10A NCAC 09 .0604 · Violation

Name of Operation: BEGINNING VISION CHILD DEVELOPMENT CENTER Facility ID: 01000281 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 95 Completed Date: 9/11/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Sherita Garrison and Valerie Morris, Co-Directors. Your program currently operates with a Five Star license. Restrictions include Daytime care only; Meets enhanced ratios; Meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on September 10, 2025, and Kerley and King, Inc was listed as active and not current. Mrs. Morris went on the Secretary of Staff website and updated the information. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play, playing in their outside learning environment, and lunch. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Funny Daffer. The last annual compliance visit was conducted on October 8, 2024. A sanitation inspection was completed December 18, 2024, with a Superior classification. The last fire inspection was conducted October 11, 2024. Program records and required postings were monitored. A fire drill was conducted on August 25, 2025. A shelter in place drill was documented on June 5, 2025. An outdoor inspection was documented on August 4, 2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked cabinets. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do provide transportation in the afternoon for school age children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored two vehicles today. I observed a 2010 Thomas Bus, Tag #ZXB-8335 and a 2009 STCR bus, Tag #Visions3. These vehicles were clean, in good repair, had working seatbelts, had adequate tire tread, and were current on inspection and insurance. Your next inspection date on this vehicle is due August 2026, and the insurance is valid through February 23, 2026. The following violations were cited during today’s visit: Violation Number Comment Rule 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. A fan in Room 4 was located in the reach of children on a shelf. Three other classrooms had the fans located up high. They were not mounted or had mesh coverings. 10A NCAC 09 .0604(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. There was a container of Banana Boat sunscreen, Boudreaux diaper cream and a prescribed Nystatin ointment without permission to administer forms located in the classroom. The medication was removed from the classroom by the co-director. 10A NCAC 09 .0803(1)(a & b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Several staff members did not update their health questionnaire within the year timeframe. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information forms for several employees were last completed more than a year ago. .0701(a) 1314 Emergency information did not name child's health care professional. One child file that I reviewed did not contain the health professional information. .0802(c)(2) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. K. McCandless did not have a medical report on file. The staff member went and picked up the report during the visit. .0701(d) Child Care programs are expected to always achieve and maintain compliance 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before September 25, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to turkessha.casterlow@dhhs.nc.gov. If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • Obtaining health information for children in childcare is vital for ensuring their well-being and safety, allowing caregivers to respond effectively to emergencies, manage chronic conditions, and facilitate communication between parents and healthcare providers. Accurate records help prevent the spread of illness, ensure children receive appropriate care, and provide a basis for meeting their physical and emotional needs. • Covering fans is important in child care to protect children from physical injury by preventing their fingers or small objects from contacting the moving blades and to improve air quality, as children are more vulnerable to airborne contaminants that can hinder lung development and trigger respiratory issues. • Staff in childcare need a medical report before starting work to ensure they are physically and emotionally fit to care for children, to prevent the spread of infectious diseases, and to comply with state regulations designed to protect the health and safety of children in their care. These reports indicate the staff member's ability to perform duties and screen for conditions like tuberculosis (TB), which could pose a risk to vulnerable children. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • We discussed making a medication binder for the front office to keep track of the children’s medication forms. • A. Wilson will need CPR/First Aid by 11/7/25 and Health and Safety Training by 8/7/2026. E. Summers has until 5/5/26 to complete Health and Safety Training. • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Preparing for North Carolina’s New QRIS System North Carolina’s Quality Rating Improvement System (QRIS) is being modernized to provide more flexible and equitable ways for programs to demonstrate quality. Beginning later this year, providers will be able to choose from three star-rating pathways: Program Assessment, Classroom & Instructional Quality Accreditation. This new approach allows programs to align their strengths with the pathway that best fits their operations. Now is the time to prepare. Programs should begin evaluating staff qualifications including updating staff education in NC Works, curriculum, and classroom interactions to determine the most suitable pathway. Updates to staff qualification standards and assessment tools are expected, and while current star ratings remain valid for now, all new ratings will be issued under the revised QRIS system. Your program’s quality should reflect not only compliance, but also a strong commitment to best practices, child development, and continuous improvement. Providers are encouraged to take advantage of available technical assistance and training opportunities. A provider meeting will be held on September 29, 2025, from 1:00–3:00 PM at Impact Alamance. Please plan to attend this meeting to learn more about the new QRIS system. At the completion of the visit, this visit summary was reviewed with and provided to you. You were provided with an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Childcare licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you meet all requirements is to periodically review the childcare laws and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: BEGINNING VISION CHILD DEVELOPMENT CENTER Facility ID: 01000281 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 95 Completed Date: 9/11/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Sherita Garrison and Valerie Morris, Co-Directors. Your program currently operates with a Five Star license. Restrictions include Daytime care only; Meets enhanced ratios; Meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on September 10, 2025, and Kerley and King, Inc was listed as active and not current. Mrs. Morris went on the Secretary of Staff website and updated the information. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play, playing in their outside learning environment, and lunch. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Funny Daffer. The last annual compliance visit was conducted on October 8, 2024. A sanitation inspection was completed December 18, 2024, with a Superior classification. The last fire inspection was conducted October 11, 2024. Program records and required postings were monitored. A fire drill was conducted on August 25, 2025. A shelter in place drill was documented on June 5, 2025. An outdoor inspection was documented on August 4, 2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked cabinets. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do provide transportation in the afternoon for school age children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored two vehicles today. I observed a 2010 Thomas Bus, Tag #ZXB-8335 and a 2009 STCR bus, Tag #Visions3. These vehicles were clean, in good repair, had working seatbelts, had adequate tire tread, and were current on inspection and insurance. Your next inspection date on this vehicle is due August 2026, and the insurance is valid through February 23, 2026. The following violations were cited during today’s visit: Violation Number Comment Rule 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. A fan in Room 4 was located in the reach of children on a shelf. Three other classrooms had the fans located up high. They were not mounted or had mesh coverings. 10A NCAC 09 .0604(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. There was a container of Banana Boat sunscreen, Boudreaux diaper cream and a prescribed Nystatin ointment without permission to administer forms located in the classroom. The medication was removed from the classroom by the co-director. 10A NCAC 09 .0803(1)(a & b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Several staff members did not update their health questionnaire within the year timeframe. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information forms for several employees were last completed more than a year ago. .0701(a) 1314 Emergency information did not name child's health care professional. One child file that I reviewed did not contain the health professional information. .0802(c)(2) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. K. McCandless did not have a medical report on file. The staff member went and picked up the report during the visit. .0701(d) Child Care programs are expected to always achieve and maintain compliance 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before September 25, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to turkessha.casterlow@dhhs.nc.gov. If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • Obtaining health information for children in childcare is vital for ensuring their well-being and safety, allowing caregivers to respond effectively to emergencies, manage chronic conditions, and facilitate communication between parents and healthcare providers. Accurate records help prevent the spread of illness, ensure children receive appropriate care, and provide a basis for meeting their physical and emotional needs. • Covering fans is important in child care to protect children from physical injury by preventing their fingers or small objects from contacting the moving blades and to improve air quality, as children are more vulnerable to airborne contaminants that can hinder lung development and trigger respiratory issues. • Staff in childcare need a medical report before starting work to ensure they are physically and emotionally fit to care for children, to prevent the spread of infectious diseases, and to comply with state regulations designed to protect the health and safety of children in their care. These reports indicate the staff member's ability to perform duties and screen for conditions like tuberculosis (TB), which could pose a risk to vulnerable children. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • We discussed making a medication binder for the front office to keep track of the children’s medication forms. • A. Wilson will need CPR/First Aid by 11/7/25 and Health and Safety Training by 8/7/2026. E. Summers has until 5/5/26 to complete Health and Safety Training. • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Preparing for North Carolina’s New QRIS System North Carolina’s Quality Rating Improvement System (QRIS) is being modernized to provide more flexible and equitable ways for programs to demonstrate quality. Beginning later this year, providers will be able to choose from three star-rating pathways: Program Assessment, Classroom & Instructional Quality Accreditation. This new approach allows programs to align their strengths with the pathway that best fits their operations. Now is the time to prepare. Programs should begin evaluating staff qualifications including updating staff education in NC Works, curriculum, and classroom interactions to determine the most suitable pathway. Updates to staff qualification standards and assessment tools are expected, and while current star ratings remain valid for now, all new ratings will be issued under the revised QRIS system. Your program’s quality should reflect not only compliance, but also a strong commitment to best practices, child development, and continuous improvement. Providers are encouraged to take advantage of available technical assistance and training opportunities. A provider meeting will be held on September 29, 2025, from 1:00–3:00 PM at Impact Alamance. Please plan to attend this meeting to learn more about the new QRIS system. At the completion of the visit, this visit summary was reviewed with and provided to you. You were provided with an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Childcare licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you meet all requirements is to periodically review the childcare laws and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: BEGINNING VISION CHILD DEVELOPMENT CENTER Facility ID: 01000281 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 95 Completed Date: 9/11/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Sherita Garrison and Valerie Morris, Co-Directors. Your program currently operates with a Five Star license. Restrictions include Daytime care only; Meets enhanced ratios; Meets enhanced space. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on September 10, 2025, and Kerley and King, Inc was listed as active and not current. Mrs. Morris went on the Secretary of Staff website and updated the information. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play, playing in their outside learning environment, and lunch. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Funny Daffer. The last annual compliance visit was conducted on October 8, 2024. A sanitation inspection was completed December 18, 2024, with a Superior classification. The last fire inspection was conducted October 11, 2024. Program records and required postings were monitored. A fire drill was conducted on August 25, 2025. A shelter in place drill was documented on June 5, 2025. An outdoor inspection was documented on August 4, 2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items were stored in locked cabinets. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do provide transportation in the afternoon for school age children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored two vehicles today. I observed a 2010 Thomas Bus, Tag #ZXB-8335 and a 2009 STCR bus, Tag #Visions3. These vehicles were clean, in good repair, had working seatbelts, had adequate tire tread, and were current on inspection and insurance. Your next inspection date on this vehicle is due August 2026, and the insurance is valid through February 23, 2026. The following violations were cited during today’s visit: Violation Number Comment Rule 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. A fan in Room 4 was located in the reach of children on a shelf. Three other classrooms had the fans located up high. They were not mounted or had mesh coverings. 10A NCAC 09 .0604(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. There was a container of Banana Boat sunscreen, Boudreaux diaper cream and a prescribed Nystatin ointment without permission to administer forms located in the classroom. The medication was removed from the classroom by the co-director. 10A NCAC 09 .0803(1)(a & b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Several staff members did not update their health questionnaire within the year timeframe. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information forms for several employees were last completed more than a year ago. .0701(a) 1314 Emergency information did not name child's health care professional. One child file that I reviewed did not contain the health professional information. .0802(c)(2) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. K. McCandless did not have a medical report on file. The staff member went and picked up the report during the visit. .0701(d) Child Care programs are expected to always achieve and maintain compliance 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before September 25, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to turkessha.casterlow@dhhs.nc.gov. If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • Obtaining health information for children in childcare is vital for ensuring their well-being and safety, allowing caregivers to respond effectively to emergencies, manage chronic conditions, and facilitate communication between parents and healthcare providers. Accurate records help prevent the spread of illness, ensure children receive appropriate care, and provide a basis for meeting their physical and emotional needs. • Covering fans is important in child care to protect children from physical injury by preventing their fingers or small objects from contacting the moving blades and to improve air quality, as children are more vulnerable to airborne contaminants that can hinder lung development and trigger respiratory issues. • Staff in childcare need a medical report before starting work to ensure they are physically and emotionally fit to care for children, to prevent the spread of infectious diseases, and to comply with state regulations designed to protect the health and safety of children in their care. These reports indicate the staff member's ability to perform duties and screen for conditions like tuberculosis (TB), which could pose a risk to vulnerable children. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • We discussed making a medication binder for the front office to keep track of the children’s medication forms. • A. Wilson will need CPR/First Aid by 11/7/25 and Health and Safety Training by 8/7/2026. E. Summers has until 5/5/26 to complete Health and Safety Training. • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Preparing for North Carolina’s New QRIS System North Carolina’s Quality Rating Improvement System (QRIS) is being modernized to provide more flexible and equitable ways for programs to demonstrate quality. Beginning later this year, providers will be able to choose from three star-rating pathways: Program Assessment, Classroom & Instructional Quality Accreditation. This new approach allows programs to align their strengths with the pathway that best fits their operations. Now is the time to prepare. Programs should begin evaluating staff qualifications including updating staff education in NC Works, curriculum, and classroom interactions to determine the most suitable pathway. Updates to staff qualification standards and assessment tools are expected, and while current star ratings remain valid for now, all new ratings will be issued under the revised QRIS system. Your program’s quality should reflect not only compliance, but also a strong commitment to best practices, child development, and continuous improvement. Providers are encouraged to take advantage of available technical assistance and training opportunities. A provider meeting will be held on September 29, 2025, from 1:00–3:00 PM at Impact Alamance. Please plan to attend this meeting to learn more about the new QRIS system. At the completion of the visit, this visit summary was reviewed with and provided to you. You were provided with an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Childcare licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you meet all requirements is to periodically review the childcare laws and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .0803 · Violation

