WEE ARE THE World Child Care Center 2

10A NCAC 09 .0601 · Violation

Name of Operation: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 6/4/2026 Number Present: 24 Completed Date: 6/4/2026 Age: From 0 To 5 Total Minutes: 180 Time In: 10:45 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 visit was to monitor applicable childcare requirements during this Routine Unannounced Visit. G. Cain, Administrator, assisted with today’s visit. You were notified of the purpose of the visit and were available for consultation at the conclusion of the visit. M. Newton arrived shortly after the visit began. This center currently operates with a Five -Star license issued on May 2, 2018, with five points in Program Standards, seven points in Staff Education and one Quality Point based on 75% of group leaders having a NC School Age Care Credential. There are six NC Pre-K slots in the preschool classroom. The last Annual Compliance visit was completed on December 12, 2025. The last sanitation inspection was completed on July 25, 2025, and a Superior classification was achieved. The last fire inspection that the Division has recorded was completed on January 23, 2025. As a reminder, once you receive your fire inspection, the Division must receive the inspection within seven (7) days. Children were observed participating in free indoor and outdoor play, group time, routine care need being met, eating lunch and transitions. Lunch consisted of ground beef patties, mixed vegetables, applesauce, hamburger bun, and milk. The teachers supervised and interacted with the children in a positive manner. Infants were observed participating in tummy time, interacting with caregivers, napping, and eating lunch. Infant sleep checks were completed as required. Prior to today’s visit, the program’s compliance history was 95% over the current 18- month period. A copy of your compliance history report was left with you. You verified the location address, telephone, and email on file with DCDEE is accurate. CORPORATION STATUS: Wee Are The World Child Care, Inc., is owner of this center. According to information verified on the North Carolina Secretary of State’s website, this corporation remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. You verified the location address, telephone, and email on file with DCDEE is accurate. I used the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. The computer-generated visit summary was reviewed with you, and a copy was provided to you at the conclusion of the visit. All documented violations were reviewed with you at the conclusion of the visit. The following child care violations were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was completed on January 9, 2026, prior to the expiration of the previous inspection; however it was not provided to the Division within one week of the inspection. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not consistently documented in each classroom. 10A NCAC 09 .0302(d)(4) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff member, D. Jones, was observed not washing hands after removing the gloves during a diaper change and after cleaning the changing table. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. Several pickets on the ramp were loose; exposing sharp nails and the underpinning on the ramp for school-age children had holes with sharp edges. There was a vine that appeared to be poison ivy on the infant playground. The administrator immediately removed the vine. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bulk container of soap was being stored in an unlocked cabinet, under the sink. .2820(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A&D Ointment that was being used in the infant room had an expiration date of 4/2026. The medication was removed during the visit. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) CONSULTATION, TECHNICAL ASSISTANCE, AND RULE REMINDERS: The violation documented above must be corrected immediately. A signed and dated letter of compliance must be received by June 18, 2026, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. ENVIRONMENTAL RATING SCALE (ECERS-3) SUMMARY REPORT: Your facility had an ECERS-3 completed on May 19, 2026. I reviewed the ECERS-3 summary report during the visit. We discussed that your program will be required to be on an Improvement Plan due to the score being below a 5. We discussed me contacting you to schedule a meeting for the improvement plan. CHALLENGING BEHAVIORS HOTLINE: The Healthy Social Behaviors Project offers coaching for child care providers who would like support managing challenging classroom behaviors. The goal is to empower teachers to create learning environments that promote pro-social skills, like self-control and problem solving. Support is available by phone (888-600-1685, Option 1), email, or through an online form PROFESSIONAL DEVELOPMENT: Ready to strengthen relationships with the adults you work with? This free, self-paced online training is made for teachers, directors, family child care home professionals, and others working in North Carolina child care programs. DCDEE credit hours are available. Register at https://www.dcdee.moodle.nc.gov/. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. The NC child care rules were last updated as of July 1, 2025. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 6/4/2026 Number Present: 24 Completed Date: 6/4/2026 Age: From 0 To 5 Total Minutes: 180 Time In: 10:45 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 visit was to monitor applicable childcare requirements during this Routine Unannounced Visit. G. Cain, Administrator, assisted with today’s visit. You were notified of the purpose of the visit and were available for consultation at the conclusion of the visit. M. Newton arrived shortly after the visit began. This center currently operates with a Five -Star license issued on May 2, 2018, with five points in Program Standards, seven points in Staff Education and one Quality Point based on 75% of group leaders having a NC School Age Care Credential. There are six NC Pre-K slots in the preschool classroom. The last Annual Compliance visit was completed on December 12, 2025. The last sanitation inspection was completed on July 25, 2025, and a Superior classification was achieved. The last fire inspection that the Division has recorded was completed on January 23, 2025. As a reminder, once you receive your fire inspection, the Division must receive the inspection within seven (7) days. Children were observed participating in free indoor and outdoor play, group time, routine care need being met, eating lunch and transitions. Lunch consisted of ground beef patties, mixed vegetables, applesauce, hamburger bun, and milk. The teachers supervised and interacted with the children in a positive manner. Infants were observed participating in tummy time, interacting with caregivers, napping, and eating lunch. Infant sleep checks were completed as required. Prior to today’s visit, the program’s compliance history was 95% over the current 18- month period. A copy of your compliance history report was left with you. You verified the location address, telephone, and email on file with DCDEE is accurate. CORPORATION STATUS: Wee Are The World Child Care, Inc., is owner of this center. According to information verified on the North Carolina Secretary of State’s website, this corporation remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. You verified the location address, telephone, and email on file with DCDEE is accurate. I used the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. The computer-generated visit summary was reviewed with you, and a copy was provided to you at the conclusion of the visit. All documented violations were reviewed with you at the conclusion of the visit. The following child care violations were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was completed on January 9, 2026, prior to the expiration of the previous inspection; however it was not provided to the Division within one week of the inspection. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not consistently documented in each classroom. 10A NCAC 09 .0302(d)(4) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff member, D. Jones, was observed not washing hands after removing the gloves during a diaper change and after cleaning the changing table. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. Several pickets on the ramp were loose; exposing sharp nails and the underpinning on the ramp for school-age children had holes with sharp edges. There was a vine that appeared to be poison ivy on the infant playground. The administrator immediately removed the vine. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bulk container of soap was being stored in an unlocked cabinet, under the sink. .2820(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A&D Ointment that was being used in the infant room had an expiration date of 4/2026. The medication was removed during the visit. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) CONSULTATION, TECHNICAL ASSISTANCE, AND RULE REMINDERS: The violation documented above must be corrected immediately. A signed and dated letter of compliance must be received by June 18, 2026, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. ENVIRONMENTAL RATING SCALE (ECERS-3) SUMMARY REPORT: Your facility had an ECERS-3 completed on May 19, 2026. I reviewed the ECERS-3 summary report during the visit. We discussed that your program will be required to be on an Improvement Plan due to the score being below a 5. We discussed me contacting you to schedule a meeting for the improvement plan. CHALLENGING BEHAVIORS HOTLINE: The Healthy Social Behaviors Project offers coaching for child care providers who would like support managing challenging classroom behaviors. The goal is to empower teachers to create learning environments that promote pro-social skills, like self-control and problem solving. Support is available by phone (888-600-1685, Option 1), email, or through an online form PROFESSIONAL DEVELOPMENT: Ready to strengthen relationships with the adults you work with? This free, self-paced online training is made for teachers, directors, family child care home professionals, and others working in North Carolina child care programs. DCDEE credit hours are available. Register at https://www.dcdee.moodle.nc.gov/. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. The NC child care rules were last updated as of July 1, 2025. 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 .0304 · Violation

Name of Operation: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 6/4/2026 Number Present: 24 Completed Date: 6/4/2026 Age: From 0 To 5 Total Minutes: 180 Time In: 10:45 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 visit was to monitor applicable childcare requirements during this Routine Unannounced Visit. G. Cain, Administrator, assisted with today’s visit. You were notified of the purpose of the visit and were available for consultation at the conclusion of the visit. M. Newton arrived shortly after the visit began. This center currently operates with a Five -Star license issued on May 2, 2018, with five points in Program Standards, seven points in Staff Education and one Quality Point based on 75% of group leaders having a NC School Age Care Credential. There are six NC Pre-K slots in the preschool classroom. The last Annual Compliance visit was completed on December 12, 2025. The last sanitation inspection was completed on July 25, 2025, and a Superior classification was achieved. The last fire inspection that the Division has recorded was completed on January 23, 2025. As a reminder, once you receive your fire inspection, the Division must receive the inspection within seven (7) days. Children were observed participating in free indoor and outdoor play, group time, routine care need being met, eating lunch and transitions. Lunch consisted of ground beef patties, mixed vegetables, applesauce, hamburger bun, and milk. The teachers supervised and interacted with the children in a positive manner. Infants were observed participating in tummy time, interacting with caregivers, napping, and eating lunch. Infant sleep checks were completed as required. Prior to today’s visit, the program’s compliance history was 95% over the current 18- month period. A copy of your compliance history report was left with you. You verified the location address, telephone, and email on file with DCDEE is accurate. CORPORATION STATUS: Wee Are The World Child Care, Inc., is owner of this center. According to information verified on the North Carolina Secretary of State’s website, this corporation remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. You verified the location address, telephone, and email on file with DCDEE is accurate. I used the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. The computer-generated visit summary was reviewed with you, and a copy was provided to you at the conclusion of the visit. All documented violations were reviewed with you at the conclusion of the visit. The following child care violations were documented: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was completed on January 9, 2026, prior to the expiration of the previous inspection; however it was not provided to the Division within one week of the inspection. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not consistently documented in each classroom. 10A NCAC 09 .0302(d)(4) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff member, D. Jones, was observed not washing hands after removing the gloves during a diaper change and after cleaning the changing table. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. Several pickets on the ramp were loose; exposing sharp nails and the underpinning on the ramp for school-age children had holes with sharp edges. There was a vine that appeared to be poison ivy on the infant playground. The administrator immediately removed the vine. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bulk container of soap was being stored in an unlocked cabinet, under the sink. .2820(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A&D Ointment that was being used in the infant room had an expiration date of 4/2026. The medication was removed during the visit. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) CONSULTATION, TECHNICAL ASSISTANCE, AND RULE REMINDERS: The violation documented above must be corrected immediately. A signed and dated letter of compliance must be received by June 18, 2026, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. ENVIRONMENTAL RATING SCALE (ECERS-3) SUMMARY REPORT: Your facility had an ECERS-3 completed on May 19, 2026. I reviewed the ECERS-3 summary report during the visit. We discussed that your program will be required to be on an Improvement Plan due to the score being below a 5. We discussed me contacting you to schedule a meeting for the improvement plan. CHALLENGING BEHAVIORS HOTLINE: The Healthy Social Behaviors Project offers coaching for child care providers who would like support managing challenging classroom behaviors. The goal is to empower teachers to create learning environments that promote pro-social skills, like self-control and problem solving. Support is available by phone (888-600-1685, Option 1), email, or through an online form PROFESSIONAL DEVELOPMENT: Ready to strengthen relationships with the adults you work with? This free, self-paced online training is made for teachers, directors, family child care home professionals, and others working in North Carolina child care programs. DCDEE credit hours are available. Register at https://www.dcdee.moodle.nc.gov/. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. The NC child care rules were last updated as of July 1, 2025. 