, 2024. 3. Your written procedures were approved on April 24, 2024. 4. You conducted a staff meeting on May 7, 2024. You provided me with a copy of the attendance roster, agenda, and minutes of the meeting today. Due to time constraints and a sever weather warning, a hand written visit summary was completed and the computer-generated visit summary will be emailed to you. As discussed, children’s files and staff files will be monitored on Monday, May 13, 2024. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #10, the posted activity plan was dated April 29, 2024 to May 3, 2024. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space #1, the written feeding plan was not posted for two toddlers, twelve months of age. In space #6a, the written feeding plan for one infant, ten months of age was not signed by the parent and dated when the facility received the written feeding plan. In space #6b, the written feeding plan that was posted for one infant, four months of age, did not include page #2 that documented the parent signature, date received by the facility and information regarding the type and amount of food/formula/human milk to serve the infant. 10A NCAC 09 .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill conducted on February 20, 2024, at 5:45pm did not document the time required to evacuate. The fire drill conducted on March 11, 2024, at 10:45am did not document the time required to evacuate. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, one basket was stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing and contained children's over-the-counter topical ointments. In space #2, one box of Care Science Antibacterial Flexible Fabric Adhesive Bandages was stored fifty-six inches from the floor surface, in the unlocked cabinet above the handwashing sink. In space #5, two 18 ounce bottles of Vivante Expert/Care Conditioner with multiple warnings on the label, and one 1.7 ounce bottle of Betta Fix API that noted Danger: Harmful if swallowed, causes eye irritation, causes skin irritation, If swallowed: call a Poison Center or Physician was stored on the top shelf in the unlocked cabinet above the sink used for handwashing. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2, the medication authorization for one 4 ounce tube of Desitin Diaper Cream that was monitored was valid from April 1, 2023, to April 1, 2024. The medication authorization for one, 1.4 ounce tube of Vaseline Healing Jelly All-Over Body Balm that was monitored was valid from April 18, 2023 to April 18, 2024. . The medication authorization for one, 3.5 ounce tube of Auquaphor Baby 3 in 1 Diaper Rash Cream that was monitored and had an expiration date of November 2023, was valid from June 14, 2022 to December 14, 2022. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Upon arrival, children were observed on playground #4. One plastic cup, one white tissue, one plastic wrapper and one paper plate were observed on playground #4. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, one (1) sixty-four ounce bottle of Bubble Solution with Funnel Bubble Play that listed a warning regarding small parts and not suitable for children under three years of age and one Ziploc plastic bag was stored in the unlocked cabinet below the sink used for handwashing. In space #6b, two plastic packages of Cuties Sensitive Unscented Baby Wipes and one plastic package of Pampers Sensitive Baby Wipes stored fifty-six inches from the floor surface in the unlocked middle cabinet above the handwashing sink. The warning on the plastic packages listed to avoid danger of suffocation, keep outer wrapper and plastic bags away from babies and children. In space #7b, one plastic package of Cuties Sensitive Unscented Baby Wipes was stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing. In space #8, one box of Gallon sized Ziploc Storage bags were stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing. .0604(q) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. In space 6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on the tummy to sleep at 12:45pm on April 30, 2024, and at 12:15pm on May 7, 2024. In space #6a, the Infant Sleep Chart documented that one infant, nine months of age was initially placed on their tummy to sleep at 12:15pm on May 7, 2024. In space #6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on their side to sleep at 12pm on May 3, 2024, on their tummy to sleep at 12:35pm on May 6, 2024, and on their side to sleep at 1:30pm on May 7, 2024, and on their tummy to sleep at 12:15pm on May 8, 2024. In space 6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on their tummy to sleep at 12:07pm on May 6, 2024, at 12:45pm on May 7, 2024, and at 12:30pm on May 8, 2024. In space #6a, the Infant Sleep Chart documented that one infant, eleven months of age was initially placed on their side to sleep at 1:30pm on May 7, 2024. .0606(a)(1)(A-B) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One lead teacher with a hire date of September 22, 2022, received two of the required ten hours of ongoing training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One lead teacher with a hire date of April 4, 2023, did not have an annual staff evaluation on file for review. One lead teacher with a hire date of September 27, 2022, had a staff development plan on file dated October 7, 2022. One lead teacher with a hire date of August 18, 2022, had a staff development plan on file dated August 16, 2022. One lead teacher with a hire date of August 18, 2022, had a staff development plan on file dated August 16, 2022. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent emergency drill, shelter-in-place, documented on the drill record was conducted on December 20, 2023. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The EPR Plan was not available for review. .0607(c) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, the medication authorization was not dated when the parent signed the form giving authorization to administer Boudreaux's Butt Paste. In space #8, the medication authorization for one, 1.75 ounce container of Vaseline did not document the dates the authorization was valid. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 employee with a hire date of January 8, 2024, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on April 15, 2024. One employee with a hire date of November 7, 2023, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on April 15, 2024. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One lead teacher with a hire date of April 4, 2023, did not complete the required health and safety training. .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 22, 2024. Please send your letter to jennifer.roberts@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 89%. 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: Item # 1811 The most recent emergency drill was conducted on December 20, 2023. We discussed conducting emergency drills every three months. I suggested you place a reminder on your calendar to alert you to conduct an emergency drill. As a reminder, either a shelter-in-place or lockdown drill must be conducted on or before the date of the most current drill within the three months. Example: a shelter-in-place was conducted on March 19, 2024, the next emergency drill must be conducted on or before June 19, 2024. Item #805 When a fire drill is conducted, you must document all the required information. Per child care rule .0302(d)(5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5. Item #895 We discussed that infants must be initially placed on their back for sleeping and documented on the infant sleep chart. I suggested that you review the safe sleep policy with staff and remind them to document the position the infant was initially placed for sleeping. Item #858 Plastic bags and items stored in plastic packaging must be stored at least five feet from the floor surface in classrooms that care is provided for children under three years of age. I suggested that teachers store plastic bags and items stored in plastic packaging on the second shelf of the white cabinets hanging on the wall instead of the bottom shelf. Plastic packaging and plastic bags must be inaccessible to children under three years of age. I suggested that you review child care rule .0604 (q) with staff regarding plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. Item #856 Child care rule .0604 (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. I suggested that you remind staff to check all playgrounds for debris. I suggested that you create a daily checklist for the playgrounds to remind staff to conduct visual checks and remove any debris or broken equipment. Item #540 Infant feeding plans must be completed for each child under fifteen months of age and posted. Child care rule .902(a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall 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 shall 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 shall 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 you review all written feeding plans to ensure that all the required information is documented prior to staff posting the written feeding plan. Item #849 Leftover medications must be returned to the parent at the end of treatment or when the permission to administer has expired. I suggested that staff review all medications and authorization forms monthly to ensure that medications that are about to expire and/or the medication authorization form is not current to ensure that medications are returned to the parent within 72 hours. As children are moved to a different classroom, I suggested that you remind staff to check for medications and if the child has a medication that they transfer the medication to the new classroom. Item #1812 The Emergency Preparedness and Response Plan was not available for review. You stated that you had not updated the EPR Plan and you could not find the EPR Plan that was previously created. I reminded you that the EPR Plan must be updated as changes occur and at least annually. You will need to create a plan and print it out and place it on file for review. Item #428 Activity plans must be current and posted for parents to review. I suggested that staff update their activity plan at the close of business on Fridays to ensure that current activity plans are posted for the upcoming week. Item #1882 As parents’ complete medication authorization forms, I suggested that staff review the information on the form to ensure that all information is documented and specific. Child care rule .