Name of Operation: BEGINNING VISION CHILD DEVELOPMENT CENTER Facility ID: 01000281 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 4/10/2025 Number Present: 117 Completed Date: 4/10/2025 Age: From 0 To 5 Total Minutes: 185 Time In: 10:40 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s monitoring was to monitor for compliance with childcare requirements during the routine unannounced visit. This facility operates we have Five (5) Star License which was issued on January 25, 2019. The last Annual Compliance Visit was conducted on October 8, 2024. Upon arrival to the facility, I was greeted by Ms. Valerie Morris, Administrator. I stated the purpose of my visit, and we conducted a walkthrough of the facility. Attendance was taken and observations were made. The children were observed participating in outdoor free play, indoor free play, teachers’ directed activities, routines, having lunch and resting. The last Fire Inspection was conducted on October 11, 2024, and was approved for daytime care only. The last Sanitation Inspection was conducted on December 18, 2024. The facility achieved a superior classification. Limited monitoring was conducted on this date. The permit was posted, restrictions maintained. I monitored supervision, staff child ratio, program records, criminal background checks, program postings, and emergency trainings, including CPR/First Aid, IT SIDS. The following violations were observed, cited, and technical assistance was provided. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Documentation for screen-time logs were not available for review. .0510(d)(2)(A-C) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. 10A NCAC 09 .0803(4) 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. One emergency medication had a expiration date of November 2024. .0803(12) The above violations must be corrected immediately, and a compliance letter sent to my office by April 24, 2024. Please submit the letter on your facility letterhead, and include the name of your facility, your facility ID number, the date of compliance, and your electronic signature. If the compliance letter has not been received by my office by April 24, 2024, a return visit may be necessary to ensure compliance with childcare requirements. More violations may be cited. TECHNICAL ASSISTANCE: MEDICATION/PERMISSION TO ADMINISTER - Medications should be maintained in the original container. Potential side-effects are usually included on prescription and OTC medications packaging. When medication has expired it must be returned to parents/guardian or discorded. (See link) https://nrckids.org/CFOC/Database/9.4.2.6. SCREEN TIME: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: When screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. RESOURCES: https://nrckids.org/CFOC/Database/9.2.3.9 https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/D/DCDEE_Rulebook.pdf AGENCY NEWS: Stabilization Grant Quarterly Update Now Open If you received the January Stabilization Grant payment for Q13 January-March 2025, you are required to submit a Q13 quarterly update to report how you spent the money. The Q13 Update will open on Tuesday April 1 at 8:00 a.m. Please submit the quarterly report by 4:59 p.m. on Wednesday, April 30, 2025. Go to Stabilization Grant Application Portal For assistance, visit ncchildcare.ncdhhs.gov/Stabilization-Grants for job aids and other resources, or contact Stabilization Grant Customer Service at dcdee_support@dhhs.nc.gov or (919) 814-6488 FREE 1-hour DCDEE credit training - Address the Stress for Child Care Professionals! Infant/Toddler Trauma-Informed (ITTI) Care Project Training (Free) Child care professionals often feel overwhelmed, unappreciated and isolated. The work is hard and can be both incredibly rewarding and exhausting at the same time. Being responsible for children all day requires energy, patience, and staying calm when children are not. Teachers, family child care professionals and directors need to be ready to respond to children's developmental needs with compassion and creativity to provide the relationships and environments that children need to thrive. In this training, we will start with YOU and your stress and support you in developing an action plan to reduce stress and thrive! We will practice and emphasize the importance of self-reflection, self-awareness, self-care. Staff of the ITTI Care Project, a multi-level trauma-informed approach to promoting child care workforce wellness and relationship-based child care environments, provide an interactive training designed to help you prioritize workday wellness and reduce stress. The ITTI Care Project offers this 1-hour self-paced training designed to help everyone who works in child care settings address their stress. Thank you for your assistance during today's visit. If I can be of further assistance, please do not hesitate to contact my office. You may reach me at anita.c.graham@dhhs.nc.gov or you may dial me at 336 894-0609. You may also contact my supervisor, Kay Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0510 · Violation

Name of Operation: BEGINNING VISION CHILD DEVELOPMENT CENTER Facility ID: 01000281 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 4/10/2025 Number Present: 117 Completed Date: 4/10/2025 Age: From 0 To 5 Total Minutes: 185 Time In: 10:40 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s monitoring was to monitor for compliance with childcare requirements during the routine unannounced visit. This facility operates we have Five (5) Star License which was issued on January 25, 2019. The last Annual Compliance Visit was conducted on October 8, 2024. Upon arrival to the facility, I was greeted by Ms. Valerie Morris, Administrator. I stated the purpose of my visit, and we conducted a walkthrough of the facility. Attendance was taken and observations were made. The children were observed participating in outdoor free play, indoor free play, teachers’ directed activities, routines, having lunch and resting. The last Fire Inspection was conducted on October 11, 2024, and was approved for daytime care only. The last Sanitation Inspection was conducted on December 18, 2024. The facility achieved a superior classification. Limited monitoring was conducted on this date. The permit was posted, restrictions maintained. I monitored supervision, staff child ratio, program records, criminal background checks, program postings, and emergency trainings, including CPR/First Aid, IT SIDS. The following violations were observed, cited, and technical assistance was provided. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Documentation for screen-time logs were not available for review. .0510(d)(2)(A-C) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. 