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: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 28 Completed Date: 12/5/2024 Age: From 0 To 5 Total Minutes: -540 Time In: 09:00 AM Time Out: 12:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Staff and training worksheets were received during the visit. This center currently operates with a Five -Star license issued on May 2, 2018, with five points in Program Standards, seven points in Staff Education and one Quality Point based on 75% of group leaders having a NC School Age Care Credential. Due to one classroom including six NC Pre-K positions, NC Pre-K was monitored. The last sanitation inspection was completed on August 15, 2024, with a “Superior” classification. The last fire inspection was completed on December 14, 2023, and the facility was approved for day time care only. K. McDuffie, documented Administrator, was unavailable upon arrival. The visit was conducted with you, Mia Newton, Administrator at Wee Are The World Child Care Center. You were notified of the purpose of the visit and was available for consultation at the conclusion of the visit. Prior to today’s visit, the program’s compliance history was 88% over the current 18- month period. A copy of your compliance history report was left with you. The facility is owned by the corporation, Wee Are The World Child Care, INC. The corporation was verified to be current and active. Ms. Newton verified the location address, telephone, and email on file with DCDEE is accurate. I observed children participating in self-select in centers, free outdoor play, teacher led activities, and routine care needs being met. Adequate materials were observed in each classroom. All teachers interacted with children in a nurturing manner. I used the Annual Compliance Monitoring Checklist for Child Care and the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. The violation documented was reviewed with you at the conclusion of the visit. The computer-generated visit summary was reviewed with you, including all documented violations, and a copy was provided to you. The following violation was documented: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The required fire drill for the month of November was not completed. .0604(t); .0302(d)(5) CONSULTATION, TECHNICAL ASSISTANCE, AND RULE REMINDERS: The violation documented above must be corrected immediately. A signed and dated letter of compliance must be received by December 19, 2024, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. NC PRE-K MONITORING: The current NC Pre-K staff are the same staff as indicated in the NC Pre-K Plan System. I monitored a selection of children’s files for completed health assessments and developmental screenings. The center uses Teaching Strategies Gold instrument to document evidence of children’s ongoing progress. The checkpoint assessments are conducted three times per year: fall, winter, and summer. Parent / Teacher conferences are conducted twice per year. Examples of family involvement were discussed. STAR RATED LICENSE/QUALITY IMPROVEMENT RATING SYSTEM (QRIS) UPDATE: The Governor signed 12 bills on July 8, 2024. Including the Adjustments to the Appropriations Act (SB 357), which includes the $67.5 million for reduced compensation payments for the first two quarters of FY 24-25 and the DHHS Agency Bill (Senate Bill 425) which includes the QRIS provisions: • QRIS modernization (3 new pathways to stars) is now approved (SB 425). • Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. • SB 425 does mean that programs currently accredited through the approved accrediting bodies can move to a 3- or 5-star license if they are not already at this star level. Providers will need to submit a request to their consultant and provide a copy of their accreditation certificate for processing. • SB 425 also requires that we move to the ERS-3 versions for ECCERS. ITERS and FCCERS, effective February 1, 2025. Self-paced online training modules regarding the new assessments will be available in September 2024. • SB 357 provides $67.5 million dollars to continue a reduced level of funding for the compensation portion only of the Child Care Stabilization Grant. Funding is designated for the first two quarters of FY 2024-25 and provides only about 75% of funding needed to maintain compensation payment amounts provided through ARPA funding which ended June 30, 2024. DCDEE will continue to utilize the NC FAST Stabilization Grant portal to distribute funds. CRIMINAL BACKGROUND CHECK-ABCMS PORTAL: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at 1-800-859-0829 and someone will assist you. RESOURCES: PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective January 2024. The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. 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 .0902 · Violation

Name of Operation: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 31 Completed Date: 4/18/2024 Age: From 0 To 5 Total Minutes: 120 Time In: 10:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of my unannounced visit was to monitor applicable child care requirements for an Administrative Action follow up visit. Today's visit was conducted with you, M. Newton, corporate contact for this facility. You were notified of the purpose of the visit. You were not present upon arrival; however, you arrived shortly after the visit began. You were present for the duration of today’s visit. This center currently operates with a Five -Star license issued on May 2, 2018, with five points in Program Standards, seven points in Staff Education and one Quality Point based on 75% of group leaders having a NC School Age Care Credential. The last annual compliance visit was completed on December 12, 2023. Limited but required components were monitored during the visit. today. Enrollment was completed. Two new staff members have been hired since our last administrative action follow up visit completed on March 21, 2024. The staff files were monitored today. You were reminded that a compliance history score of at least 75% over an 18-month timeframe must be maintained in order to continue to qualify for a child care license. As of today, your compliance history score is 85%. Thirty-one (31) children ages infant to five (5) years old were present. Children were observed participating in free play in the indoor environment, completing routines, and eating lunch. The facility has an approved locked-door policy. Upon arrival, I knocked on the office door. Staff member J. Boston-Guilford was walking to space 2. She then came to the door to let me in. After she let me in, she returned to space 4. I observed six infant aged children present in space 4. When Ms. Boston-Guildford left space 4, the classroom was not in compliance with the staff / child ratio requirement. The Administrative Action, cover letter, and the corrective action plan, was observed posted on the parent information board, to the left of the office as you walk in the front door walk through of the facility was completed. The visit summary, along with all violations, was reviewed with you and a copy was left with you. The following violations of child care requirements were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not consistently documented in space 2 and in space 6. 10A NCAC 09 .0302(d)(4) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. While completing a walk-through of space 4, the classroom for enrolled infants, two infants were observed laying in a crib while feeding from a bottle and sitting in a bouncy chair while feeding from a bottle. 10A NCAC 09 .0902(b) 1756 Enhanced staff/child ratios and group sizes were not met. In space 4, two teachers were required to be present to meet the staff/child ratio of 1/5. Upon arrival, staff member J. Boston-Guilford was walking to space 2, leaving staff member, E. Graham with six (6) infant age children. 10A NCAC 09 .2818 CONSULTATION, TECHNICAL ASSISTANCE, AND RULE REMINDERS: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be received by May 2, 2024, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. ADMINISTRATIVE ACTION: Based on observations completed during today’s visit and information received, your approved written policies and procedures concerning staff/child ratios were not being implemented. I am requesting that you provide me with documentation stating why your submitted policy and procedures concerning staff/child ratios was not being maintained. I am also requesting that you review the policies and procedures to make any necessary changes to ensure that staff/child ratios are maintained; at all times. As a reminder, two consecutive staff/child ratio violations may result in a more stringent Administrative Action. The approved written policies and procedures concerning medication administration and storage of medication, and maintaining compliance with staff, children, and program record requirements are being implemented. Once my last Administrative Action Follow-up visit has been completed, I will submit the required information to close out this action. I will email you a letter once I have submitted all required information to notify you of the closure of the administrative action and to document you have fulfilled all required stipulations of the corrective action plan. We discussed that you must continue incorporating the approved policies and procedures into your facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in the facility files for review upon request. STAFF/CHILD RATIO: As a reminder, child care administrators hold the responsibility of ensuring that staff always comply with staff-child ratio requirements. Staff-to-child ratios are important for safety reasons. Caregivers provide oversight and accountability for the safety of children in your program. The risks for children increase when required ratios are not maintained. Maintaining staff-to-child ratios ensures that child care providers can effectively supervise the entire group while engaging children in daily activities and routines. A follow-up visit will take place to ensure compliance is maintained with the staff/child ratio requirement. ARRIVAL/DEPARTURE TIMES: Arrival times were not documented in space 2 and space 4. Ensure all arrival and departure times are documented as children arrive and depart from the facility. INFANT FEEDINGS: Please ensure infants are held or placed in feeding chairs or other appropriate apparatuses to be fed. I observed two infants not being held or sitting in approved feeding apparatuses. One infant was laying in a crib and one infant was in a bouncy seat. For the most up to date information, copies of sample forms, and copies of the child care requirements you were encouraged to periodically visit the Division's website. I also notified you that violations documented during visits and complaint allegations are available on this website for public information. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 31 Completed Date: 4/18/2024 Age: From 0 To 5 Total Minutes: 120 Time In: 10:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of my unannounced visit was to monitor applicable child care requirements for an Administrative Action follow up visit. Today's visit was conducted with you, M. Newton, corporate contact for this facility. You were notified of the purpose of the visit. You were not present upon arrival; however, you arrived shortly after the visit began. You were present for the duration of today’s visit. This center currently operates with a Five -Star license issued on May 2, 2018, with five points in Program Standards, seven points in Staff Education and one Quality Point based on 75% of group leaders having a NC School Age Care Credential. The last annual compliance visit was completed on December 12, 2023. Limited but required components were monitored during the visit. today. Enrollment was completed. Two new staff members have been hired since our last administrative action follow up visit completed on March 21, 2024. The staff files were monitored today. You were reminded that a compliance history score of at least 75% over an 18-month timeframe must be maintained in order to continue to qualify for a child care license. As of today, your compliance history score is 85%. Thirty-one (31) children ages infant to five (5) years old were present. Children were observed participating in free play in the indoor environment, completing routines, and eating lunch. The facility has an approved locked-door policy. Upon arrival, I knocked on the office door. Staff member J. Boston-Guilford was walking to space 2. She then came to the door to let me in. After she let me in, she returned to space 4. I observed six infant aged children present in space 4. When Ms. Boston-Guildford left space 4, the classroom was not in compliance with the staff / child ratio requirement. The Administrative Action, cover letter, and the corrective action plan, was observed posted on the parent information board, to the left of the office as you walk in the front door walk through of the facility was completed. The visit summary, along with all violations, was reviewed with you and a copy was left with you. The following violations of child care requirements were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not consistently documented in space 2 and in space 6. 10A NCAC 09 .0302(d)(4) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. While completing a walk-through of space 4, the classroom for enrolled infants, two infants were observed laying in a crib while feeding from a bottle and sitting in a bouncy chair while feeding from a bottle. 10A NCAC 09 .0902(b) 1756 Enhanced staff/child ratios and group sizes were not met. In space 4, two teachers were required to be present to meet the staff/child ratio of 1/5. Upon arrival, staff member J. Boston-Guilford was walking to space 2, leaving staff member, E. Graham with six (6) infant age children. 10A NCAC 09 .2818 CONSULTATION, TECHNICAL ASSISTANCE, AND RULE REMINDERS: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be received by May 2, 2024, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. ADMINISTRATIVE ACTION: Based on observations completed during today’s visit and information received, your approved written policies and procedures concerning staff/child ratios were not being implemented. I am requesting that you provide me with documentation stating why your submitted policy and procedures concerning staff/child ratios was not being maintained. I am also requesting that you review the policies and procedures to make any necessary changes to ensure that staff/child ratios are maintained; at all times. As a reminder, two consecutive staff/child ratio violations may result in a more stringent Administrative Action. The approved written policies and procedures concerning medication administration and storage of medication, and maintaining compliance with staff, children, and program record requirements are being implemented. Once my last Administrative Action Follow-up visit has been completed, I will submit the required information to close out this action. I will email you a letter once I have submitted all required information to notify you of the closure of the administrative action and to document you have fulfilled all required stipulations of the corrective action plan. We discussed that you must continue incorporating the approved policies and procedures into your facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in the facility files for review upon request. STAFF/CHILD RATIO: As a reminder, child care administrators hold the responsibility of ensuring that staff always comply with staff-child ratio requirements. Staff-to-child ratios are important for safety reasons. Caregivers provide oversight and accountability for the safety of children in your program. The risks for children increase when required ratios are not maintained. Maintaining staff-to-child ratios ensures that child care providers can effectively supervise the entire group while engaging children in daily activities and routines. A follow-up visit will take place to ensure compliance is maintained with the staff/child ratio requirement. ARRIVAL/DEPARTURE TIMES: Arrival times were not documented in space 2 and space 4. Ensure all arrival and departure times are documented as children arrive and depart from the facility. INFANT FEEDINGS: Please ensure infants are held or placed in feeding chairs or other appropriate apparatuses to be fed. I observed two infants not being held or sitting in approved feeding apparatuses. One infant was laying in a crib and one infant was in a bouncy seat. For the most up to date information, copies of sample forms, and copies of the child care requirements you were encouraged to periodically visit the Division's website. I also notified you that violations documented during visits and complaint allegations are available on this website for public information. 