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. I suggested that you review the rule with staff so they understand the requirements for over-the-counter topical medications. Item #840 Potentially hazardous items must be stored properly. Potentially hazardous items that list additional warning must be stored in locked cabinets, closets, containers, etc. If the only warning is “Keep out of Reach of Children,” then the item must be stored inaccessible to children and at least five feet from the floor surface. Remind staff to read all labels prior to storing the item. Consultation: We discussed and I clarified approved and unapproved spaces. Unapproved spaces are the office, behind the desk in the front lobby, and the staff lounge. Children must arrive in their classroom and they are not permitted to “hang out” in unapproved spaces. I suggested that you use the activity plan that is posted on DCDEE’s website or document the activities on the current activity plan in detail to align with the requirements. Document what books are being read, the gross motor activities, activities to support the theme instead of broad activities. We discussed and I clarified that medication authorization forms for over-the-counter topical ointments must be specific with the amount to be administered to their child. For example, pea sized amount of Orajel Teething Gel, or quarter sized amount of Boudreaux’s Butt Paste. Remind parents to document the name of the medication, for example, Desitin Diaper Rash Cream and not diaper rash cream. Thirty days of Infant Sleep Charts must be available for review. I suggested that staff remove Infant Sleep Charts that are more than thirty days old to eliminate excessive documents in the Infant Sleep Chart binder. I suggested that staff place on file the previous month of the Infant Sleep Chart and the current month. Rated License Status: You have requested a review of staff education to increase your star rating. Staff education will be monitored during the announced visit that will be conducted on Monday, May 13, 2024. Please ensure that all staff have current and up-to-date Works accounts and their current education levels have been evaluated by the education unit in the Raleigh office. You did not request to have the environment rating scale conducted. 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 828-782-0945. Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Jennifer.roberts@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: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 122 Completed Date: 5/8/2024 Age: From 0 To 5 Total Minutes: 327 Time In: 10:35 AM Time Out: 02:28 PM Time In: 03:38 PM Time Out: 05:12 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess 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, Tonya Wyatt, Administrator, assisted with today’s visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a two (2) star license issued December 3, 2022. The permit restrictions listed on the license include daytime care only and meets enhanced ratios. The Secretary of State website was checked on May 7, 2024, and the business, The Nest Schools, 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, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on January 24, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on May 25, 2023. The facility was approved for day time only. Please submit the annual fire inspection to me within one week after it is completed. The last emergency drill was conducted on December 20, 2023. The Administrative Action, Cover Letter, and Corrective Action Plan were posted on the wall in the lobby at the entrance to the facility. Status of Corrective Action Plan: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records 2. The training was conducted on Thursday, February 22, 2024. 3. Your written procedures were approved on April 24, 2024. 4. You conducted a staff meeting on May 7, 2024. You provided me with a copy of the attendance roster, agenda, and minutes of the meeting today. Due to time constraints and a sever weather warning, a hand written visit summary was completed and the computer-generated visit summary will be emailed to you. As discussed, children’s files and staff files will be monitored on Monday, May 13, 2024. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #10, the posted activity plan was dated April 29, 2024 to May 3, 2024. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space #1, the written feeding plan was not posted for two toddlers, twelve months of age. In space #6a, the written feeding plan for one infant, ten months of age was not signed by the parent and dated when the facility received the written feeding plan. In space #6b, the written feeding plan that was posted for one infant, four months of age, did not include page #2 that documented the parent signature, date received by the facility and information regarding the type and amount of food/formula/human milk to serve the infant. 10A NCAC 09 .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill conducted on February 20, 2024, at 5:45pm did not document the time required to evacuate. The fire drill conducted on March 11, 2024, at 10:45am did not document the time required to evacuate. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, one basket was stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing and contained children's over-the-counter topical ointments. In space #2, one box of Care Science Antibacterial Flexible Fabric Adhesive Bandages was stored fifty-six inches from the floor surface, in the unlocked cabinet above the handwashing sink. In space #5, two 18 ounce bottles of Vivante Expert/Care Conditioner with multiple warnings on the label, and one 1.7 ounce bottle of Betta Fix API that noted Danger: Harmful if swallowed, causes eye irritation, causes skin irritation, If swallowed: call a Poison Center or Physician was stored on the top shelf in the unlocked cabinet above the sink used for handwashing. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2, the medication authorization for one 4 ounce tube of Desitin Diaper Cream that was monitored was valid from April 1, 2023, to April 1, 2024. The medication authorization for one, 1.4 ounce tube of Vaseline Healing Jelly All-Over Body Balm that was monitored was valid from April 18, 2023 to April 18, 2024. . The medication authorization for one, 3.5 ounce tube of Auquaphor Baby 3 in 1 Diaper Rash Cream that was monitored and had an expiration date of November 2023, was valid from June 14, 2022 to December 14, 2022. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Upon arrival, children were observed on playground #4. One plastic cup, one white tissue, one plastic wrapper and one paper plate were observed on playground #4. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, one (1) sixty-four ounce bottle of Bubble Solution with Funnel Bubble Play that listed a warning regarding small parts and not suitable for children under three years of age and one Ziploc plastic bag was stored in the unlocked cabinet below the sink used for handwashing. In space #6b, two plastic packages of Cuties Sensitive Unscented Baby Wipes and one plastic package of Pampers Sensitive Baby Wipes stored fifty-six inches from the floor surface in the unlocked middle cabinet above the handwashing sink. The warning on the plastic packages listed to avoid danger of suffocation, keep outer wrapper and plastic bags away from babies and children. In space #7b, one plastic package of Cuties Sensitive Unscented Baby Wipes was stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing. In space #8, one box of Gallon sized Ziploc Storage bags were stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing. .0604(q) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. In space 6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on the tummy to sleep at 12:45pm on April 30, 2024, and at 12:15pm on May 7, 2024. In space #6a, the Infant Sleep Chart documented that one infant, nine months of age was initially placed on their tummy to sleep at 12:15pm on May 7, 2024. In space #6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on their side to sleep at 12pm on May 3, 2024, on their tummy to sleep at 12:35pm on May 6, 2024, and on their side to sleep at 1:30pm on May 7, 2024, and on their tummy to sleep at 12:15pm on May 8, 2024. In space 6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on their tummy to sleep at 12:07pm on May 6, 2024, at 12:45pm on May 7, 2024, and at 12:30pm on May 8, 2024. In space #6a, the Infant Sleep Chart documented that one infant, eleven months of age was initially placed on their side to sleep at 1:30pm on May 7, 2024. .0606(a)(1)(A-B) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One lead teacher with a hire date of September 22, 2022, received two of the required ten hours of ongoing training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One lead teacher with a hire date of April 4, 2023, did not have an annual staff evaluation on file for review. One lead teacher with a hire date of September 27, 2022, had a staff development plan on file dated October 7, 2022. One lead teacher with a hire date of August 18, 2022, had a staff development plan on file dated August 16, 2022. One lead teacher with a hire date of August 18, 2022, had a staff development plan on file dated August 16, 2022. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent emergency drill, shelter-in-place, documented on the drill record was conducted on December 20, 2023. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The EPR Plan was not available for review. .0607(c) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, the medication authorization was not dated when the parent signed the form giving authorization to administer Boudreaux's Butt Paste. In space #8, the medication authorization for one, 1.75 ounce container of Vaseline did not document the dates the authorization was valid. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 employee with a hire date of January 8, 2024, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on April 15, 2024. One employee with a hire date of November 7, 2023, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on April 15, 2024. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One lead teacher with a hire date of April 4, 2023, did not complete the required health and safety training. .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 22, 2024. Please send your letter to jennifer.roberts@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 89%. 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: Item # 1811 The most recent emergency drill was conducted on December 20, 2023. We discussed conducting emergency drills every three months. I suggested you place a reminder on your calendar to alert you to conduct an emergency drill. As a reminder, either a shelter-in-place or lockdown drill must be conducted on or before the date of the most current drill within the three months. Example: a shelter-in-place was conducted on March 19, 2024, the next emergency drill must be conducted on or before June 19, 2024. Item #805 When a fire drill is conducted, you must document all the required information. Per child care rule .0302(d)(5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5. Item #895 We discussed that infants must be initially placed on their back for sleeping and documented on the infant sleep chart. I suggested that you review the safe sleep policy with staff and remind them to document the position the infant was initially placed for sleeping. Item #858 Plastic bags and items stored in plastic packaging must be stored at least five feet from the floor surface in classrooms that care is provided for children under three years of age. I suggested that teachers store plastic bags and items stored in plastic packaging on the second shelf of the white cabinets hanging on the wall instead of the bottom shelf. Plastic packaging and plastic bags must be inaccessible to children under three years of age. I suggested that you review child care rule .0604 (q) with staff regarding plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. Item #856 Child care rule .0604 (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. I suggested that you remind staff to check all playgrounds for debris. I suggested that you create a daily checklist for the playgrounds to remind staff to conduct visual checks and remove any debris or broken equipment. Item #540 Infant feeding plans must be completed for each child under fifteen months of age and posted. Child care rule .902(a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall 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 shall 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 shall 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 you review all written feeding plans to ensure that all the required information is documented prior to staff posting the written feeding plan. Item #849 Leftover medications must be returned to the parent at the end of treatment or when the permission to administer has expired. I suggested that staff review all medications and authorization forms monthly to ensure that medications that are about to expire and/or the medication authorization form is not current to ensure that medications are returned to the parent within 72 hours. As children are moved to a different classroom, I suggested that you remind staff to check for medications and if the child has a medication that they transfer the medication to the new classroom. Item #1812 The Emergency Preparedness and Response Plan was not available for review. You stated that you had not updated the EPR Plan and you could not find the EPR Plan that was previously created. I reminded you that the EPR Plan must be updated as changes occur and at least annually. You will need to create a plan and print it out and place it on file for review. Item #428 Activity plans must be current and posted for parents to review. I suggested that staff update their activity plan at the close of business on Fridays to ensure that current activity plans are posted for the upcoming week. Item #1882 As parents’ complete medication authorization forms, I suggested that staff review the information on the form to ensure that all information is documented and specific. Child care rule .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. I suggested that you review the rule with staff so they understand the requirements for over-the-counter topical medications. Item #840 Potentially hazardous items must be stored properly. Potentially hazardous items that list additional warning must be stored in locked cabinets, closets, containers, etc. If the only warning is “Keep out of Reach of Children,” then the item must be stored inaccessible to children and at least five feet from the floor surface. Remind staff to read all labels prior to storing the item. Consultation: We discussed and I clarified approved and unapproved spaces. Unapproved spaces are the office, behind the desk in the front lobby, and the staff lounge. Children must arrive in their classroom and they are not permitted to “hang out” in unapproved spaces. I suggested that you use the activity plan that is posted on DCDEE’s website or document the activities on the current activity plan in detail to align with the requirements. Document what books are being read, the gross motor activities, activities to support the theme instead of broad activities. We discussed and I clarified that medication authorization forms for over-the-counter topical ointments must be specific with the amount to be administered to their child. For example, pea sized amount of Orajel Teething Gel, or quarter sized amount of Boudreaux’s Butt Paste. Remind parents to document the name of the medication, for example, Desitin Diaper Rash Cream and not diaper rash cream. Thirty days of Infant Sleep Charts must be available for review. I suggested that staff remove Infant Sleep Charts that are more than thirty days old to eliminate excessive documents in the Infant Sleep Chart binder. I suggested that staff place on file the previous month of the Infant Sleep Chart and the current month. Rated License Status: You have requested a review of staff education to increase your star rating. Staff education will be monitored during the announced visit that will be conducted on Monday, May 13, 2024. Please ensure that all staff have current and up-to-date Works accounts and their current education levels have been evaluated by the education unit in the Raleigh office. You did not request to have the environment rating scale conducted. 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 828-782-0945. Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Jennifer.roberts@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: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 122 Completed Date: 5/8/2024 Age: From 0 To 5 Total Minutes: 327 Time In: 10:35 AM Time Out: 02:28 PM Time In: 03:38 PM Time Out: 05:12 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess 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, Tonya Wyatt, Administrator, assisted with today’s visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a two (2) star license issued December 3, 2022. The permit restrictions listed on the license include daytime care only and meets enhanced ratios. The Secretary of State website was checked on May 7, 2024, and the business, The Nest Schools, 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, your consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on January 24, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on May 25, 2023. The facility was approved for day time only. Please submit the annual fire inspection to me within one week after it is completed. The last emergency drill was conducted on December 20, 2023. The Administrative Action, Cover Letter, and Corrective Action Plan were posted on the wall in the lobby at the entrance to the facility. Status of Corrective Action Plan: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records 2. The training was conducted on Thursday, February 22, 2024. 3. Your written procedures were approved on April 24, 2024. 4. You conducted a staff meeting on May 7, 2024. You provided me with a copy of the attendance roster, agenda, and minutes of the meeting today. Due to time constraints and a sever weather warning, a hand written visit summary was completed and the computer-generated visit summary will be emailed to you. As discussed, children’s files and staff files will be monitored on Monday, May 13, 2024. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #4 and space #10, the posted activity plan was dated April 29, 2024 to May 3, 2024. GS 110-91(12); .0508(a) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space #1, the written feeding plan was not posted for two toddlers, twelve months of age. In space #6a, the written feeding plan for one infant, ten months of age was not signed by the parent and dated when the facility received the written feeding plan. In space #6b, the written feeding plan that was posted for one infant, four months of age, did not include page #2 that documented the parent signature, date received by the facility and information regarding the type and amount of food/formula/human milk to serve the infant. 10A NCAC 09 .0902(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill conducted on February 20, 2024, at 5:45pm did not document the time required to evacuate. The fire drill conducted on March 11, 2024, at 10:45am did not document the time required to evacuate. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, one basket was stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing and contained children's over-the-counter topical ointments. In space #2, one box of Care Science Antibacterial Flexible Fabric Adhesive Bandages was stored fifty-six inches from the floor surface, in the unlocked cabinet above the handwashing sink. In space #5, two 18 ounce bottles of Vivante Expert/Care Conditioner with multiple warnings on the label, and one 1.7 ounce bottle of Betta Fix API that noted Danger: Harmful if swallowed, causes eye irritation, causes skin irritation, If swallowed: call a Poison Center or Physician was stored on the top shelf in the unlocked cabinet above the sink used for handwashing. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2, the medication authorization for one 4 ounce tube of Desitin Diaper Cream that was monitored was valid from April 1, 2023, to April 1, 2024. The medication authorization for one, 1.4 ounce tube of Vaseline Healing Jelly All-Over Body Balm that was monitored was valid from April 18, 2023 to April 18, 2024. . The medication authorization for one, 3.5 ounce tube of Auquaphor Baby 3 in 1 Diaper Rash Cream that was monitored and had an expiration date of November 2023, was valid from June 14, 2022 to December 14, 2022. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Upon arrival, children were observed on playground #4. One plastic cup, one white tissue, one plastic wrapper and one paper plate were observed on playground #4. 10A NCAC 09 .0604(p) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, one (1) sixty-four ounce bottle of Bubble Solution with Funnel Bubble Play that listed a warning regarding small parts and not suitable for children under three years of age and one Ziploc plastic bag was stored in the unlocked cabinet below the sink used for handwashing. In space #6b, two plastic packages of Cuties Sensitive Unscented Baby Wipes and one plastic package of Pampers Sensitive Baby Wipes stored fifty-six inches from the floor surface in the unlocked middle cabinet above the handwashing sink. The warning on the plastic packages listed to avoid danger of suffocation, keep outer wrapper and plastic bags away from babies and children. In space #7b, one plastic package of Cuties Sensitive Unscented Baby Wipes was stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing. In space #8, one box of Gallon sized Ziploc Storage bags were stored fifty-six inches from the floor surface in the unlocked cabinet above the sink used for handwashing. .0604(q) 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. In space 6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on the tummy to sleep at 12:45pm on April 30, 2024, and at 12:15pm on May 7, 2024. In space #6a, the Infant Sleep Chart documented that one infant, nine months of age was initially placed on their tummy to sleep at 12:15pm on May 7, 2024. In space #6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on their side to sleep at 12pm on May 3, 2024, on their tummy to sleep at 12:35pm on May 6, 2024, and on their side to sleep at 1:30pm on May 7, 2024, and on their tummy to sleep at 12:15pm on May 8, 2024. In space 6a, the Infant Sleep Chart documented that one infant, ten months of age was initially placed on their tummy to sleep at 12:07pm on May 6, 2024, at 12:45pm on May 7, 2024, and at 12:30pm on May 8, 2024. In space #6a, the Infant Sleep Chart documented that one infant, eleven months of age was initially placed on their side to sleep at 1:30pm on May 7, 2024. .0606(a)(1)(A-B) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One lead teacher with a hire date of September 22, 2022, received two of the required ten hours of ongoing training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One lead teacher with a hire date of April 4, 2023, did not have an annual staff evaluation on file for review. One lead teacher with a hire date of September 27, 2022, had a staff development plan on file dated October 7, 2022. One lead teacher with a hire date of August 18, 2022, had a staff development plan on file dated August 16, 2022. One lead teacher with a hire date of August 18, 2022, had a staff development plan on file dated August 16, 2022. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent emergency drill, shelter-in-place, documented on the drill record was conducted on December 20, 2023. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The EPR Plan was not available for review. .0607(c) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, the medication authorization was not dated when the parent signed the form giving authorization to administer Boudreaux's Butt Paste. In space #8, the medication authorization for one, 1.75 ounce container of Vaseline did not document the dates the authorization was valid. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 employee with a hire date of January 8, 2024, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on April 15, 2024. One employee with a hire date of November 7, 2023, completed the Recognizing and Responding to Suspicions of Child Maltreatment training on April 15, 2024. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One lead teacher with a hire date of April 4, 2023, did not complete the required health and safety training. .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 22, 2024. Please send your letter to jennifer.roberts@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 89%. 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: Item # 1811 The most recent emergency drill was conducted on December 20, 2023. We discussed conducting emergency drills every three months. I suggested you place a reminder on your calendar to alert you to conduct an emergency drill. As a reminder, either a shelter-in-place or lockdown drill must be conducted on or before the date of the most current drill within the three months. Example: a shelter-in-place was conducted on March 19, 2024, the next emergency drill must be conducted on or before June 19, 2024. Item #805 When a fire drill is conducted, you must document all the required information. Per child care rule .0302(d)(5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5. Item #895 We discussed that infants must be initially placed on their back for sleeping and documented on the infant sleep chart. I suggested that you review the safe sleep policy with staff and remind them to document the position the infant was initially placed for sleeping. Item #858 Plastic bags and items stored in plastic packaging must be stored at least five feet from the floor surface in classrooms that care is provided for children under three years of age. I suggested that teachers store plastic bags and items stored in plastic packaging on the second shelf of the white cabinets hanging on the wall instead of the bottom shelf. Plastic packaging and plastic bags must be inaccessible to children under three years of age. I suggested that you review child care rule .0604 (q) with staff regarding plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. Item #856 Child care rule .0604 (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. I suggested that you remind staff to check all playgrounds for debris. I suggested that you create a daily checklist for the playgrounds to remind staff to conduct visual checks and remove any debris or broken equipment. Item #540 Infant feeding plans must be completed for each child under fifteen months of age and posted. Child care rule .902(a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall 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 shall 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 shall 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 you review all written feeding plans to ensure that all the required information is documented prior to staff posting the written feeding plan. Item #849 Leftover medications must be returned to the parent at the end of treatment or when the permission to administer has expired. I suggested that staff review all medications and authorization forms monthly to ensure that medications that are about to expire and/or the medication authorization form is not current to ensure that medications are returned to the parent within 72 hours. As children are moved to a different classroom, I suggested that you remind staff to check for medications and if the child has a medication that they transfer the medication to the new classroom. Item #1812 The Emergency Preparedness and Response Plan was not available for review. You stated that you had not updated the EPR Plan and you could not find the EPR Plan that was previously created. I reminded you that the EPR Plan must be updated as changes occur and at least annually. You will need to create a plan and print it out and place it on file for review. Item #428 Activity plans must be current and posted for parents to review. I suggested that staff update their activity plan at the close of business on Fridays to ensure that current activity plans are posted for the upcoming week. Item #1882 As parents’ complete medication authorization forms, I suggested that staff review the information on the form to ensure that all information is documented and specific. Child care rule .0803 (7) A parent may give a caregiver standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. I suggested that you review the rule with staff so they understand the requirements for over-the-counter topical medications. Item #840 Potentially hazardous items must be stored properly. Potentially hazardous items that list additional warning must be stored in locked cabinets, closets, containers, etc. If the only warning is “Keep out of Reach of Children,” then the item must be stored inaccessible to children and at least five feet from the floor surface. Remind staff to read all labels prior to storing the item. Consultation: We discussed and I clarified approved and unapproved spaces. Unapproved spaces are the office, behind the desk in the front lobby, and the staff lounge. Children must arrive in their classroom and they are not permitted to “hang out” in unapproved spaces. I suggested that you use the activity plan that is posted on DCDEE’s website or document the activities on the current activity plan in detail to align with the requirements. Document what books are being read, the gross motor activities, activities to support the theme instead of broad activities. We discussed and I clarified that medication authorization forms for over-the-counter topical ointments must be specific with the amount to be administered to their child. For example, pea sized amount of Orajel Teething Gel, or quarter sized amount of Boudreaux’s Butt Paste. Remind parents to document the name of the medication, for example, Desitin Diaper Rash Cream and not diaper rash cream. Thirty days of Infant Sleep Charts must be available for review. I suggested that staff remove Infant Sleep Charts that are more than thirty days old to eliminate excessive documents in the Infant Sleep Chart binder. I suggested that staff place on file the previous month of the Infant Sleep Chart and the current month. Rated License Status: You have requested a review of staff education to increase your star rating. Staff education will be monitored during the announced visit that will be conducted on Monday, May 13, 2024. Please ensure that all staff have current and up-to-date Works accounts and their current education levels have been evaluated by the education unit in the Raleigh office. You did not request to have the environment rating scale conducted. 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 828-782-0945. Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Jennifer.roberts@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 .0802 · Violation