10A NCAC 09 .0803(4) 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. One emergency medication had a expiration date of November 2024. .0803(12) The above violations must be corrected immediately, and a compliance letter sent to my office by April 24, 2024. Please submit the letter on your facility letterhead, and include the name of your facility, your facility ID number, the date of compliance, and your electronic signature. If the compliance letter has not been received by my office by April 24, 2024, a return visit may be necessary to ensure compliance with childcare requirements. More violations may be cited. TECHNICAL ASSISTANCE: MEDICATION/PERMISSION TO ADMINISTER - Medications should be maintained in the original container. Potential side-effects are usually included on prescription and OTC medications packaging. When medication has expired it must be returned to parents/guardian or discorded. (See link) https://nrckids.org/CFOC/Database/9.4.2.6. SCREEN TIME: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: When screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. RESOURCES: https://nrckids.org/CFOC/Database/9.2.3.9 https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/D/DCDEE_Rulebook.pdf AGENCY NEWS: Stabilization Grant Quarterly Update Now Open If you received the January Stabilization Grant payment for Q13 January-March 2025, you are required to submit a Q13 quarterly update to report how you spent the money. The Q13 Update will open on Tuesday April 1 at 8:00 a.m. Please submit the quarterly report by 4:59 p.m. on Wednesday, April 30, 2025. Go to Stabilization Grant Application Portal For assistance, visit ncchildcare.ncdhhs.gov/Stabilization-Grants for job aids and other resources, or contact Stabilization Grant Customer Service at dcdee_support@dhhs.nc.gov or (919) 814-6488 FREE 1-hour DCDEE credit training - Address the Stress for Child Care Professionals! Infant/Toddler Trauma-Informed (ITTI) Care Project Training (Free) Child care professionals often feel overwhelmed, unappreciated and isolated. The work is hard and can be both incredibly rewarding and exhausting at the same time. Being responsible for children all day requires energy, patience, and staying calm when children are not. Teachers, family child care professionals and directors need to be ready to respond to children's developmental needs with compassion and creativity to provide the relationships and environments that children need to thrive. In this training, we will start with YOU and your stress and support you in developing an action plan to reduce stress and thrive! We will practice and emphasize the importance of self-reflection, self-awareness, self-care. Staff of the ITTI Care Project, a multi-level trauma-informed approach to promoting child care workforce wellness and relationship-based child care environments, provide an interactive training designed to help you prioritize workday wellness and reduce stress. The ITTI Care Project offers this 1-hour self-paced training designed to help everyone who works in child care settings address their stress. Thank you for your assistance during today's visit. If I can be of further assistance, please do not hesitate to contact my office. You may reach me at anita.c.graham@dhhs.nc.gov or you may dial me at 336 894-0609. You may also contact my supervisor, Kay Adkins at kaye.adkins@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 .0510 · Violation

Name of Operation: BEGINNING VISION CHILD DEVELOPMENT CENTER Facility ID: 01000281 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 4/25/2024 Number Present: 114 Completed Date: 4/25/2024 Age: From 0 To 5 Total Minutes: 140 Time In: 11:00 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced Visit has been to monitor for compliance with childcare requirements. This facility operates we have 5-Star License which was issued on January 25, 2019. The last Annual Compliance Visit was conducted on October 24, 2023. Upon arrival to the facility, I was greeted by the Ms. Sharita, Administrator. I stated the purpose of my visit and Ms. Sharita assisted me on a walkthrough of the facility. Attendance was taken and observations were made. The children were observed in outdoor free play, indoor free play, teacher directed activities, routines, having lunch and resting. The last fire inspection was conducted on October 11, 2023 and was approved for daytime care only. The last sanitation inspection was conducted on April 24, 2024. The facility achieved a superior classification. Limited monitoring was conducted this date. The permit was posted, restrictions maintained. I monitored supervision, staff child ratio, program records, criminal background checks, program postings, and emergency trainings, including CPR/First Aid, IT SIDS. The following violations were observed, cited, and technical assistance was provided. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not observed in a classroom where the screen was used for activities. .0510(d)(2)(A-C) 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. Diaper cream with an expired date of March 2024 and an expired permission to administer was observed in a classroom. .0803(12) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member did not respond in a positive, nurturing and appropriate manner when redirecting a child. G.S. 110-91(10) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. I observed a staff member yelling at in a child's face and repeating the phrase "it is your fault". .1803(a)(9) The above violations must be corrected immediately, and a compliance letter sent to my office by May 10th, 2024. Please submit the letter on your facility letterhead, and include the name of your facility, your facility ID number, the date of compliance, and your electronic signature. If the compliance letter has not been received by my office by May 10, 2024, a return visit may be necessary to ensure compliance with childcare requirements. More violation may be cited. TECHNICAL ASSISTANCE: DISCIPLINE: 10A NCAC 09 .1803 PROHIBITED DISCIPLINE IN CHILD CARE CENTERS (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: (9) No child shall ever be yelled at, shamed, humiliated, frightened, threatened, or bullied; (b) Discipline practices shall be age and developmentally appropriate. MEDICATION/PERMISSION TO ADMINISTER - Before assuming responsibility for administration of prescription medicine, facilities must have written confirmation of orders from the prescribing health professional that includes clear, accurate instructions and medical confirmation of the child’s need for medication while in the facility. Caregivers/teachers should not administer