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: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 31 Completed Date: 4/18/2024 Age: From 0 To 5 Total Minutes: 120 Time In: 10:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of my unannounced visit was to monitor applicable child care requirements for an Administrative Action follow up visit. Today's visit was conducted with you, M. Newton, corporate contact for this facility. You were notified of the purpose of the visit. You were not present upon arrival; however, you arrived shortly after the visit began. You were present for the duration of today’s visit. This center currently operates with a Five -Star license issued on May 2, 2018, with five points in Program Standards, seven points in Staff Education and one Quality Point based on 75% of group leaders having a NC School Age Care Credential. The last annual compliance visit was completed on December 12, 2023. Limited but required components were monitored during the visit. today. Enrollment was completed. Two new staff members have been hired since our last administrative action follow up visit completed on March 21, 2024. The staff files were monitored today. You were reminded that a compliance history score of at least 75% over an 18-month timeframe must be maintained in order to continue to qualify for a child care license. As of today, your compliance history score is 85%. Thirty-one (31) children ages infant to five (5) years old were present. Children were observed participating in free play in the indoor environment, completing routines, and eating lunch. The facility has an approved locked-door policy. Upon arrival, I knocked on the office door. Staff member J. Boston-Guilford was walking to space 2. She then came to the door to let me in. After she let me in, she returned to space 4. I observed six infant aged children present in space 4. When Ms. Boston-Guildford left space 4, the classroom was not in compliance with the staff / child ratio requirement. The Administrative Action, cover letter, and the corrective action plan, was observed posted on the parent information board, to the left of the office as you walk in the front door walk through of the facility was completed. The visit summary, along with all violations, was reviewed with you and a copy was left with you. The following violations of child care requirements were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not consistently documented in space 2 and in space 6. 10A NCAC 09 .0302(d)(4) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. While completing a walk-through of space 4, the classroom for enrolled infants, two infants were observed laying in a crib while feeding from a bottle and sitting in a bouncy chair while feeding from a bottle. 10A NCAC 09 .0902(b) 1756 Enhanced staff/child ratios and group sizes were not met. In space 4, two teachers were required to be present to meet the staff/child ratio of 1/5. Upon arrival, staff member J. Boston-Guilford was walking to space 2, leaving staff member, E. Graham with six (6) infant age children. 10A NCAC 09 .2818 CONSULTATION, TECHNICAL ASSISTANCE, AND RULE REMINDERS: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be received by May 2, 2024, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. ADMINISTRATIVE ACTION: Based on observations completed during today’s visit and information received, your approved written policies and procedures concerning staff/child ratios were not being implemented. I am requesting that you provide me with documentation stating why your submitted policy and procedures concerning staff/child ratios was not being maintained. I am also requesting that you review the policies and procedures to make any necessary changes to ensure that staff/child ratios are maintained; at all times. As a reminder, two consecutive staff/child ratio violations may result in a more stringent Administrative Action. The approved written policies and procedures concerning medication administration and storage of medication, and maintaining compliance with staff, children, and program record requirements are being implemented. Once my last Administrative Action Follow-up visit has been completed, I will submit the required information to close out this action. I will email you a letter once I have submitted all required information to notify you of the closure of the administrative action and to document you have fulfilled all required stipulations of the corrective action plan. We discussed that you must continue incorporating the approved policies and procedures into your facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in the facility files for review upon request. STAFF/CHILD RATIO: As a reminder, child care administrators hold the responsibility of ensuring that staff always comply with staff-child ratio requirements. Staff-to-child ratios are important for safety reasons. Caregivers provide oversight and accountability for the safety of children in your program. The risks for children increase when required ratios are not maintained. Maintaining staff-to-child ratios ensures that child care providers can effectively supervise the entire group while engaging children in daily activities and routines. A follow-up visit will take place to ensure compliance is maintained with the staff/child ratio requirement. ARRIVAL/DEPARTURE TIMES: Arrival times were not documented in space 2 and space 4. Ensure all arrival and departure times are documented as children arrive and depart from the facility. INFANT FEEDINGS: Please ensure infants are held or placed in feeding chairs or other appropriate apparatuses to be fed. I observed two infants not being held or sitting in approved feeding apparatuses. One infant was laying in a crib and one infant was in a bouncy seat. For the most up to date information, copies of sample forms, and copies of the child care requirements you were encouraged to periodically visit the Division's website. I also notified you that violations documented during visits and complaint allegations are available on this website for public information. 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: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 26 Completed Date: 3/21/2024 Age: From 0 To 5 Total Minutes: 120 Time In: 09:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of my unannounced visit was to monitor applicable child care requirements for an Administrative Action follow up visit. Today's visit was conducted with you, M. Newton, corporate contact for this facility. You were notified of the purpose of the visit, and you were present for the duration of today’s visit. This center currently operates with a Five -Star license issued on May 2, 2018, with five points in Program Standards, seven points in Staff Education and one Quality Point based on 75% of group leaders having a NC School Age Care Credential. The last annual compliance visit was completed on December 12, 2023. Limited but required components were monitored during the visit. today. Enrollment was completed. Twenty-six (26) children ages infant to five (5) years old was present. Children were observed participating in free play in the indoor environment. Children were participating in large group activities and small group activities. Routine care needs were being met. All staff interacted with children in a positive manner. The Administrative Action, cover letter, and the corrective action plan, was observed posted on the parent information board, to the left of the office as you walk in the front door walk through of the facility was completed. The visit summary, along with any violations, was reviewed with you and a copy was left with you. The following violations of child care requirements were documented: Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. Two children, under the age of one, were being fed while sitting on the floor. 10A NCAC 09 .0902(b) 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. A container of disinfecting wipes was being stored on a counter in space 3, and not in locked storage. .2820(b) Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always if they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements, is to periodically review the child care law and rules. COMPLIANCE HISTORY: As of today, your compliance history score is 88%. I provided you with a copy of your compliance history report. ADMINISTRATIVE ACTION: STIPULATION 1: We discussed that stipulation 1 requires that the operator shall maintain compliance, at all times, with applicable child care requirements. Today, two (2) violations were documented. Please review these violations with applicable staff to ensure the facility is maintaining compliance with child care requirements. INFANT FEEDING- While completing a walk-through, I observed two infants being fed while sitting on the floor. We discussed that infants must be placed in feeding chairs or other appropriate seating while feeding. STORAGE OF HAZARDOUS ITEMS - A container of disinfecting wipes were being stored on a counter, instead of locked storage. We discussed that items that have "Keep out of the reach of children" along with additional warnings, must be maintained in locked storage. Both of these violations were correcting during the visit. STIPULATION 2: We reviewed that stipulation 2 of the corrective action plan has been completed. A Rules Review with you and all of your staff members was completed on March 11, 2024, with the Lead Child Care Consultant, Ramie Doll. A training roster with the names and signatures of the participants, as well as the title of the training, date, and time the training was conducted was received on March 12, 2024. STIPULATION 3: You mailed updated policies and procedures for my review on March 19, 2024. We discussed that the policies and procedures will be reviewed, and you will be notified about the approval of those policies and procedures. Once those policies and procedures are approved, you must begin implementing the policies and procedures immediately and they must be incorporated into the facility’s operating procedures. A copy of the approved policies and procedures shall be maintained in the facility files for review upon request. STIPULATION 4: We reviewed that stipulation 4 must be completed by March 25, 2024. We discussed the requirements of stipulation 4, in detail. Ensure you email me the updated policies and procedures that describe the steps the facility will take to ensure compliance with staff/child ratios. STIPULATION 5: We reviewed that stipulation 5 has been completed. A review of all applicable requirements in regard to medication administration and storage of medication was completed on March 11, 2024 with Stacy Rosser, Regional Child Care Health Consultant. A training roster that includes the names and signatures of the participants and the trainer as well as the title of the training date and time the training was conducted was received on March 12, 2024. STIPULATION 6: We reviewed that within 1 week of the completion of the training in stipulation 5, revised policies and procedures for administering medication and storage of medication, was to be submitted to me. The revised policies and procedures and procedures were due to be submitted to me by March 18, 2024. We reviewed that you must meet all the dates in the Corrective Action Plan. Please submit those revised policies and procedures to me by March 22, 2024. Once those policies and procedures have been approved, stipulation 7 requires, within 2 weeks, the administrator to conduct a staff meeting to review all approved policies and procedures. Documentation of the staff meeting shall include an 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. Within 3 business days after the staff meeting, documentation of the staff meeting must be submitted to me. ADMINISTRATIVE ACTION FOLLOW UP VISITS: I will conduct additional follow-up visits to see your approved policies and procedures in use. Once the last follow-up visit is completed and the Corrective Action Plan has been fulfilled, I will close out the administrative action and send you a closure letter. Additional follow-up visits may be warranted in the future, until the administrative action is closed. If you have any additional questions, please feel free to contact me by phone at (252)361-3434 or email at tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. 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: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: JENNIFER H BYRD Operation Type: Center Case Number: 0324-230A Visit Date: 3/20/2024 Number Present: 28 Completed Date: 3/20/2024 Age: From 0 To 5 Total Minutes: 115 Time In: 10:20 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. I conducted a walk-through of the facility unaccompanied During the visit, I discussed the allegations with two staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On March 15, 2024, staff members failed to adequately supervise a three-year-old child when the child left the facility unaccompanied. .1801(a)(1-5) 807 A safe indoor and outdoor environment was not provided for the children. On March 15, 2024, staff members failed to provide adequate supervision when a three-year-old child left the playground and crossed a heavily traveled road which placed the child in an unsafe environment and at risk of injury and/or harm. When the staff member went after the child, another child followed the staff member across the road, placing that child at risk of injury and/or harm. 10A NCAC 09 .0601(a) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) Thank you for your time. You may contact me at Jennifer Byrd, Investigations Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 Telephone-910-785-1486 Fax number- 919-715-1013 Email Jennifer.H.Byrd@dhhs.nc.gov or Melissa Loehr, Supervisor Melissa.Loehr@dhhs.nc.gov Thank you for your time. 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 110-105 · Violation