Name of Operation: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 4/24/2024 Number Present: 127 Completed Date: 4/24/2024 Age: From 0 To 5 Total Minutes: 179 Time In: 11:14 AM Time Out: 02:13 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced administrative action visit was to verify compliance with the Corrective Action Plan included in the Written Warning issued on January 2, 2024. You, Tonya Wyatt, Administrator, assisted me with the visit. The Secretary of State website was checked on April 24, 2024, and your business The Nest Schools, 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, 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. Your facility operates with a two (2) star license issued December 3, 2022. The permit restrictions were in compliance including First Shift (daytime care) and meets enhanced ratios. A walkthrough of the facility was conducted. Permit restrictions, staff/child ratio, adequate/approved space and supervision were in compliance during today’s visit. The Administrative Action, Cover Letter, and Corrective Action Plan were posted on the wall in the lobby at the entrance to the facility. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, ITS/SIDS, and Criminal Background Checks. Eight (8) new staff files were reviewed and monitored for CPR/First Aid training, ITS/SIDS, and Criminal Background Checks. The following violation was observed/documented and corrected during today’s visit. Violation Number Comment Rule 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 aerosol can of Colorations Foam Paint was stored in the unlocked cabinet above the sink in space #4. One (1) twenty-four (24) ounce bottle of Clorox Toilet Bowl Cleaner and one (1) thirty-two (32) ounce bottle of Great Value Cleaner with Bleach were stored on top of the cubbies used to store children's personal belongings, in space #10. .2820(b) Technical Assistance: Item #840 We discussed hazardous products and aerosol cans must be stored in locked storage. One eight (8) ounce aerosol can of Colorations Foam Paint was stored in the unlocked cabinet above the sink in space #4. One twenty-four (24) ounce bottle of Clorox Toilet Bowl Cleaner and one thirty-two (32) ounce bottle of Great Value Cleaner with Bleach was stored on top of the cubbies in space #10. To correct this violation, the aerosol can of Colorations Foam Paint was removed from the unlocked cabinet and placed in the office. The bottle of Clorox Toilet Bowl Cleaner and bottle of Great Value Cleaner with Bleach were placed in the locked storage closet in space #10. Consultation: Continue to have staff document the daily attendance. Daily attendance was documented in each space for the children in attendance. You stated that seven staff are scheduled to attend a CPR and First Aid training on April 25, 2024. One (1) staff member with a hire date of April 1, 2024, had successfully completed CPR and First Aid training and verification was on file. Continue to have staff complete incident reports when children are injured. You stated you have created an incident report form that is in triplicate form and requested to use the incident report form that was created and not the incident form posted on DCDEE’s website. The form that I reviewed did not contain all the required information listed in child care rule .0802(e) for incident reports. I suggested that you continue to use the incident report form posted on DCDEE’s website. A sample of eight (8) incident reports were reviewed for meeting the requirements in child care rule .0802(e). 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. We reviewed the following child care rules and child care laws, and technical assistance was provided on each: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records You stated you do not have any questions regarding the rules listed above. Status of Corrective Action Plan: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records 2. The training was conducted on Thursday, February 22, 2024. 3. I provided you with guidance and clarification for the written procedures on March 25, 2024. You completed the modifications needed for the written procedures and emailed them on April 24, 2024. This serves as your oral and written approval of the written procedures. 4. The written procedures were approved on April 24, 2024, you must conduct a staff meeting by May 8, 2024. Once the staff meeting is conducted, submit the documentation, attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. You may email the information to Jennifer.roberts@dhhs.nc.gov. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time 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 828-782-0945. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2201 · Violation

Name of Operation: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 4/24/2024 Number Present: 127 Completed Date: 4/24/2024 Age: From 0 To 5 Total Minutes: 179 Time In: 11:14 AM Time Out: 02:13 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced administrative action visit was to verify compliance with the Corrective Action Plan included in the Written Warning issued on January 2, 2024. You, Tonya Wyatt, Administrator, assisted me with the visit. The Secretary of State website was checked on April 24, 2024, and your business The Nest Schools, 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, 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. Your facility operates with a two (2) star license issued December 3, 2022. The permit restrictions were in compliance including First Shift (daytime care) and meets enhanced ratios. A walkthrough of the facility was conducted. Permit restrictions, staff/child ratio, adequate/approved space and supervision were in compliance during today’s visit. The Administrative Action, Cover Letter, and Corrective Action Plan were posted on the wall in the lobby at the entrance to the facility. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, ITS/SIDS, and Criminal Background Checks. Eight (8) new staff files were reviewed and monitored for CPR/First Aid training, ITS/SIDS, and Criminal Background Checks. The following violation was observed/documented and corrected during today’s visit. Violation Number Comment Rule 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 aerosol can of Colorations Foam Paint was stored in the unlocked cabinet above the sink in space #4. One (1) twenty-four (24) ounce bottle of Clorox Toilet Bowl Cleaner and one (1) thirty-two (32) ounce bottle of Great Value Cleaner with Bleach were stored on top of the cubbies used to store children's personal belongings, in space #10. .2820(b) Technical Assistance: Item #840 We discussed hazardous products and aerosol cans must be stored in locked storage. One eight (8) ounce aerosol can of Colorations Foam Paint was stored in the unlocked cabinet above the sink in space #4. One twenty-four (24) ounce bottle of Clorox Toilet Bowl Cleaner and one thirty-two (32) ounce bottle of Great Value Cleaner with Bleach was stored on top of the cubbies in space #10. To correct this violation, the aerosol can of Colorations Foam Paint was removed from the unlocked cabinet and placed in the office. The bottle of Clorox Toilet Bowl Cleaner and bottle of Great Value Cleaner with Bleach were placed in the locked storage closet in space #10. Consultation: Continue to have staff document the daily attendance. Daily attendance was documented in each space for the children in attendance. You stated that seven staff are scheduled to attend a CPR and First Aid training on April 25, 2024. One (1) staff member with a hire date of April 1, 2024, had successfully completed CPR and First Aid training and verification was on file. Continue to have staff complete incident reports when children are injured. You stated you have created an incident report form that is in triplicate form and requested to use the incident report form that was created and not the incident form posted on DCDEE’s website. The form that I reviewed did not contain all the required information listed in child care rule .0802(e) for incident reports. I suggested that you continue to use the incident report form posted on DCDEE’s website. A sample of eight (8) incident reports were reviewed for meeting the requirements in child care rule .0802(e). 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. We reviewed the following child care rules and child care laws, and technical assistance was provided on each: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records You stated you do not have any questions regarding the rules listed above. Status of Corrective Action Plan: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records 2. The training was conducted on Thursday, February 22, 2024. 3. I provided you with guidance and clarification for the written procedures on March 25, 2024. You completed the modifications needed for the written procedures and emailed them on April 24, 2024. This serves as your oral and written approval of the written procedures. 4. The written procedures were approved on April 24, 2024, you must conduct a staff meeting by May 8, 2024. Once the staff meeting is conducted, submit the documentation, attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. You may email the information to Jennifer.roberts@dhhs.nc.gov. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time 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 828-782-0945. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 4/24/2024 Number Present: 127 Completed Date: 4/24/2024 Age: From 0 To 5 Total Minutes: 179 Time In: 11:14 AM Time Out: 02:13 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced administrative action visit was to verify compliance with the Corrective Action Plan included in the Written Warning issued on January 2, 2024. You, Tonya Wyatt, Administrator, assisted me with the visit. The Secretary of State website was checked on April 24, 2024, and your business The Nest Schools, 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, 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. Your facility operates with a two (2) star license issued December 3, 2022. The permit restrictions were in compliance including First Shift (daytime care) and meets enhanced ratios. A walkthrough of the facility was conducted. Permit restrictions, staff/child ratio, adequate/approved space and supervision were in compliance during today’s visit. The Administrative Action, Cover Letter, and Corrective Action Plan were posted on the wall in the lobby at the entrance to the facility. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, ITS/SIDS, and Criminal Background Checks. Eight (8) new staff files were reviewed and monitored for CPR/First Aid training, ITS/SIDS, and Criminal Background Checks. The following violation was observed/documented and corrected during today’s visit. Violation Number Comment Rule 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 aerosol can of Colorations Foam Paint was stored in the unlocked cabinet above the sink in space #4. One (1) twenty-four (24) ounce bottle of Clorox Toilet Bowl Cleaner and one (1) thirty-two (32) ounce bottle of Great Value Cleaner with Bleach were stored on top of the cubbies used to store children's personal belongings, in space #10. .2820(b) Technical Assistance: Item #840 We discussed hazardous products and aerosol cans must be stored in locked storage. One eight (8) ounce aerosol can of Colorations Foam Paint was stored in the unlocked cabinet above the sink in space #4. One twenty-four (24) ounce bottle of Clorox Toilet Bowl Cleaner and one thirty-two (32) ounce bottle of Great Value Cleaner with Bleach was stored on top of the cubbies in space #10. To correct this violation, the aerosol can of Colorations Foam Paint was removed from the unlocked cabinet and placed in the office. The bottle of Clorox Toilet Bowl Cleaner and bottle of Great Value Cleaner with Bleach were placed in the locked storage closet in space #10. Consultation: Continue to have staff document the daily attendance. Daily attendance was documented in each space for the children in attendance. You stated that seven staff are scheduled to attend a CPR and First Aid training on April 25, 2024. One (1) staff member with a hire date of April 1, 2024, had successfully completed CPR and First Aid training and verification was on file. Continue to have staff complete incident reports when children are injured. You stated you have created an incident report form that is in triplicate form and requested to use the incident report form that was created and not the incident form posted on DCDEE’s website. The form that I reviewed did not contain all the required information listed in child care rule .0802(e) for incident reports. I suggested that you continue to use the incident report form posted on DCDEE’s website. A sample of eight (8) incident reports were reviewed for meeting the requirements in child care rule .0802(e). 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. We reviewed the following child care rules and child care laws, and technical assistance was provided on each: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records You stated you do not have any questions regarding the rules listed above. Status of Corrective Action Plan: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records 2. The training was conducted on Thursday, February 22, 2024. 3. I provided you with guidance and clarification for the written procedures on March 25, 2024. You completed the modifications needed for the written procedures and emailed them on April 24, 2024. This serves as your oral and written approval of the written procedures. 4. The written procedures were approved on April 24, 2024, you must conduct a staff meeting by May 8, 2024. Once the staff meeting is conducted, submit the documentation, attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. You may email the information to Jennifer.roberts@dhhs.nc.gov. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time 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 828-782-0945. 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: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 4/24/2024 Number Present: 127 Completed Date: 4/24/2024 Age: From 0 To 5 Total Minutes: 179 Time In: 11:14 AM Time Out: 02:13 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced administrative action visit was to verify compliance with the Corrective Action Plan included in the Written Warning issued on January 2, 2024. You, Tonya Wyatt, Administrator, assisted me with the visit. The Secretary of State website was checked on April 24, 2024, and your business The Nest Schools, 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, 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. Your facility operates with a two (2) star license issued December 3, 2022. The permit restrictions were in compliance including First Shift (daytime care) and meets enhanced ratios. A walkthrough of the facility was conducted. Permit restrictions, staff/child ratio, adequate/approved space and supervision were in compliance during today’s visit. The Administrative Action, Cover Letter, and Corrective Action Plan were posted on the wall in the lobby at the entrance to the facility. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, ITS/SIDS, and Criminal Background Checks. Eight (8) new staff files were reviewed and monitored for CPR/First Aid training, ITS/SIDS, and Criminal Background Checks. The following violation was observed/documented and corrected during today’s visit. Violation Number Comment Rule 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 aerosol can of Colorations Foam Paint was stored in the unlocked cabinet above the sink in space #4. One (1) twenty-four (24) ounce bottle of Clorox Toilet Bowl Cleaner and one (1) thirty-two (32) ounce bottle of Great Value Cleaner with Bleach were stored on top of the cubbies used to store children's personal belongings, in space #10. .2820(b) Technical Assistance: Item #840 We discussed hazardous products and aerosol cans must be stored in locked storage. One eight (8) ounce aerosol can of Colorations Foam Paint was stored in the unlocked cabinet above the sink in space #4. One twenty-four (24) ounce bottle of Clorox Toilet Bowl Cleaner and one thirty-two (32) ounce bottle of Great Value Cleaner with Bleach was stored on top of the cubbies in space #10. To correct this violation, the aerosol can of Colorations Foam Paint was removed from the unlocked cabinet and placed in the office. The bottle of Clorox Toilet Bowl Cleaner and bottle of Great Value Cleaner with Bleach were placed in the locked storage closet in space #10. Consultation: Continue to have staff document the daily attendance. Daily attendance was documented in each space for the children in attendance. You stated that seven staff are scheduled to attend a CPR and First Aid training on April 25, 2024. One (1) staff member with a hire date of April 1, 2024, had successfully completed CPR and First Aid training and verification was on file. Continue to have staff complete incident reports when children are injured. You stated you have created an incident report form that is in triplicate form and requested to use the incident report form that was created and not the incident form posted on DCDEE’s website. The form that I reviewed did not contain all the required information listed in child care rule .0802(e) for incident reports. I suggested that you continue to use the incident report form posted on DCDEE’s website. A sample of eight (8) incident reports were reviewed for meeting the requirements in child care rule .0802(e). 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. We reviewed the following child care rules and child care laws, and technical assistance was provided on each: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records You stated you do not have any questions regarding the rules listed above. Status of Corrective Action Plan: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records 2. The training was conducted on Thursday, February 22, 2024. 3. I provided you with guidance and clarification for the written procedures on March 25, 2024. You completed the modifications needed for the written procedures and emailed them on April 24, 2024. This serves as your oral and written approval of the written procedures. 4. The written procedures were approved on April 24, 2024, you must conduct a staff meeting by May 8, 2024. Once the staff meeting is conducted, submit the documentation, attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. You may email the information to Jennifer.roberts@dhhs.nc.gov. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time 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 828-782-0945. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 3/25/2024 Number Present: 120 Completed Date: 3/25/2024 Age: From 0 To 5 Total Minutes: 213 Time In: 10:47 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced administrative action visit was to verify compliance with the Corrective Action Plan included in the Written Warning issued on January 2, 2024. You, Tonya Wyatt, Administrator, assisted me with the visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit. The Secretary of State website was checked on March 25, 2024, and your business The Nest Schools, 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, 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. Your facility operates with a two (2) star license issued December 3, 2022. The permit restrictions were in compliance including First Shift (daytime care) and meets enhanced ratios. A walkthrough of the facility was conducted. Permit restrictions, staff/child ratio, adequate/approved space and supervision were in compliance during today’s visit. The Administrative Action, Cover Letter, and Corrective Action Plan were posted on the wall in the lobby at the entrance to the facility. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, ITS/SIDS, and Criminal Background Checks. One staff file was reviewed and monitored for CPR/First Aid training, ITS/SIDS, and Criminal Background Checks. The following violation was observed/documented and corrected during today’s visit. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, one aerosol can of Glade Oak Air Freshener and two aerosol cans of Mika's Fun House Foam Soap (Groovy Grape, Raspberry-Lime), were stored above the sink in the unlocked white cabinet. In space #5, one aerosol can of Lysol Disinfecting Spray, two aerosol cans of Barbasol Original Shaving Cream, and one aerosol can of Mika's Fun House Foam Soap (Very Berry) were stored in the unlocked white cabinet above the sink. In space #8, two aerosol cans of Mika's Fun House Foam Soap (Raspberry-Lime, Groovy Grape) were stored in the unlocked upper white cabinet to the right of the sink. .2820(b) Technical Assistance: Item #840 We discussed products in aerosol cans must be kept in locked storage. Shaving cream is not permitted for use in children’s projects/arts. This violation was corrected by removing the aerosol cans of Lysol, Barbasol Shaving Cream, Glade Oak Air Freshener Spray, and Mika’s Fun House Foam Soap, from the unlocked cabinets and placing them in the locked closet in space #3. Consultation: Continue to have staff document the daily attendance. Daily attendance was documented in each space for the children in attendance. One staff with a hire date of March 15, 2024, will need CPR and First Aid training by June 15, 2024. Continue to have staff complete incident reports when children are injured. Thirty incident reports were reviewed and contained the required information. 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. We reviewed the following child care rules and child care laws, and technical assistance was provided on each: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records You stated you do not have any questions regarding the rules listed above. Status of Corrective Action Plan: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records 2. The training was conducted on Thursday, February 22, 2024. 3. I provided you with guidance and clarification for the written procedures. 4. Once the written procedures are resubmitted with modifications and approved, you must conduct a staff meeting. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time 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 828-782-0945. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2201 · Violation

Name of Operation: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 3/25/2024 Number Present: 120 Completed Date: 3/25/2024 Age: From 0 To 5 Total Minutes: 213 Time In: 10:47 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced administrative action visit was to verify compliance with the Corrective Action Plan included in the Written Warning issued on January 2, 2024. You, Tonya Wyatt, Administrator, assisted me with the visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit. The Secretary of State website was checked on March 25, 2024, and your business The Nest Schools, 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, 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. Your facility operates with a two (2) star license issued December 3, 2022. The permit restrictions were in compliance including First Shift (daytime care) and meets enhanced ratios. A walkthrough of the facility was conducted. Permit restrictions, staff/child ratio, adequate/approved space and supervision were in compliance during today’s visit. The Administrative Action, Cover Letter, and Corrective Action Plan were posted on the wall in the lobby at the entrance to the facility. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, ITS/SIDS, and Criminal Background Checks. One staff file was reviewed and monitored for CPR/First Aid training, ITS/SIDS, and Criminal Background Checks. The following violation was observed/documented and corrected during today’s visit. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, one aerosol can of Glade Oak Air Freshener and two aerosol cans of Mika's Fun House Foam Soap (Groovy Grape, Raspberry-Lime), were stored above the sink in the unlocked white cabinet. In space #5, one aerosol can of Lysol Disinfecting Spray, two aerosol cans of Barbasol Original Shaving Cream, and one aerosol can of Mika's Fun House Foam Soap (Very Berry) were stored in the unlocked white cabinet above the sink. In space #8, two aerosol cans of Mika's Fun House Foam Soap (Raspberry-Lime, Groovy Grape) were stored in the unlocked upper white cabinet to the right of the sink. .2820(b) Technical Assistance: Item #840 We discussed products in aerosol cans must be kept in locked storage. Shaving cream is not permitted for use in children’s projects/arts. This violation was corrected by removing the aerosol cans of Lysol, Barbasol Shaving Cream, Glade Oak Air Freshener Spray, and Mika’s Fun House Foam Soap, from the unlocked cabinets and placing them in the locked closet in space #3. Consultation: Continue to have staff document the daily attendance. Daily attendance was documented in each space for the children in attendance. One staff with a hire date of March 15, 2024, will need CPR and First Aid training by June 15, 2024. Continue to have staff complete incident reports when children are injured. Thirty incident reports were reviewed and contained the required information. 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. We reviewed the following child care rules and child care laws, and technical assistance was provided on each: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records You stated you do not have any questions regarding the rules listed above. Status of Corrective Action Plan: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records 2. The training was conducted on Thursday, February 22, 2024. 3. I provided you with guidance and clarification for the written procedures. 4. Once the written procedures are resubmitted with modifications and approved, you must conduct a staff meeting. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time 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 828-782-0945. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 3/25/2024 Number Present: 120 Completed Date: 3/25/2024 Age: From 0 To 5 Total Minutes: 213 Time In: 10:47 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced administrative action visit was to verify compliance with the Corrective Action Plan included in the Written Warning issued on January 2, 2024. You, Tonya Wyatt, Administrator, assisted me with the visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit. The Secretary of State website was checked on March 25, 2024, and your business The Nest Schools, 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, 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. Your facility operates with a two (2) star license issued December 3, 2022. The permit restrictions were in compliance including First Shift (daytime care) and meets enhanced ratios. A walkthrough of the facility was conducted. Permit restrictions, staff/child ratio, adequate/approved space and supervision were in compliance during today’s visit. The Administrative Action, Cover Letter, and Corrective Action Plan were posted on the wall in the lobby at the entrance to the facility. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, ITS/SIDS, and Criminal Background Checks. One staff file was reviewed and monitored for CPR/First Aid training, ITS/SIDS, and Criminal Background Checks. The following violation was observed/documented and corrected during today’s visit. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, one aerosol can of Glade Oak Air Freshener and two aerosol cans of Mika's Fun House Foam Soap (Groovy Grape, Raspberry-Lime), were stored above the sink in the unlocked white cabinet. In space #5, one aerosol can of Lysol Disinfecting Spray, two aerosol cans of Barbasol Original Shaving Cream, and one aerosol can of Mika's Fun House Foam Soap (Very Berry) were stored in the unlocked white cabinet above the sink. In space #8, two aerosol cans of Mika's Fun House Foam Soap (Raspberry-Lime, Groovy Grape) were stored in the unlocked upper white cabinet to the right of the sink. .2820(b) Technical Assistance: Item #840 We discussed products in aerosol cans must be kept in locked storage. Shaving cream is not permitted for use in children’s projects/arts. This violation was corrected by removing the aerosol cans of Lysol, Barbasol Shaving Cream, Glade Oak Air Freshener Spray, and Mika’s Fun House Foam Soap, from the unlocked cabinets and placing them in the locked closet in space #3. Consultation: Continue to have staff document the daily attendance. Daily attendance was documented in each space for the children in attendance. One staff with a hire date of March 15, 2024, will need CPR and First Aid training by June 15, 2024. Continue to have staff complete incident reports when children are injured. Thirty incident reports were reviewed and contained the required information. 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. We reviewed the following child care rules and child care laws, and technical assistance was provided on each: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records You stated you do not have any questions regarding the rules listed above. Status of Corrective Action Plan: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records 2. The training was conducted on Thursday, February 22, 2024. 3. I provided you with guidance and clarification for the written procedures. 4. Once the written procedures are resubmitted with modifications and approved, you must conduct a staff meeting. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time 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 828-782-0945. 