medication based solely on a parent’s/guardian’s request. Proper labeling of medications is crucial for safety (1). Both the child’s name and the name and dose of the medication should be clear. Medications should never be removed from their original container. All containers should have child resistant packaging. Potential side-effects are usually included on prescription and OTC medications if the packaging is left. A separate consent signed by the parent/guardian for each medication the caregiver/teacher has permission to administer to the child; each consent should include the child’s name, medication, time, dose, how to give the medication, and start and end dates when it should be given; (See link) https://nrckids.org/CFOC/Database/9.4.2.6. SCREEN TIME: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. RESOURCES: https://nrckids.org/CFOC/Database/9.2.3.9 https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/D/DCDEE_Rulebook.pdf AGENCY NEWS: Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in child care. Therefore, it is important that you remain knowledgeable of all licensing requirements. It is always your responsibility to maintain compliance with all applicable laws and rules. The best way for you to ensure that you are meeting said requirements, is to periodically review the child care laws and rules. You can locate/access on the home page under the ‘Services’ tab. The DCDEE website is: https://ncchildcare.ncdhhs.gov. Please be advised that new child care rules went into effect in January 2024. COMMENTS: We discussed the rated license assessment and that this facility is categorized as Cohort 1. This means your program is approaching the end of the planning year and the assessment year begins July 1, 2024 through June 30, 2025. We discussed that after your upcoming annual compliance rated license visit, you will be given the application for assessment. Please submit the application to me and I will request the assessment. You will want to ensure that each staff member, including administration, has all their most recent education transcripts uploaded to WORKS https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Also, please visit our website at https://ncchildcare.ncdhhs.gov/ some forms have been updated, revised or added. NCRLAP has trainings available for programs. You may use this resource for training videos and other helpful information on the website. In-Service training credit is available. Please visit, https://ncrlap.org. Thank you for your assistance during today's visit . If I can be of further assistance, please do not hesitate to contact my office. You may reach me at anita.c.graham@dhhs.nc.gov or you may dial me at 336 894-0609. You may also contact my supervisor, Kay Atkins at kaye.atkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1803 · Violation

Name of Operation: BEGINNING VISION CHILD DEVELOPMENT CENTER Facility ID: 01000281 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 4/25/2024 Number Present: 114 Completed Date: 4/25/2024 Age: From 0 To 5 Total Minutes: 140 Time In: 11:00 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced Visit has been to monitor for compliance with childcare requirements. This facility operates we have 5-Star License which was issued on January 25, 2019. The last Annual Compliance Visit was conducted on October 24, 2023. Upon arrival to the facility, I was greeted by the Ms. Sharita, Administrator. I stated the purpose of my visit and Ms. Sharita assisted me on a walkthrough of the facility. Attendance was taken and observations were made. The children were observed in outdoor free play, indoor free play, teacher directed activities, routines, having lunch and resting. The last fire inspection was conducted on October 11, 2023 and was approved for daytime care only. The last sanitation inspection was conducted on April 24, 2024. The facility achieved a superior classification. Limited monitoring was conducted this date. The permit was posted, restrictions maintained. I monitored supervision, staff child ratio, program records, criminal background checks, program postings, and emergency trainings, including CPR/First Aid, IT SIDS. The following violations were observed, cited, and technical assistance was provided. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not observed in a classroom where the screen was used for activities. .0510(d)(2)(A-C) 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. Diaper cream with an expired date of March 2024 and an expired permission to administer was observed in a classroom. .0803(12) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member did not respond in a positive, nurturing and appropriate manner when redirecting a child. G.S. 110-91(10) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. I observed a staff member yelling at in a child's face and repeating the phrase "it is your fault". .1803(a)(9) The above violations must be corrected immediately, and a compliance letter sent to my office by May 10th, 2024. Please submit the letter on your facility letterhead, and include the name of your facility, your facility ID number, the date of compliance, and your electronic signature. If the compliance letter has not been received by my office by May 10, 2024, a return visit may be necessary to ensure compliance with childcare requirements. More violation may be cited. TECHNICAL ASSISTANCE: DISCIPLINE: 10A NCAC 09 .1803 PROHIBITED DISCIPLINE IN CHILD CARE CENTERS (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: (9) No child shall ever be yelled at, shamed, humiliated, frightened, threatened, or bullied; (b) Discipline practices shall be age and developmentally appropriate. MEDICATION/PERMISSION TO ADMINISTER - Before assuming responsibility for administration of prescription medicine, facilities must have written confirmation of orders from the prescribing health professional that includes clear, accurate instructions and medical confirmation of the child’s need for medication while in the facility. Caregivers/teachers should not administer medication based solely on a parent’s/guardian’s request. Proper labeling of medications is crucial for safety (1). Both the child’s name and the name and dose of the medication should be clear. Medications should never be removed from their original container. All containers should have child resistant packaging. Potential side-effects are usually included on prescription and OTC medications if the packaging is left. A separate consent signed by the parent/guardian for each medication the caregiver/teacher has permission to administer to the child; each consent should include