Name of Operation: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: JENNIFER H BYRD Operation Type: Center Case Number: 0324-230A Visit Date: 3/20/2024 Number Present: 28 Completed Date: 3/20/2024 Age: From 0 To 5 Total Minutes: 115 Time In: 10:20 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. I conducted a walk-through of the facility unaccompanied During the visit, I discussed the allegations with two staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On March 15, 2024, staff members failed to adequately supervise a three-year-old child when the child left the facility unaccompanied. .1801(a)(1-5) 807 A safe indoor and outdoor environment was not provided for the children. On March 15, 2024, staff members failed to provide adequate supervision when a three-year-old child left the playground and crossed a heavily traveled road which placed the child in an unsafe environment and at risk of injury and/or harm. When the staff member went after the child, another child followed the staff member across the road, placing that child at risk of injury and/or harm. 10A NCAC 09 .0601(a) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) Thank you for your time. You may contact me at Jennifer Byrd, Investigations Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 Telephone-910-785-1486 Fax number- 919-715-1013 Email Jennifer.H.Byrd@dhhs.nc.gov or Melissa Loehr, Supervisor Melissa.Loehr@dhhs.nc.gov Thank you for your time. 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: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: JENNIFER H BYRD Operation Type: Center Case Number: 0224-182A Visit Date: 2/16/2024 Number Present: 30 Completed Date: 2/16/2024 Age: From 0 To 4 Total Minutes: 105 Time In: 10:05 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Mia Newton, staff member, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Newton and two additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On February 14, 2024, a staff member dropped an eight-month-old child. 10A NCAC 09 .0601(a) 1839 A child was released to an individual that was not listed on the application. On an unknown date, a child was released to someone not on listed on the child's application. .0801(c) You may contact me at Jennifer Byrd, Investigations Consultant 2201 Mail Service Center Raleigh, NC 27699-2200 Telephone-910-785-1486 Fax number- 919-715-1013 Email Jennifer.H.Byrd@dhhs.nc.gov or Melissa Loehr, Supervisor Melissa.Loehr@dhhs.nc.gov Thank you for your time. 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: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 30 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Staff and Training worksheets were not received. An email reminder was sent on November 28, 2023, and December 11, 2023, requesting the worksheets. Staff files could not be monitored due to not having the staff/training worksheets. A follow-up visit will be completed to monitor staff files. This center currently operates with a Five -Star license issued on May 2, 2018, with five points in Program Standards, seven points in Staff Education and one Quality Point based on 75% of group leaders having a NC School Age Care Credential. Due to one classroom including five NC Pre-K positions, NC Pre-K was monitored. The current NC Pre-K staff are the same staff as indicated in the NC Pre-K Plan System. I monitored a selection of children’s files for completed health assessments and developmental screenings. The center uses Teaching Strategies Gold instrument to document evidence of children’s ongoing progress. The checkpoint assessments are conducted three times per year: fall, winter, and summer. Parent / Teacher conferences are conducted twice per year. Examples of family involvement were discussed. The last sanitation inspection was completed on January 6, 2023, with a “Superior” classification. The last fire inspection was completed on January 3, 2023, and the facility was approved for day time care only. K. McDuffie, documented Administrator, was unavailable upon arrival. The visit was conducted with Mia Newton, Administrator at Wee Are The World Child Care Center. Ms. Newton was notified of the purpose of the visit and was available for consultation at the conclusion of the visit. Prior to today’s visit, the program’s compliance history was 93% over the current 18- month period. A copy of your compliance history report was left with you. The facility is owned by the corporation, Wee Are The World Child Care, INC. The corporation was verified to be current and active. Ms. Newton verified the location address, telephone, and email on file with DCDEE is accurate. Upon entering the facility, Ms. Newton informed me that there were two staff members absent. Ms. Newton was working in a classroom; however, she greeted me at the door and spoke with me in the office. The classroom Ms. Newton was assisting in had five infants present and three children one year of age present: therefore, when Ms. Newton left the classroom to greet me and speak with me in the office, the classroom was out of compliance with staff/child ratio. Upon entering the classroom for children two years of age, I observed that there were seven children, two years of age present and one child one year of age present, for a total of eight children present with one teacher: therefore, the classroom for two-year-old children was out of compliance with staff/child ratio. The last posted activity plan for this classroom was dated November 12, 2023. I observed children participating in self-select in centers, teacher led activities, free play outdoors, and routine care needs being met. Adequate materials were observed in each classroom. I used the Annual Compliance Monitoring Checklist for Child Care and the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. The violations documented were reviewed with Ms. Newton at the conclusion of the visit. A hand-written visit summary was provided to you. A computer-generated visit summary will be emailed to you. The following violations were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not documented in space 2 for the morning of 12/12/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan posted for space 2 was not current. The activity plan posted was dated November 12, 2023. GS 110-91(12); .0508(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. In space 2, a teacher was observed completing the steps of changing a diaper on a child. When she completed the diaper change, the teacher sprayed a soapy solution on the changing table but failed to spray the changing table with the disinfecting spray immediately following the soapy solution. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. The sanitizer and disinfectant used to sanitize tables, toys, and diapering surfaces were not maintained five feet from the floor in all classrooms. Observed on the preschool age playground: metal border stakes were sticking up, causing a protrusion hazard. Sharp thorns were on vines that were attached to the fence, accessible to children. Steps on the large play structure were rusted and flaking. Observed on the playground for toddlers: wood on the ramps leading into the building was split, broken, or had nails protruding out of the wood. A cap, closing the PVC pipe used for a border, was not secured, causing an entrapment hazard. A wood handrail was broken in two pieces, causing sharp edges and pinching points. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2, an electrical outlet did not have a safety plug when the outlet was not being used. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Cover it correction fluid (white out) not maintained in locked storage, in space 4. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space two, medications were administered without medical authorization forms completed. The medications were Aquaphor ointment, Butt paste, A&D Ointment, and Desitin diaper cream. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In space two, there were medications that had expired but were still being administered. An Albuterol inhaler expired on 10/2022. A&D ointment expired 12/2022. Desitin diaper cream expired 10/2022. Aquaphor ointment expired 3/2023. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 4, I observed plastic bags being stored in the child’s individual cubbies, accessible to children under three years of age. .0604(q) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The Administrator, Kimberly McDuffie's SIDS training expired on 10/21/2022 and has not been taken since the expiration date. .1102(f) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child enrolled on 11/15/2022, does not have medical or immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child was enrolled on 4/6/2022 and the medical exam was completed on 11/2/2022, after the 30 day requirement. A child was enrolled on 7/19/2022. The medical exam was completed on 9/20/2022, after the 30 day requirement. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 4/6/2022 did not receive the required immunizations until 11/8/2022. A child enrolled on 7/19/2022 did not receive the required immunizations until 9/20/2022. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In space two, there were seven children two years of age present and one child one year of age present, for a total of eight children present with one teacher. In space four, there were five infants present and three children one year of age present, with one teacher and Ms. Newton present; however, Ms. Newton walked out of the classroom to greet me at the front door and meet with me in the office, leaving the classroom with only one teacher. 10A NCAC 09 .2818 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the plan to ensure all the information was current in the plan. The plan has not been updated to reflect the staff changes. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space two, an asthma action medical plan for one child was not renewed prior to the expiration date of 9/2/2023. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In space two, there was a prescription medication - clotrimazole - that was not labeled with the child’s name and did not have any written instructions or a signature of a physician. 10A NCAC 09 .0803(2)(b)(i-v) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff members A. Williams, M. Newton, D. Outlaw, E. Graham, K. White, and G. Cain did not include Health and Safety training topics as part of on-going training within five years of completing the previous health and safety topics. The previous health and safety trainings expired 10/2023. .1103(b) CONSULTATION, TECHNICAL ASSISTANCE, AND RULE REMINDERS: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be received by December 26, 2023, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. STAFF/CHILD RATIO: Child care administrators hold the responsibility of ensuring that staff always comply with staff-child ratio requirements. Staff-to-child ratios are important for safety reasons. Caregivers provide oversight and accountability for the safety of children in your program. The risks for children increase when required ratios are not maintained. Maintaining staff-to-child ratios ensures that child care providers can effectively supervise the entire group while engaging children in daily activities and routines. Conducting regular ratio audits and monitoring classrooms can assist you in your efforts with maintaining staff/child ratios. I observed two classrooms that were not in compliance with staff/child ratio. We discussed that if you are short-staffed, you must not allow children to stay if it makes you out of compliance with child ratios. A follow-up visit will take place to ensure compliance is maintained with the staff/child ratio requirement. MEDICATION – PARENT AUTHORIZATION, EXPIRATION, AND ACTION PLANS: The following items were observed to be non-compliant: -An asthma action plan for one child was not renewed prior to the expiration date of 9/2/2023. Ensure all medical action plans are updated on an annual basis, prior to the expiration date. -There were medications in the medication lock box that did not have medication authorization forms. The medications were Aquaphor ointment, Butt paste, A&D Ointment, and Desitin diaper cream. Authorization may be given for up to 12 months for diaper creams and ointments. -There were medications that had expired but were still being administered. An Albuterol inhaler expired on 10/2022. A&D ointment expired 12/2022. Desitin diaper cream expired 10/2022. Aquaphor ointment expired 3/2023. As a reminder, no medication shall be administered to a child after it’s expiration date. -There was a prescription medication that was not labeled with the child’s name and did not have any written instructions. Ensure to capture all the requirements for prescribed medications. ARRIVAL/DEPARTURE TIMES: Arrival times were not documented in space 2 for the morning of 12/12/23. Ensure all arrival and departure times are documented as the child arrives and departs from the facility. SAFE ENVIRONMENT: The sanitizer and disinfectant used to sanitize tables, toys, and diapering surfaces were not maintained five feet from the floor in all classrooms. We discussed hanging shelves at least five feet from the floor in each classroom to ensure children do not have access to the bottles. The following hazards were observed on the preschool age playground: Metal border stakes were sticking up, causing a protrusion hazard. Sharp thorns were on vines that were attached to the fence, accessible to children. Steps on the large play structure were rusted and flaking. The following hazards were observed on the toddler age playground: Wood on the ramps leading into the building was split, broken, or had nails protruding out of the wood. A cap, closing the PVC pipe used for a border, was not secured, causing an entrapment hazard. A wood handrail was broken in two pieces, causing sharp edges and pinching points. I reviewed the playground inspection forms and there was no documentation of the listed items. We reviewed the importance of the monthly checklist and how completing this monthly checklist thoroughly can ensure the safety of children on the playground. STORAGE OF HAZARDOUS MATERIAL: I observed a bottle of Cover it correction fluid (white out) not maintained in locked storage, in space 4. We reviewed that when items are labeled, “Keep out of the reach of children” along with additional warnings, they must be maintained in locked storage. This was corrected by the teacher placing the item in locked storage. SHELTER-IN-PLACE / LOCKDOWN DRILLS: A shelter-in-place/lockdown drill was not completed for the month of August. We reviewed that the drill is required to be completed at least every three months. A drill was completed on May 11, 2023. The next drill should have been completed in August of 2023. The next drill was completed on September 7, 2023. ACTIVITY PLANS: The activity plan posted for space 2 was not current. The activity plan posted was dated November 12, 2023. As a reminder, activity plans are critical to the structure of the classroom. It assists in the teacher’s day to day routines and ensures the children are receiving developmentally appropriate instruction. We discussed the importance of keeping the activity plan current to also ensure that a substitute has a guide to follow in the teacher’s absence. SAFETY PLUGS/ELECTRICAL OUTLETS: In space 2, I observed an electrical outlet that did not have a safety plug when the outlet was not being used. We reviewed that this is one way to ensure the safety of children, especially toddler aged children. SANITATION OF DIAPERING SURFACES: In space 2, I observed a teacher completing the steps of changing a diaper on a child. When she completed the diaper change, the teacher sprayed a soapy solution on the changing table but failed to spray the changing table with the disinfecting spray immediately following the soapy solution. We reviewed the diaper changing process, along with the disinfecting of the changing table. I encourage you to review this process with all teachers. You may contact the NC Childcare Health and Safety Resource Center for free diaper changing posters. You can access free downloadable posters or order posters, via postal mail, free of charge. The website is found at https://healthychildcare.unc.edu/. Go to the “Resource” tab and scroll down to “Posters”. EPR PLAN: You stated that you have not been able to publish the EPR plan due to having issues with your NCID. You explained that you had to develop a new plan due to the expiration of your NCID and you were not able to access the prior EPR plan. I reminded you that the EPR plan must be reviewed and revised annually or when updated and published on a template provided by the Division. This plan must be reviewed with all staff members annually or when any updates have taken place. I have provided you with contact information to NCID and the Risk Management Portal representative. CHILDREN’S RECORDS: While reviewing a selection of children’s records, the following items were non-compliant: -A child enrolled on 4/6/2022 and the medical exam was completed on 11/2/2022. The immunizations were completed on 11/8/2022. -A child was enrolled on 7/19/2022. The medical exam was completed on 9/20/2022 and the immunizations were completed on 9/20/2022. -One child did not have a medical exam on file and was enrolled on 11/15/2022. As a reminder, medical exams and immunization records must be on file before or within 30 days of enrollment. I encourage you to review all children’s records to ensure all required documents are received according