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: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: Visit Date: 3/25/2024 Number Present: 120 Completed Date: 3/25/2024 Age: From 0 To 5 Total Minutes: 213 Time In: 10:47 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced administrative action visit was to verify compliance with the Corrective Action Plan included in the Written Warning issued on January 2, 2024. You, Tonya Wyatt, Administrator, assisted me with the visit. Farran Rhyne, Child Care Consultant, accompanied me on the visit. The Secretary of State website was checked on March 25, 2024, and your business The Nest Schools, 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, 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. Your facility operates with a two (2) star license issued December 3, 2022. The permit restrictions were in compliance including First Shift (daytime care) and meets enhanced ratios. A walkthrough of the facility was conducted. Permit restrictions, staff/child ratio, adequate/approved space and supervision were in compliance during today’s visit. The Administrative Action, Cover Letter, and Corrective Action Plan were posted on the wall in the lobby at the entrance to the facility. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, ITS/SIDS, and Criminal Background Checks. One staff file was reviewed and monitored for CPR/First Aid training, ITS/SIDS, and Criminal Background Checks. The following violation was observed/documented and corrected during today’s visit. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, one aerosol can of Glade Oak Air Freshener and two aerosol cans of Mika's Fun House Foam Soap (Groovy Grape, Raspberry-Lime), were stored above the sink in the unlocked white cabinet. In space #5, one aerosol can of Lysol Disinfecting Spray, two aerosol cans of Barbasol Original Shaving Cream, and one aerosol can of Mika's Fun House Foam Soap (Very Berry) were stored in the unlocked white cabinet above the sink. In space #8, two aerosol cans of Mika's Fun House Foam Soap (Raspberry-Lime, Groovy Grape) were stored in the unlocked upper white cabinet to the right of the sink. .2820(b) Technical Assistance: Item #840 We discussed products in aerosol cans must be kept in locked storage. Shaving cream is not permitted for use in children’s projects/arts. This violation was corrected by removing the aerosol cans of Lysol, Barbasol Shaving Cream, Glade Oak Air Freshener Spray, and Mika’s Fun House Foam Soap, from the unlocked cabinets and placing them in the locked closet in space #3. Consultation: Continue to have staff document the daily attendance. Daily attendance was documented in each space for the children in attendance. One staff with a hire date of March 15, 2024, will need CPR and First Aid training by June 15, 2024. Continue to have staff complete incident reports when children are injured. Thirty incident reports were reviewed and contained the required information. 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. We reviewed the following child care rules and child care laws, and technical assistance was provided on each: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records You stated you do not have any questions regarding the rules listed above. Status of Corrective Action Plan: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(9) regarding program records • Child Care Rule 10A NCAC 09 .2818 regarding staff/child ratios • Child Care Rule 10A NCAC 09 .0802(e) regarding children’s records 2. The training was conducted on Thursday, February 22, 2024. 3. I provided you with guidance and clarification for the written procedures. 4. Once the written procedures are resubmitted with modifications and approved, you must conduct a staff meeting. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time 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 828-782-0945. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2201 · Violation

Name of Operation: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: 1223-178L Visit Date: 12/29/2023 Number Present: 70 Completed Date: 12/29/2023 Age: From 0 To 5 Total Minutes: 151 Time In: 10:49 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements. You, Patience Kinney, Assistant Administrator, assisted with the visit. Dinah Brown, Child Care Consultant, accompanied me on the visit. The Secretary of State website was checked on December 29, 2023, and the business, The Nest Schools, Inc., was still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. You reported that seventy (70) children, ranging from infants to five years of age, were in attendance during the visit. On December 15, 2023, the following allegation was received. There is a concern regarding discipline. When we arrived, we discussed the allegation with you. As I discussed with you, the administrator had contacted me December 12, 2023, to report an instance of inappropriate discipline being used by one of the staff. I requested to review the video footage of the allegation but your Regional Director was unavailable to access the footage. You stated your perception of the allegation. I requested to interview one teacher that had knowledge of the allegation. Based on the staff interviews, inappropriate discipline was used, therefore the allegation for “There is a concern regarding discipline” was confirmed, therefore substantiated. The following violation was documented today. Violation Number Comment Rule 872 Appropriate discipline practices were not followed. Per staff report, one (1) child, two years of age, was popped on their hand by a teacher for playing with their food on December 12, 2023. .1803 Technical assistance was provided on the following. Item #872 Appropriate discipline practices were not followed. Per child care requirement .1803, (a) No child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. For purposes of this Rule, "staff" shall mean any regular or substitute caregiver, any volunteer, and any auxiliary personnel, including cooks, secretaries, janitors, maids, or vehicle drivers. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. One child was popped on their hand for playing in their food per your statement. I suggested that you review your discipline policy with all staff and model appropriate discipline procedures. I suggested you share with staff, and I emailed you a copy of the document, Discipline Measures from the online database, Caring for Our Children. Discipline should be used as a teaching tool and not as punishment. Consultation: -I reminded you that staff should be moving about the outdoor learning environment to ensure that all children are adequately supervised and their needs are attended to in a timely manner. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by January 12, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at Jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at Tammy.mcgalliard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE NEST SCHOOL Facility ID: 36000627 Consultant: JENNIFER H ROBERTS Operation Type: Center Case Number: 1223-178L Visit Date: 12/29/2023 Number Present: 70 Completed Date: 12/29/2023 Age: From 0 To 5 Total Minutes: 151 Time In: 10:49 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements. You, Patience Kinney, Assistant Administrator, assisted with the visit. Dinah Brown, Child Care Consultant, accompanied me on the visit. The Secretary of State website was checked on December 29, 2023, and the business, The Nest Schools, Inc., was still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. You reported that seventy (70) children, ranging from infants to five years of age, were in attendance during the visit. On December 15, 2023, the following allegation was received. There is a concern regarding discipline. When we arrived, we discussed the allegation with you. As I discussed with you, the administrator had contacted me December 12, 2023, to report an instance of inappropriate discipline being used by one of the staff. I requested to review the video footage of the allegation but your Regional Director was unavailable to access the footage. You stated your perception of the allegation. I requested to interview one teacher that had knowledge of the allegation. Based on the staff interviews, inappropriate discipline was used, therefore the allegation for “There is a concern regarding discipline” was confirmed, therefore substantiated. The following violation was documented today. Violation Number Comment Rule 872 Appropriate discipline practices were not followed. Per staff report, one (1) child, two years of age, was popped on their hand by a teacher for playing with their food on December 12, 2023. .1803 Technical assistance was provided on the following. Item #872 Appropriate discipline practices were not followed. Per child care requirement .1803, (a) No child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. For purposes of this Rule, "staff" shall mean any regular or substitute caregiver, any volunteer, and any auxiliary personnel, including cooks, secretaries, janitors, maids, or vehicle drivers. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. One child was popped on their hand for playing in their food per your statement. I suggested that you review your discipline policy with all staff and model appropriate discipline procedures. I suggested you share with staff, and I emailed you a copy of the document, Discipline Measures from the online database, Caring for Our Children. Discipline should be used as a teaching tool and not as punishment. Consultation: -I reminded you that staff should be moving about the outdoor learning environment to ensure that all children are adequately supervised and their needs are attended to in a timely manner. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. COVID-19 Resources Visit yourspotyourshot.nc.gov for up-to-date information. Hotline 1-877-490-6642 Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by January 12, 2024. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at Jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-782-0945, jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or my supervisor, Tammy McGalliard at Tammy.mcgalliard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times