the child’s name, medication, time, dose, how to give the medication, and start and end dates when it should be given; (See link) https://nrckids.org/CFOC/Database/9.4.2.6. SCREEN TIME: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. RESOURCES: https://nrckids.org/CFOC/Database/9.2.3.9 https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/D/DCDEE_Rulebook.pdf AGENCY NEWS: Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in child care. Therefore, it is important that you remain knowledgeable of all licensing requirements. It is always your responsibility to maintain compliance with all applicable laws and rules. The best way for you to ensure that you are meeting said requirements, is to periodically review the child care laws and rules. You can locate/access on the home page under the ‘Services’ tab. The DCDEE website is: https://ncchildcare.ncdhhs.gov. Please be advised that new child care rules went into effect in January 2024. COMMENTS: We discussed the rated license assessment and that this facility is categorized as Cohort 1. This means your program is approaching the end of the planning year and the assessment year begins July 1, 2024 through June 30, 2025. We discussed that after your upcoming annual compliance rated license visit, you will be given the application for assessment. Please submit the application to me and I will request the assessment. You will want to ensure that each staff member, including administration, has all their most recent education transcripts uploaded to WORKS https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Also, please visit our website at https://ncchildcare.ncdhhs.gov/ some forms have been updated, revised or added. NCRLAP has trainings available for programs. You may use this resource for training videos and other helpful information on the website. In-Service training credit is available. Please visit, https://ncrlap.org. Thank you for your assistance during today's visit . If I can be of further assistance, please do not hesitate to contact my office. You may reach me at anita.c.graham@dhhs.nc.gov or you may dial me at 336 894-0609. You may also contact my supervisor, Kay Atkins at kaye.atkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: BEGINNING VISION CHILD DEVELOPMENT CENTER Facility ID: 01000281 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 4/25/2024 Number Present: 114 Completed Date: 4/25/2024 Age: From 0 To 5 Total Minutes: 140 Time In: 11:00 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced Visit has been to monitor for compliance with childcare requirements. This facility operates we have 5-Star License which was issued on January 25, 2019. The last Annual Compliance Visit was conducted on October 24, 2023. Upon arrival to the facility, I was greeted by the Ms. Sharita, Administrator. I stated the purpose of my visit and Ms. Sharita assisted me on a walkthrough of the facility. Attendance was taken and observations were made. The children were observed in outdoor free play, indoor free play, teacher directed activities, routines, having lunch and resting. The last fire inspection was conducted on October 11, 2023 and was approved for daytime care only. The last sanitation inspection was conducted on April 24, 2024. The facility achieved a superior classification. Limited monitoring was conducted this date. The permit was posted, restrictions maintained. I monitored supervision, staff child ratio, program records, criminal background checks, program postings, and emergency trainings, including CPR/First Aid, IT SIDS. The following violations were observed, cited, and technical assistance was provided. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not observed in a classroom where the screen was used for activities. .0510(d)(2)(A-C) 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. Diaper cream with an expired date of March 2024 and an expired permission to administer was observed in a classroom. .0803(12) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member did not respond in a positive, nurturing and appropriate manner when redirecting a child. G.S. 110-91(10) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. I observed a staff member yelling at in a child's face and repeating the phrase "it is your fault". .1803(a)(9) The above violations must be corrected immediately, and a compliance letter sent to my office by May 10th, 2024. Please submit the letter on your facility letterhead, and include the name of your facility, your facility ID number, the date of compliance, and your electronic signature. If the compliance letter has not been received by my office by May 10, 2024, a return visit may be necessary to ensure compliance with childcare requirements. More violation may be cited. TECHNICAL ASSISTANCE: DISCIPLINE: 10A NCAC 09 .1803 PROHIBITED DISCIPLINE IN CHILD CARE CENTERS (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: (9) No child shall ever be yelled at, shamed, humiliated, frightened, threatened, or bullied; (b) Discipline practices shall be age and developmentally appropriate. MEDICATION/PERMISSION TO ADMINISTER - Before assuming responsibility for administration of prescription medicine, facilities must have written confirmation of orders from the prescribing health professional that includes clear, accurate instructions and medical confirmation of the child’s need for medication while in the facility. Caregivers/teachers should not administer medication based solely on a parent’s/guardian’s request. Proper labeling of medications is crucial for safety (1). Both the child’s name and the name and dose of the medication should be clear. Medications should never be removed from their original container. All containers should have child resistant packaging. Potential side-effects are usually included on prescription and OTC medications if the packaging is left. A separate consent signed by the parent/guardian for each medication the caregiver/teacher has permission to administer to the child; each consent should include the child’s name, medication, time, dose, how to give the medication, and start and end dates when it should be given; (See link) https://nrckids.org/CFOC/Database/9.4.2.6. SCREEN TIME: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; and (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. RESOURCES: https://nrckids.org/CFOC/Database/9.2.3.9 https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/D/DCDEE_Rulebook.pdf AGENCY NEWS: Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in child care. Therefore, it is important that you remain knowledgeable of all licensing requirements. It is always your