to the deadlines. STORAGE OF PLASTIC BAGS: In space 4, I observed plastic bags being stored in the child’s individual cubbies. As a reminder, plastic bags can be a suffocation hazard for children under the age of three. The teacher asked if this would apply since this was the classroom for infants and children one year of age. I reminded the teacher that the children one year of age are walking and pulling up on items and the bags were accessible to the children. Ensure these plastic bags are stored at least five feet from the floor in the classrooms that have children under the age of three present or enrolled. ADMINISTRATIVE ACTION: We discussed an Administrative Action may be issued to the facility in regard to receiving 16 or more violations of separate rules in a single visit. Today your facility received 17 violations of child care requirements. I reminded you that I would have to conduct a follow-up visit for the staff/child ratio violation and to monitor staff records. If violations are received while monitoring the staff records, those violations would be added to the 17 violations received today. I will be in contact with you regarding Administrative Action. RATED LICENSE REASSESSMENT: We discussed that this facility is in Co-hort 1 for the Rated License Reassessment. When asked, you stated that you did not feel that this facility is ready for the Environmental Rating Scale to be completed in your planning year. You stated that you are in the process of hiring additional staff. I reminded you that your planning year is from July 1, 2023, until June 30, 2024. Your reassessment period will be from July 1, 2024, until June 30, 2025. The reassessment must be completed by June 30, 2025. NCRLAP has the following resources and training available on their website: • Here is the hyperlink to the Thinking More About resources: https://ncrlap.org/Resources/ • Here is the hyperlink to videos you and your staff may find helpful: https://ncrlap.org/Resources/Videos/ • NCRLAP offers contact hour earning online training. Go to https://ncrlap.org/Resources/Training/Register/ to see their scale related training as well as additional trainings covering special topics such as language and interactions, outdoor learning environments, and requirements for materials in family child care homes. • Megan Porter, State Anchor, can provide personalized, on-site ERS focused trainings for programs upon request. She can be reached at meporter@uncg.edu ON SITE ADMINISTRATOR: We reviewed the administrator listed in our Regulatory system for this program, Kimberly McDuffie. We discussed the administrator duties and responsibilities for operating this program. We reviewed that you, Ms. Newton, are completing the majority of these responsibilities. We discussed the amount of on-site administrative hours you are required to complete at Wee Are The World Child Care. Based on those hours, you are not able to be the on-site administrator for this facility. We discussed the importance of having an administrator that is capable of being present and is able to complete daily tasks to ensure the facility is in compliance with child care requirements. Please review and email me if Ms. McDuffie is going to continue in the role of the administrator. SANITATION: Children’s Environmental Health has newly readopted child care sanitation rules. You should visit our website under the services tab, then select child care rules, law and public information, and then section 2800 Sanitation of Child Care to review newly readopted rules. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective July 1, 2023. RESOURCES: The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. 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 .0604 · Violation

Name of Operation: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 30 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Staff and Training worksheets were not received. An email reminder was sent on November 28, 2023, and December 11, 2023, requesting the worksheets. Staff files could not be monitored due to not having the staff/training worksheets. A follow-up visit will be completed to monitor staff files. This center currently operates with a Five -Star license issued on May 2, 2018, with five points in Program Standards, seven points in Staff Education and one Quality Point based on 75% of group leaders having a NC School Age Care Credential. Due to one classroom including five NC Pre-K positions, NC Pre-K was monitored. The current NC Pre-K staff are the same staff as indicated in the NC Pre-K Plan System. I monitored a selection of children’s files for completed health assessments and developmental screenings. The center uses Teaching Strategies Gold instrument to document evidence of children’s ongoing progress. The checkpoint assessments are conducted three times per year: fall, winter, and summer. Parent / Teacher conferences are conducted twice per year. Examples of family involvement were discussed. The last sanitation inspection was completed on January 6, 2023, with a “Superior” classification. The last fire inspection was completed on January 3, 2023, and the facility was approved for day time care only. K. McDuffie, documented Administrator, was unavailable upon arrival. The visit was conducted with Mia Newton, Administrator at Wee Are The World Child Care Center. Ms. Newton was notified of the purpose of the visit and was available for consultation at the conclusion of the visit. Prior to today’s visit, the program’s compliance history was 93% over the current 18- month period. A copy of your compliance history report was left with you. The facility is owned by the corporation, Wee Are The World Child Care, INC. The corporation was verified to be current and active. Ms. Newton verified the location address, telephone, and email on file with DCDEE is accurate. Upon entering the facility, Ms. Newton informed me that there were two staff members absent. Ms. Newton was working in a classroom; however, she greeted me at the door and spoke with me in the office. The classroom Ms. Newton was assisting in had five infants present and three children one year of age present: therefore, when Ms. Newton left the classroom to greet me and speak with me in the office, the classroom was out of compliance with staff/child ratio. Upon entering the classroom for children two years of age, I observed that there were seven children, two years of age present and one child one year of age present, for a total of eight children present with one teacher: therefore, the classroom for two-year-old children was out of compliance with staff/child ratio. The last posted activity plan for this classroom was dated November 12, 2023. I observed children participating in self-select in centers, teacher led activities, free play outdoors, and routine care needs being met. Adequate materials were observed in each classroom. I used the Annual Compliance Monitoring Checklist for Child Care and the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. The violations documented were reviewed with Ms. Newton at the conclusion of the visit. A hand-written visit summary was provided to you. A computer-generated visit summary will be emailed to you. The following violations were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not documented in space 2 for the morning of 12/12/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan posted for space 2 was not current. The activity plan posted was dated November 12, 2023. GS 110-91(12); .0508(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. In space 2, a teacher was observed completing the steps of changing a diaper on a child. When she completed the diaper change, the teacher sprayed a soapy solution on the changing table but failed to spray the changing table with the disinfecting spray immediately following the soapy solution. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. The sanitizer and disinfectant used to sanitize tables, toys, and diapering surfaces were not maintained five feet from the floor in all classrooms. Observed on the preschool age playground: metal border stakes were sticking up, causing a protrusion hazard. Sharp thorns were on vines that were attached to the fence, accessible to children. Steps on the large play structure were rusted and flaking. Observed on the playground for toddlers: wood on the ramps leading into the building was split, broken, or had nails protruding out of the wood. A cap, closing the PVC pipe used for a border, was not secured, causing an entrapment hazard. A wood handrail was broken in two pieces, causing sharp edges and pinching points. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2, an electrical outlet did not have a safety plug when the outlet was not being used. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Cover it correction fluid (white out) not maintained in locked storage, in space 4. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space two, medications were administered without medical authorization forms completed. The medications were Aquaphor ointment, Butt paste, A&D Ointment, and Desitin diaper cream. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In space two, there were medications that had expired but were still being administered. An Albuterol inhaler expired on 10/2022. A&D ointment expired 12/2022. Desitin diaper cream expired 10/2022. Aquaphor ointment expired 3/2023. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 4, I observed plastic bags being stored in the child’s individual cubbies, accessible to children under three years of age. .0604(q) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The Administrator, Kimberly McDuffie's SIDS training expired on 10/21/2022 and has not been taken since the expiration date. .1102(f) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child enrolled on 11/15/2022, does not have medical or immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child was enrolled on 4/6/2022 and the medical exam was completed on 11/2/2022, after the 30 day requirement. A child was enrolled on 7/19/2022. The medical exam was completed on 9/20/2022, after the 30 day requirement. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 4/6/2022 did not receive the required immunizations until 11/8/2022. A child enrolled on 7/19/2022 did not receive the required immunizations until 9/20/2022. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In space two, there were seven children two years of age present and one child one year of age present, for a total of eight children present with one teacher. In space four, there were five infants present and three children one year of age present, with one teacher and Ms. Newton present; however, Ms. Newton walked out of the classroom to greet me at the front door and meet with me in the office, leaving the classroom with only one teacher. 10A NCAC 09 .2818 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the plan to ensure all the information was current in the plan. The plan has not been updated to reflect the staff changes. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space two, an asthma action medical plan for one child was not renewed prior to the expiration date of 9/2/2023. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In space two, there was a prescription medication - clotrimazole - that was not labeled with the child’s name and did not have any written instructions or a signature of a physician. 10A NCAC 09 .0803(2)(b)(i-v) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff members A. Williams, M. Newton, D. Outlaw, E. Graham, K. White, and G. Cain did not include Health and Safety training topics as part of on-going training within five years of completing the previous health and safety topics. The previous health and safety trainings expired 10/2023. .1103(b) CONSULTATION, TECHNICAL ASSISTANCE, AND RULE REMINDERS: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be received by December 26, 2023, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. STAFF/CHILD RATIO: Child care administrators hold the responsibility of ensuring that staff always comply with staff-child ratio requirements. Staff-to-child ratios are important for safety reasons. Caregivers provide oversight and accountability for the safety of children in your program. The risks for children increase when required ratios are not maintained. Maintaining staff-to-child ratios ensures that child care providers can effectively supervise the entire group while engaging children in daily activities and routines. Conducting regular ratio audits and monitoring classrooms can assist you in your efforts with maintaining staff/child ratios. I observed two classrooms that were not in compliance with staff/child ratio. We discussed that if you are short-staffed, you must not allow children to stay if it makes you out of compliance with child ratios. A follow-up visit will take place to ensure compliance is maintained with the staff/child ratio requirement. MEDICATION – PARENT AUTHORIZATION, EXPIRATION, AND ACTION PLANS: The following items were observed to be non-compliant: -An asthma action plan for one child was not renewed prior to the expiration date of 9/2/2023. Ensure all medical action plans are updated on an annual basis, prior to the expiration date. -There were medications in the medication lock box that did not have medication authorization forms. The medications were Aquaphor ointment, Butt paste, A&D Ointment, and Desitin diaper cream. Authorization may be given for up to 12 months for diaper creams and ointments. -There were medications that had expired but were still being administered. An Albuterol inhaler expired on 10/2022. A&D ointment expired 12/2022. Desitin diaper cream expired 10/2022. Aquaphor ointment expired 3/2023. As a reminder, no medication shall be administered to a child after it’s expiration date. -There was a prescription medication that was not labeled with the child’s name and did not have any written instructions. Ensure to capture all the requirements for prescribed medications. ARRIVAL/DEPARTURE TIMES: Arrival times were not documented in space 2 for the morning of 12/12/23. Ensure all arrival and departure times are documented as the child arrives and departs from the facility. SAFE ENVIRONMENT: The sanitizer and disinfectant used to sanitize tables, toys, and diapering surfaces were not maintained five feet from the floor in all classrooms. We discussed hanging shelves at least five feet from the floor in each classroom to ensure children do not have access to the bottles. The following hazards were observed on the preschool age playground: Metal border stakes were sticking up, causing a protrusion hazard. Sharp thorns were on vines that were attached to the fence, accessible to children. Steps on the large play structure were rusted and flaking. The following hazards were observed on the toddler age playground: Wood on the ramps leading into the building was split, broken, or had nails protruding out of the wood. A cap, closing the PVC pipe used for a border, was not secured, causing an entrapment hazard. A wood handrail was broken in two pieces, causing sharp edges and pinching points. I reviewed the playground inspection forms and there was no documentation of the listed items. We reviewed the importance of the monthly checklist and how completing this monthly checklist thoroughly can ensure the safety of children on the playground. STORAGE OF HAZARDOUS MATERIAL: I observed a bottle of Cover it correction fluid (white out) not maintained in locked storage, in space 4. We reviewed that when items are labeled, “Keep out of the reach of children” along with additional warnings, they must be maintained in locked storage. This was corrected by the teacher placing the item in locked storage. SHELTER-IN-PLACE / LOCKDOWN DRILLS: A shelter-in-place/lockdown drill was not completed for the month of August. We reviewed that the drill is required to be completed at least every three months. A drill was completed on May 11, 2023. The next drill should have been completed in August of 