responsibility to maintain compliance with all applicable laws and rules. The best way for you to ensure that you are meeting said requirements, is to periodically review the child care laws and rules. You can locate/access on the home page under the ‘Services’ tab. The DCDEE website is: https://ncchildcare.ncdhhs.gov. Please be advised that new child care rules went into effect in January 2024. COMMENTS: We discussed the rated license assessment and that this facility is categorized as Cohort 1. This means your program is approaching the end of the planning year and the assessment year begins July 1, 2024 through June 30, 2025. We discussed that after your upcoming annual compliance rated license visit, you will be given the application for assessment. Please submit the application to me and I will request the assessment. You will want to ensure that each staff member, including administration, has all their most recent education transcripts uploaded to WORKS https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Also, please visit our website at https://ncchildcare.ncdhhs.gov/ some forms have been updated, revised or added. NCRLAP has trainings available for programs. You may use this resource for training videos and other helpful information on the website. In-Service training credit is available. Please visit, https://ncrlap.org. Thank you for your assistance during today's visit . If I can be of further assistance, please do not hesitate to contact my office. You may reach me at anita.c.graham@dhhs.nc.gov or you may dial me at 336 894-0609. You may also contact my supervisor, Kay Atkins at kaye.atkins@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 .0601 · Violation

Name of Operation: BEGINNING VISION CHILD DEVELOPMENT CENTER Facility ID: 01000281 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 10/24/2023 Number Present: 103 Completed Date: 10/24/2023 Age: From 0 To 5 Total Minutes: 175 Time In: 09:40 AM Time Out: 12:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on November 3, 2022. The facility currently operates with a Five-Star Child Care license that was issued on January 25, 2019. The last Sanitation Inspection was completed on July 18, 2023, with a "Superior" classification and (4) demerits. The last Fire Inspection was conducted on October 11, 2023, and the facility was approved for daytime care only. The last Fire Drill was conducted on September 12, 2023 The last Lock Down/ Shelter-in-Place was on July 11, 2023. The last Playground Inspection was conducted on October 19, 2023. Upon arrival, I was greeted by the director, Valerie Morris. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. The children were observed participating in routines, indoor free play, and outdoor activities. A checklist was used to note the requirements I monitored today. The North Carolina Department of the Secretary’s website was used to check the status of the corporation on October 20, 2023. The facility’s program status is current and active. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records, Criminal Background Checks were also monitored. Staff and Children’s files were monitored as well as Emergency Drills, Medication, Playground Inspections and Transportation. The following three vehicles used to transport children were monitored today. All vehicles are insured through West Bend Mutual Insurance and is good 2/23-2/24. Vehicle 1. Chevrolet minibus Tag # VISIONS5 registration expires 3/31/24. Vehicle 2. Chevrolet minibus Tag # ZXB-8335 registration expires 8/31/24. Vehicle 3. Ford bus Tag # VISIONS3 registration expires 8/31/24. The following violations were observed during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the large preschool playground there was a large sharp rock behind a dinosaur climber. This rock is too close if a child falls back. 10A NCAC 09 .0601(a) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before November 6, 2023. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov . If a compliance letter is not received to my office by 5:00 PM November 6, 2023, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. UPDATES: -CBC qualifying letters are now valid for five (5) years regardless of the date of issue. New letters will not be sent out. -Current Rated Licenses are still in a ‘hold harmless’ state until June 2024. It has been determined that your facility is in Cohort 2. This means your prep year is from July 1, 2024, through June 30, 2025. Your reassessment year is from July 1, 2025, through June 30, 2026. Please make sure that all your staff’s education is in “Works” located on the Division of Child Development website at //ncchildcare.ncdhhs.gov/. During your preparation year you can request the Environmental Rating Scales and you determine how and when to use the scores. COVID-19 INFORMATION: Please check our website for the latest Covid-19 information. DCDEE website https://ncchildcare.ncdhhs.gov MOODLE: Any teachers, current or new hires can test out of NCECC by accessing the link below and placing in their username and password. You must receive a score of 80% or higher and can only be taken twice. If you fail twice you must enroll in an EDU 119 course at a local community college. https://www.dcdee.moodle.nc.gov/ -The Health and Safety Trainings are now being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. RESOURCES: -Please visit the NCRLAP website for resources and videos on how to prepare for the assessment at www.NCRLAP.org. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ For upcoming ongoing training opportunities please visit your local Smart Start agency at: https://partnershipforchildren.org. -Child Care Aware® of America is a nonprofit organization that works directly with child care agencies and families. They are the third-party administrator that serves and supports eligible military families through the Child Care Fee Assistance programs. They manage the administration of the MCCYN-PLUS program. For more information, visit: https://www.childcareaware.org. -On March 13, 2023, the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative launches in North Carolina to make it easier for military families to access and afford quality child care from community providers. https://www.militaryonesource.mil/parenting/child-care/mccyn-plus-child-care-program/ -Navy families only: The Navy MCCYN Child Care Fee Assistance Program administers the MCCYN program for Navy families. Navy families can visit the following website for additional information: https://public.militarychildcare.csd.disa.mil/mccu/ui/#/navy. We discussed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.