2023. The next drill was completed on September 7, 2023. ACTIVITY PLANS: The activity plan posted for space 2 was not current. The activity plan posted was dated November 12, 2023. As a reminder, activity plans are critical to the structure of the classroom. It assists in the teacher’s day to day routines and ensures the children are receiving developmentally appropriate instruction. We discussed the importance of keeping the activity plan current to also ensure that a substitute has a guide to follow in the teacher’s absence. SAFETY PLUGS/ELECTRICAL OUTLETS: In space 2, I observed an electrical outlet that did not have a safety plug when the outlet was not being used. We reviewed that this is one way to ensure the safety of children, especially toddler aged children. SANITATION OF DIAPERING SURFACES: In space 2, I observed a teacher completing the steps of changing a diaper on a child. When she completed the diaper change, the teacher sprayed a soapy solution on the changing table but failed to spray the changing table with the disinfecting spray immediately following the soapy solution. We reviewed the diaper changing process, along with the disinfecting of the changing table. I encourage you to review this process with all teachers. You may contact the NC Childcare Health and Safety Resource Center for free diaper changing posters. You can access free downloadable posters or order posters, via postal mail, free of charge. The website is found at https://healthychildcare.unc.edu/. Go to the “Resource” tab and scroll down to “Posters”. EPR PLAN: You stated that you have not been able to publish the EPR plan due to having issues with your NCID. You explained that you had to develop a new plan due to the expiration of your NCID and you were not able to access the prior EPR plan. I reminded you that the EPR plan must be reviewed and revised annually or when updated and published on a template provided by the Division. This plan must be reviewed with all staff members annually or when any updates have taken place. I have provided you with contact information to NCID and the Risk Management Portal representative. CHILDREN’S RECORDS: While reviewing a selection of children’s records, the following items were non-compliant: -A child enrolled on 4/6/2022 and the medical exam was completed on 11/2/2022. The immunizations were completed on 11/8/2022. -A child was enrolled on 7/19/2022. The medical exam was completed on 9/20/2022 and the immunizations were completed on 9/20/2022. -One child did not have a medical exam on file and was enrolled on 11/15/2022. As a reminder, medical exams and immunization records must be on file before or within 30 days of enrollment. I encourage you to review all children’s records to ensure all required documents are received according to the deadlines. STORAGE OF PLASTIC BAGS: In space 4, I observed plastic bags being stored in the child’s individual cubbies. As a reminder, plastic bags can be a suffocation hazard for children under the age of three. The teacher asked if this would apply since this was the classroom for infants and children one year of age. I reminded the teacher that the children one year of age are walking and pulling up on items and the bags were accessible to the children. Ensure these plastic bags are stored at least five feet from the floor in the classrooms that have children under the age of three present or enrolled. ADMINISTRATIVE ACTION: We discussed an Administrative Action may be issued to the facility in regard to receiving 16 or more violations of separate rules in a single visit. Today your facility received 17 violations of child care requirements. I reminded you that I would have to conduct a follow-up visit for the staff/child ratio violation and to monitor staff records. If violations are received while monitoring the staff records, those violations would be added to the 17 violations received today. I will be in contact with you regarding Administrative Action. RATED LICENSE REASSESSMENT: We discussed that this facility is in Co-hort 1 for the Rated License Reassessment. When asked, you stated that you did not feel that this facility is ready for the Environmental Rating Scale to be completed in your planning year. You stated that you are in the process of hiring additional staff. I reminded you that your planning year is from July 1, 2023, until June 30, 2024. Your reassessment period will be from July 1, 2024, until June 30, 2025. The reassessment must be completed by June 30, 2025. NCRLAP has the following resources and training available on their website: • Here is the hyperlink to the Thinking More About resources: https://ncrlap.org/Resources/ • Here is the hyperlink to videos you and your staff may find helpful: https://ncrlap.org/Resources/Videos/ • NCRLAP offers contact hour earning online training. Go to https://ncrlap.org/Resources/Training/Register/ to see their scale related training as well as additional trainings covering special topics such as language and interactions, outdoor learning environments, and requirements for materials in family child care homes. • Megan Porter, State Anchor, can provide personalized, on-site ERS focused trainings for programs upon request. She can be reached at meporter@uncg.edu ON SITE ADMINISTRATOR: We reviewed the administrator listed in our Regulatory system for this program, Kimberly McDuffie. We discussed the administrator duties and responsibilities for operating this program. We reviewed that you, Ms. Newton, are completing the majority of these responsibilities. We discussed the amount of on-site administrative hours you are required to complete at Wee Are The World Child Care. Based on those hours, you are not able to be the on-site administrator for this facility. We discussed the importance of having an administrator that is capable of being present and is able to complete daily tasks to ensure the facility is in compliance with child care requirements. Please review and email me if Ms. McDuffie is going to continue in the role of the administrator. SANITATION: Children’s Environmental Health has newly readopted child care sanitation rules. You should visit our website under the services tab, then select child care rules, law and public information, and then section 2800 Sanitation of Child Care to review newly readopted rules. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective July 1, 2023. RESOURCES: The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. 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: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 30 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Staff and Training worksheets were not received. An email reminder was sent on November 28, 2023, and December 11, 2023, requesting the worksheets. Staff files could not be monitored due to not having the staff/training worksheets. A follow-up visit will be completed to monitor staff files. This center currently operates with a Five -Star license issued on May 2, 2018, with five points in Program Standards, seven points in Staff Education and one Quality Point based on 75% of group leaders having a NC School Age Care Credential. Due to one classroom including five NC Pre-K positions, NC Pre-K was monitored. The current NC Pre-K staff are the same staff as indicated in the NC Pre-K Plan System. I monitored a selection of children’s files for completed health assessments and developmental screenings. The center uses Teaching Strategies Gold instrument to document evidence of children’s ongoing progress. The checkpoint assessments are conducted three times per year: fall, winter, and summer. Parent / Teacher conferences are conducted twice per year. Examples of family involvement were discussed. The last sanitation inspection was completed on January 6, 2023, with a “Superior” classification. The last fire inspection was completed on January 3, 2023, and the facility was approved for day time care only. K. McDuffie, documented Administrator, was unavailable upon arrival. The visit was conducted with Mia Newton, Administrator at Wee Are The World Child Care Center. Ms. Newton was notified of the purpose of the visit and was available for consultation at the conclusion of the visit. Prior to today’s visit, the program’s compliance history was 93% over the current 18- month period. A copy of your compliance history report was left with you. The facility is owned by the corporation, Wee Are The World Child Care, INC. The corporation was verified to be current and active. Ms. Newton verified the location address, telephone, and email on file with DCDEE is accurate. Upon entering the facility, Ms. Newton informed me that there were two staff members absent. Ms. Newton was working in a classroom; however, she greeted me at the door and spoke with me in the office. The classroom Ms. Newton was assisting in had five infants present and three children one year of age present: therefore, when Ms. Newton left the classroom to greet me and speak with me in the office, the classroom was out of compliance with staff/child ratio. Upon entering the classroom for children two years of age, I observed that there were seven children, two years of age present and one child one year of age present, for a total of eight children present with one teacher: therefore, the classroom for two-year-old children was out of compliance with staff/child ratio. The last posted activity plan for this classroom was dated November 12, 2023. I observed children participating in self-select in centers, teacher led activities, free play outdoors, and routine care needs being met. Adequate materials were observed in each classroom. I used the Annual Compliance Monitoring Checklist for Child Care and the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. The violations documented were reviewed with Ms. Newton at the conclusion of the visit. A hand-written visit summary was provided to you. A computer-generated visit summary will be emailed to you. The following violations were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not documented in space 2 for the morning of 12/12/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan posted for space 2 was not current. The activity plan posted was dated November 12, 2023. GS 110-91(12); .0508(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. In space 2, a teacher was observed completing the steps of changing a diaper on a child. When she completed the diaper change, the teacher sprayed a soapy solution on the changing table but failed to spray the changing table with the disinfecting spray immediately following the soapy solution. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. The sanitizer and disinfectant used to sanitize tables, toys, and diapering surfaces were not maintained five feet from the floor in all classrooms. Observed on the preschool age playground: metal border stakes were sticking up, causing a protrusion hazard. Sharp thorns were on vines that were attached to the fence, accessible to children. Steps on the large play structure were rusted and flaking. Observed on the playground for toddlers: wood on the ramps leading into the building was split, broken, or had nails protruding out of the wood. A cap, closing the PVC pipe used for a border, was not secured, causing an entrapment hazard. A wood handrail was broken in two pieces, causing sharp edges and pinching points. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2, an electrical outlet did not have a safety plug when the outlet was not being used. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Cover it correction fluid (white out) not maintained in locked storage, in space 4. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space two, medications were administered without medical authorization forms completed. The medications were Aquaphor ointment, Butt paste, A&D Ointment, and Desitin diaper cream. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In space two, there were medications that had expired but were still being administered. An Albuterol inhaler expired on 10/2022. A&D ointment expired 12/2022. Desitin diaper cream expired 10/2022. Aquaphor ointment expired 3/2023. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 4, I observed plastic bags being stored in the child’s individual cubbies, accessible to children under three years of age. .0604(q) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The Administrator, Kimberly McDuffie's SIDS training expired on 10/21/2022 and has not been taken since the expiration date. .1102(f) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child enrolled on 11/15/2022, does not have medical or immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child was enrolled on 4/6/2022 and the medical exam was completed on 11/2/2022, after the 30 day requirement. A child was enrolled on 7/19/2022. The medical exam was completed on 9/20/2022, after the 30 day requirement. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 4/6/2022 did not receive the required immunizations until 11/8/2022. A child enrolled on 7/19/2022 did not receive the required immunizations until 9/20/2022. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In space two, there were seven children two years of age present and one child one year of age present, for a total of eight children present with one teacher. In space four, there were five infants present and three children one year of age present, with one teacher and Ms. Newton present; however, Ms. Newton walked out of the classroom to greet me at the front door and meet with me in the office, leaving the classroom with only one teacher. 10A NCAC 09 .2818 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the plan to ensure all the information was current in the plan. The plan has not been updated to reflect the staff changes. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space two, an asthma action medical plan for one child was not renewed prior to the expiration date of 9/2/2023. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In space two, there was a prescription medication - clotrimazole - that was not labeled with the child’s name and did not have any written instructions or a signature of a physician. 10A NCAC 09 .0803(2)(b)(i-v) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff members A. Williams, M. Newton, D. Outlaw, E. Graham, K. White, and G. Cain did not include Health and Safety training topics as part of on-going training within five years of completing the previous health and safety topics. The previous health and safety trainings expired 10/2023. .1103(b) CONSULTATION, TECHNICAL ASSISTANCE, AND RULE REMINDERS: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be received by December 26, 2023, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. STAFF/CHILD RATIO: Child care administrators hold the responsibility of ensuring that staff always comply with staff-child ratio requirements. Staff-to-child ratios are important for safety reasons. Caregivers provide oversight and accountability for the safety of children in your program. The risks for children increase when required ratios are not maintained. Maintaining staff-to-child ratios ensures that child care providers can effectively supervise the entire group while engaging children in daily activities and routines. Conducting regular ratio audits and monitoring classrooms can assist you in your efforts with maintaining staff/child ratios. I observed two classrooms that were not in compliance with staff/child ratio. We discussed that if you are short-staffed, you must not allow children to stay if it makes you out of compliance with child ratios. A follow-up visit will take place to ensure compliance is maintained with the staff/child ratio requirement. MEDICATION – PARENT AUTHORIZATION, EXPIRATION, AND ACTION PLANS: The following items were observed to be non-compliant: -An asthma action plan for one child was not renewed prior to the expiration date of 9/2/2023. Ensure all medical action plans are updated on an annual basis, prior to the expiration date. -There were medications in the medication lock box that did not have medication authorization forms. The medications were Aquaphor ointment, Butt paste, A&D Ointment, and Desitin diaper cream. Authorization may be given for up to 12 months for diaper creams and ointments. -There were medications that had expired but were still being administered. An Albuterol inhaler expired on 10/2022. A&D ointment expired 12/2022. Desitin diaper cream expired 10/2022. Aquaphor ointment expired 3/2023. As a reminder, no medication shall be administered to a child after it’s expiration date. -There was a prescription medication that was not labeled with the child’s name and did not have any written instructions. Ensure to capture all the requirements for prescribed medications. ARRIVAL/DEPARTURE TIMES: Arrival times were not documented in space 2 for the morning of 12/12/23. Ensure all arrival and departure times are documented as the child arrives and departs from the facility. SAFE ENVIRONMENT: The sanitizer and disinfectant used to sanitize tables, toys, and diapering surfaces were not maintained five feet from the floor in all classrooms. We discussed hanging shelves at least five feet from the floor in each classroom to ensure children do not have access to the bottles. The following hazards were observed on the preschool age playground: Metal border stakes were sticking up, causing a protrusion hazard. Sharp thorns were on vines that were attached to the fence, accessible to children. Steps on the large play structure were rusted and flaking. The following hazards were observed on the toddler age playground: Wood on the ramps leading into the building was split, broken, or had nails protruding out of the wood. A cap, closing the PVC pipe used for a border, was not secured, causing an entrapment hazard. A wood handrail was broken in two pieces, causing sharp edges and pinching points. I reviewed the playground inspection forms and there was no documentation of the listed items. We reviewed the importance of the monthly checklist and how completing this monthly checklist thoroughly can ensure the safety of children on the playground. STORAGE OF HAZARDOUS MATERIAL: I observed a bottle of Cover it correction fluid (white out) not maintained in locked storage, in space 4. We reviewed that when items are labeled, “Keep out of the reach of children” along with additional warnings, they must be maintained in locked storage. This was corrected by the teacher placing the item in locked storage. SHELTER-IN-PLACE / LOCKDOWN DRILLS: A shelter-in-place/lockdown drill was not completed for the month of August. We reviewed that the drill is required to be completed at least every three months. A drill was completed on May 11, 2023. The next drill should have been completed in August of 2023. The next drill was completed on September 7, 2023. ACTIVITY PLANS: The activity plan posted for space 2 was not current. The activity plan posted was dated November 12, 2023. As a reminder, activity plans are critical to the structure of the classroom. It assists in the teacher’s day to day routines and ensures the children are receiving developmentally appropriate instruction. We discussed the importance of keeping the activity plan current to also ensure that a substitute has a guide to follow in the teacher’s absence. SAFETY PLUGS/ELECTRICAL OUTLETS: In space 2, I observed an electrical outlet that did not have a safety plug when the outlet was not being used. We reviewed that this is one way to ensure the safety of children, especially toddler aged children. SANITATION OF DIAPERING SURFACES: In space 2, I observed a teacher completing the steps of changing a diaper on a child. When she completed the diaper change, the teacher sprayed a soapy solution on the changing table but failed to spray the changing table with the disinfecting spray immediately following the soapy solution. We reviewed the diaper changing process, along with the disinfecting of the changing table. I encourage you to review this process with all teachers. You may contact the NC Childcare Health and Safety Resource Center for free diaper changing posters. You can access free downloadable posters or order posters, via postal mail, free of charge. The website is found at https://healthychildcare.unc.edu/. Go to the “Resource” tab and scroll down to “Posters”. EPR PLAN: You stated that you have not been able to publish the EPR plan due to having issues with your NCID. You explained that you had to develop a new plan due to the expiration of your NCID and you were not able to access the prior EPR plan. I reminded you that the EPR plan must be reviewed and revised annually or when updated and published on a template provided by the Division. This plan must be reviewed with all staff members annually or when any updates have taken place. I have provided you with contact information to NCID and the Risk Management Portal representative. CHILDREN’S RECORDS: While reviewing a selection of children’s records, the following items were non-compliant: -A child enrolled on 4/6/2022 and the medical exam was completed on 11/2/2022. The immunizations were completed on 11/8/2022. -A child was enrolled on 7/19/2022. The medical exam was completed on 9/20/2022 and the immunizations were completed on 9/20/2022. -One child did not have a medical exam on file and was enrolled on 11/15/2022. As a reminder, medical exams and immunization records must be on file before or within 30 days of enrollment. I encourage you to review all children’s records to ensure all required documents are received according to the deadlines. STORAGE OF PLASTIC BAGS: In space 4, I observed plastic bags being stored in the child’s individual cubbies. As a reminder, plastic bags can be a suffocation hazard for children under the age of three. The teacher asked if this would apply since this was the classroom for infants and children one year of age. I reminded the teacher that the children one year of age are walking and pulling up on items and the bags were accessible to the children. Ensure these plastic bags are stored at least five feet from the floor in the classrooms that have children under the age of three present or enrolled. ADMINISTRATIVE ACTION: We discussed an Administrative Action may be issued to the facility in regard to receiving 16 or more violations of separate rules in a single visit. Today your facility received 17 violations of child care requirements. I reminded you that I would have to conduct a follow-up visit for the staff/child ratio violation and to monitor staff records. If violations are received while monitoring the staff records, those violations would be added to the 17 violations received today. I will be in contact with you regarding Administrative Action. RATED LICENSE REASSESSMENT: We discussed that this facility is in Co-hort 1 for the Rated License Reassessment. When asked, you stated that you did not feel that this facility is ready for the Environmental Rating Scale to be completed in your planning year. You stated that you are in the process of hiring additional staff. I reminded you that your planning year is from July 1, 2023, until June 30, 2024. Your reassessment period will be from July 1, 2024, until June 30, 2025. The reassessment must be completed by June 30, 2025. NCRLAP has the following resources and training available on their website: • Here is the hyperlink to the Thinking More About resources: https://ncrlap.org/Resources/ • Here is the hyperlink to videos you and your staff may find helpful: https://ncrlap.org/Resources/Videos/ • NCRLAP offers contact hour earning online training. Go to https://ncrlap.org/Resources/Training/Register/ to see their scale related training as well as additional trainings covering special topics such as language and interactions, outdoor learning environments, and requirements for materials in family child care homes. • Megan Porter, State Anchor, can provide personalized, on-site ERS focused trainings for programs upon request. She can be reached at meporter@uncg.edu ON SITE ADMINISTRATOR: We reviewed the administrator listed in our Regulatory system for this program, Kimberly McDuffie. We discussed the administrator duties and responsibilities for operating this program. We reviewed that you, Ms. Newton, are completing the majority of these responsibilities. We discussed the amount of on-site administrative hours you are required to complete at Wee Are The World Child Care. Based on those hours, you are not able to be the on-site administrator for this facility. We discussed the importance of having an administrator that is capable of being present and is able to complete daily tasks to ensure the facility is in compliance with child care requirements. Please review and email me if Ms. McDuffie is going to continue in the role of the administrator. SANITATION: Children’s Environmental Health has newly readopted child care sanitation rules. You should visit our website under the services tab, then select child care rules, law and public information, and then section 2800 Sanitation of Child Care to review newly readopted rules. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective July 1, 2023. RESOURCES: The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. 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 .0302 · Violation

Name of Operation: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 30 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Staff and Training worksheets were not received. An email reminder was sent on November 28, 2023, and December 11, 2023, requesting the worksheets. Staff files could not be monitored due to not having the staff/training worksheets. A follow-up visit will be completed to monitor staff files. This center currently operates with a Five -Star license issued on May 2, 2018, with five points in Program Standards, seven points in Staff Education and one Quality Point based on 75% of group leaders having a NC School Age Care Credential. Due to one classroom including five NC Pre-K positions, NC Pre-K was monitored. The current NC Pre-K staff are the same staff as indicated in the NC Pre-K Plan System. I monitored a selection of children’s files for completed health assessments and developmental screenings. The center uses Teaching Strategies Gold instrument to document evidence of children’s ongoing progress. The checkpoint assessments are conducted three times per year: fall, winter, and summer. Parent / Teacher conferences are conducted twice per year. Examples of family involvement were discussed. The last sanitation inspection was completed on January 6, 2023, with a “Superior” classification. The last fire inspection was completed on January 3, 2023, and the facility was approved for day time care only. K. McDuffie, documented Administrator, was unavailable upon arrival. The visit was conducted with Mia Newton, Administrator at Wee Are The World Child Care Center. Ms. Newton was notified of the purpose of the visit and was available for consultation at the conclusion of the visit. Prior to today’s visit, the program’s compliance history was 93% over the current 18- month period. A copy of your compliance history report was left with you. The facility is owned by the corporation, Wee Are The World Child Care, INC. The corporation was verified to be current and active. Ms. Newton verified the location address, telephone, and email on file with DCDEE is accurate. Upon entering the facility, Ms. Newton informed me that there were two staff members absent. Ms. Newton was working in a classroom; however, she greeted me at the door and spoke with me in the office. The classroom Ms. Newton was assisting in had five infants present and three children one year of age present: therefore, when Ms. Newton left the classroom to greet me and speak with me in the office, the classroom was out of compliance with staff/child ratio. Upon entering the classroom for children two years of age, I observed that there were seven children, two years of age present and one child one year of age present, for a total of eight children present with one teacher: therefore, the classroom for two-year-old children was out of compliance with staff/child ratio. The last posted activity plan for this classroom was dated November 12, 2023. I observed children participating in self-select in centers, teacher led activities, free play outdoors, and routine care needs being met. Adequate materials were observed in each classroom. I used the Annual Compliance Monitoring Checklist for Child Care and the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. The violations documented were reviewed with Ms. Newton at the conclusion of the visit. A hand-written visit summary was provided to you. A computer-generated visit summary will be emailed to you. The following violations were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not documented in space 2 for the morning of 12/12/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan posted for space 2 was not current. The activity plan posted was dated November 12, 2023. GS 110-91(12); .0508(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. In space 2, a teacher was observed completing the steps of changing a diaper on a child. When she completed the diaper change, the teacher sprayed a soapy solution on the changing table but failed to spray the changing table with the disinfecting spray immediately following the soapy solution. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. The sanitizer and disinfectant used to sanitize tables, toys, and diapering surfaces were not maintained five feet from the floor in all classrooms. Observed on the preschool age playground: metal border stakes were sticking up, causing a protrusion hazard. Sharp thorns were on vines that were attached to the fence, accessible to children. Steps on the large play structure were rusted and flaking. Observed on the playground for toddlers: wood on the ramps leading into the building was split, broken, or had nails protruding out of the wood. A cap, closing the PVC pipe used for a border, was not secured, causing an entrapment hazard. A wood handrail was broken in two pieces, causing sharp edges and pinching points. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2, an electrical outlet did not have a safety plug when the outlet was not being used. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Cover it correction fluid (white out) not maintained in locked storage, in space 4. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space two, medications were administered without medical authorization forms completed. The medications were Aquaphor ointment, Butt paste, A&D Ointment, and Desitin diaper cream. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In space two, there were medications that had expired but were still being administered. An Albuterol inhaler expired on 10/2022. A&D ointment expired 12/2022. Desitin diaper cream expired 10/2022. Aquaphor ointment expired 3/2023. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 4, I observed plastic bags being stored in the child’s individual cubbies, accessible to children under three years of age. .0604(q) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The Administrator, Kimberly McDuffie's SIDS training expired on 10/21/2022 and has not been taken since the expiration date. .1102(f) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child enrolled on 11/15/2022, does not have medical or immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child was enrolled on 4/6/2022 and the medical exam was completed on 11/2/2022, after the 30 day requirement. A child was enrolled on 7/19/2022. The medical exam was completed on 9/20/2022, after the 30 day requirement. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 4/6/2022 did not receive the required immunizations until 11/8/2022. A child enrolled on 7/19/2022 did not receive the required immunizations until 9/20/2022. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In space two, there were seven children two years of age present and one child one year of age present, for a total of eight children present with one teacher. In space four, there were five infants present and three children one year of age present, with one teacher and Ms. Newton present; however, Ms. Newton walked out of the classroom to greet me at the front door and meet with me in the office, leaving the classroom with only one teacher. 10A NCAC 09 .2818 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the plan to ensure all the information was current in the plan. The plan has not been updated to reflect the staff changes. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space two, an asthma action medical plan for one child was not renewed prior to the expiration date of 9/2/2023. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In space two, there was a prescription medication - clotrimazole - that was not labeled with the child’s name and did not have any written instructions or a signature of a physician. 10A NCAC 09 .0803(2)(b)(i-v) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff members A. Williams, M. Newton, D. Outlaw, E. Graham, K. White, and G. Cain did not include Health and Safety training topics as part of on-going training within five years of completing the previous health and safety topics. The previous health and safety trainings expired 10/2023. .1103(b) CONSULTATION, TECHNICAL ASSISTANCE, AND RULE REMINDERS: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be received by December 26, 2023, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. STAFF/CHILD RATIO: Child care administrators hold the responsibility of ensuring that staff always comply with staff-child ratio requirements. Staff-to-child ratios are important for safety reasons. Caregivers provide oversight and accountability for the safety of children in your program. The risks for children increase when required ratios are not maintained. Maintaining staff-to-child ratios ensures that child care providers can effectively supervise the entire group while engaging children in daily activities and routines. Conducting regular ratio audits and monitoring classrooms can assist you in your efforts with maintaining staff/child ratios. I observed two classrooms that were not in compliance with staff/child ratio. We discussed that if you are short-staffed, you must not allow children to stay if it makes you out of compliance with child ratios. A follow-up visit will take place to ensure compliance is maintained with the staff/child ratio requirement. MEDICATION – PARENT AUTHORIZATION, EXPIRATION, AND ACTION PLANS: The following items were observed to be non-compliant: -An asthma action plan for one child was not renewed prior to the expiration date of 9/2/2023. Ensure all medical action plans are updated on an annual basis, prior to the expiration date. -There were medications in the medication lock box that did not have medication authorization forms. The medications were Aquaphor ointment, Butt paste, A&D Ointment, and Desitin diaper cream. Authorization may be given for up to 12 months for diaper creams and ointments. -There were medications that had expired but were still being administered. An Albuterol inhaler expired on 10/2022. A&D ointment expired 12/2022. Desitin diaper cream expired 10/2022. Aquaphor ointment expired 3/2023. As a reminder, no medication shall be administered to a child after it’s expiration date. -There was a prescription medication that was not labeled with the child’s name and did not have any written instructions. Ensure to capture all the requirements for prescribed medications. ARRIVAL/DEPARTURE TIMES: Arrival times were not documented in space 2 for the morning of 12/12/23. Ensure all arrival and departure times are documented as the child arrives and departs from the facility. SAFE ENVIRONMENT: The sanitizer and disinfectant used to sanitize tables, toys, and diapering surfaces were not maintained five feet from the floor in all classrooms. We discussed hanging shelves at least five feet from the floor in each classroom to ensure children do not have access to the bottles. The following hazards were observed on the preschool age playground: Metal border stakes were sticking up, causing a protrusion hazard. Sharp thorns were on vines that were attached to the fence, accessible to children. Steps on the large play structure were rusted and flaking. The following hazards were observed on the toddler age playground: Wood on the ramps leading into the building was split, broken, or had nails protruding out of the wood. A cap, closing the PVC pipe used for a border, was not secured, causing an entrapment hazard. A wood handrail was broken in two pieces, causing sharp edges and pinching points. I reviewed the playground inspection forms and there was no documentation of the listed items. We reviewed the importance of the monthly checklist and how completing this monthly checklist thoroughly can ensure the safety of children on the playground. STORAGE OF HAZARDOUS MATERIAL: I observed a bottle of Cover it correction fluid (white out) not maintained in locked storage, in space 4. We reviewed that when items are labeled, “Keep out of the reach of children” along with additional warnings, they must be maintained in locked storage. This was corrected by the teacher placing the item in locked storage. SHELTER-IN-PLACE / LOCKDOWN DRILLS: A shelter-in-place/lockdown drill was not completed for the month of August. We reviewed that the drill is required to be completed at least every three months. A drill was completed on May 11, 2023. The next drill should have been completed in August of 2023. The next drill was completed on September 7, 2023. ACTIVITY PLANS: The activity plan posted for space 2 was not current. The activity plan posted was dated November 12, 2023. As a reminder, activity plans are critical to the structure of the classroom. It assists in the teacher’s day to day routines and ensures the children are receiving developmentally appropriate instruction. We discussed the importance of keeping the activity plan current to also ensure that a substitute has a guide to follow in the teacher’s absence. SAFETY PLUGS/ELECTRICAL OUTLETS: In space 2, I observed an electrical outlet that did not have a safety plug when the outlet was not being used. We reviewed that this is one way to ensure the safety of children, especially toddler aged children. SANITATION OF DIAPERING SURFACES: In space 2, I observed a teacher completing the steps of changing a diaper on a child. When she completed the diaper change, the teacher sprayed a soapy solution on the changing table but failed to spray the changing table with the disinfecting spray immediately following the soapy solution. We reviewed the diaper changing process, along with the disinfecting of the changing table. I encourage you to review this process with all teachers. You may contact the NC Childcare Health and Safety Resource Center for free diaper changing posters. You can access free downloadable posters or order posters, via postal mail, free of charge. The website is found at https://healthychildcare.unc.edu/. Go to the “Resource” tab and scroll down to “Posters”. EPR PLAN: You stated that you have not been able to publish the EPR plan due to having issues with your NCID. You explained that you had to develop a new plan due to the expiration of your NCID and you were not able to access the prior EPR plan. I reminded you that the EPR plan must be reviewed and revised annually or when updated and published on a template provided by the Division. This plan must be reviewed with all staff members annually or when any updates have taken place. I have provided you with contact information to NCID and the Risk Management Portal representative. CHILDREN’S RECORDS: While reviewing a selection of children’s records, the following items were non-compliant: -A child enrolled on 4/6/2022 and the medical exam was completed on 11/2/2022. The immunizations were completed on 11/8/2022. -A child was enrolled on 7/19/2022. The medical exam was completed on 9/20/2022 and the immunizations were completed on 9/20/2022. -One child did not have a medical exam on file and was enrolled on 11/15/2022. As a reminder, medical exams and immunization records must be on file before or within 30 days of enrollment. I encourage you to review all children’s records to ensure all required documents are received according to the deadlines. STORAGE OF PLASTIC BAGS: In space 4, I observed plastic bags being stored in the child’s individual cubbies. As a reminder, plastic bags can be a suffocation hazard for children under the age of three. The teacher asked if this would apply since this was the classroom for infants and children one year of age. I reminded the teacher that the children one year of age are walking and pulling up on items and the bags were accessible to the children. Ensure these plastic bags are stored at least five feet from the floor in the classrooms that have children under the age of three present or enrolled. ADMINISTRATIVE ACTION: We discussed an Administrative Action may be issued to the facility in regard to receiving 16 or more violations of separate rules in a single visit. Today your facility received 17 violations of child care requirements. I reminded you that I would have to conduct a follow-up visit for the staff/child ratio violation and to monitor staff records. If violations are received while monitoring the staff records, those violations would be added to the 17 violations received today. I will be in contact with you regarding Administrative Action. RATED LICENSE REASSESSMENT: We discussed that this facility is in Co-hort 1 for the Rated License Reassessment. When asked, you stated that you did not feel that this facility is ready for the Environmental Rating Scale to be completed in your planning year. You stated that you are in the process of hiring additional staff. I reminded you that your planning year is from July 1, 2023, until June 30, 2024. Your reassessment period will be from July 1, 2024, until June 30, 2025. The reassessment must be completed by June 30, 2025. NCRLAP has the following resources and training available on their website: • Here is the hyperlink to the Thinking More About resources: https://ncrlap.org/Resources/ • Here is the hyperlink to videos you and your staff may find helpful: https://ncrlap.org/Resources/Videos/ • NCRLAP offers contact hour earning online training. Go to https://ncrlap.org/Resources/Training/Register/ to see their scale related training as well as additional trainings covering special topics such as language and interactions, outdoor learning environments, and requirements for materials in family child care homes. • Megan Porter, State Anchor, can provide personalized, on-site ERS focused trainings for programs upon request. She can be reached at meporter@uncg.edu ON SITE ADMINISTRATOR: We reviewed the administrator listed in our Regulatory system for this program, Kimberly McDuffie. We discussed the administrator duties and responsibilities for operating this program. We reviewed that you, Ms. Newton, are completing the majority of these responsibilities. We discussed the amount of on-site administrative hours you are required to complete at Wee Are The World Child Care. Based on those hours, you are not able to be the on-site administrator for this facility. We discussed the importance of having an administrator that is capable of being present and is able to complete daily tasks to ensure the facility is in compliance with child care requirements. Please review and email me if Ms. McDuffie is going to continue in the role of the administrator. SANITATION: Children’s Environmental Health has newly readopted child care sanitation rules. You should visit our website under the services tab, then select child care rules, law and public information, and then section 2800 Sanitation of Child Care to review newly readopted rules. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective July 1, 2023. RESOURCES: The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. 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: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 30 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Staff and Training worksheets were not received. An email reminder was sent on November 28, 2023, and December 11, 2023, requesting the worksheets. Staff files could not be monitored due to not having the staff/training worksheets. A follow-up visit will be completed to monitor staff files. This center currently operates with a Five -Star license issued on May 2, 2018, with five points in Program Standards, seven points in Staff Education and one Quality Point based on 75% of group leaders having a NC School Age Care Credential. Due to one classroom including five NC Pre-K positions, NC Pre-K was monitored. The current NC Pre-K staff are the same staff as indicated in the NC Pre-K Plan System. I monitored a selection of children’s files for completed health assessments and developmental screenings. The center uses Teaching Strategies Gold instrument to document evidence of children’s ongoing progress. The checkpoint assessments are conducted three times per year: fall, winter, and summer. Parent / Teacher conferences are conducted twice per year. Examples of family involvement were discussed. The last sanitation inspection was completed on January 6, 2023, with a “Superior” classification. The last fire inspection was completed on January 3, 2023, and the facility was approved for day time care only. K. McDuffie, documented Administrator, was unavailable upon arrival. The visit was conducted with Mia Newton, Administrator at Wee Are The World Child Care Center. Ms. Newton was notified of the purpose of the visit and was available for consultation at the conclusion of the visit. Prior to today’s visit, the program’s compliance history was 93% over the current 18- month period. A copy of your compliance history report was left with you. The facility is owned by the corporation, Wee Are The World Child Care, INC. The corporation was verified to be current and active. Ms. Newton verified the location address, telephone, and email on file with DCDEE is accurate. Upon entering the facility, Ms. Newton informed me that there were two staff members absent. Ms. Newton was working in a classroom; however, she greeted me at the door and spoke with me in the office. The classroom Ms. Newton was assisting in had five infants present and three children one year of age present: therefore, when Ms. Newton left the classroom to greet me and speak with me in the office, the classroom was out of compliance with staff/child ratio. Upon entering the classroom for children two years of age, I observed that there were seven children, two years of age present and one child one year of age present, for a total of eight children present with one teacher: therefore, the classroom for two-year-old children was out of compliance with staff/child ratio. The last posted activity plan for this classroom was dated November 12, 2023. I observed children participating in self-select in centers, teacher led activities, free play outdoors, and routine care needs being met. Adequate materials were observed in each classroom. I used the Annual Compliance Monitoring Checklist for Child Care and the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. The violations documented were reviewed with Ms. Newton at the conclusion of the visit. A hand-written visit summary was provided to you. A computer-generated visit summary will be emailed to you. The following violations were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not documented in space 2 for the morning of 12/12/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan posted for space 2 was not current. The activity plan posted was dated November 12, 2023. GS 110-91(12); .0508(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. In space 2, a teacher was observed completing the steps of changing a diaper on a child. When she completed the diaper change, the teacher sprayed a soapy solution on the changing table but failed to spray the changing table with the disinfecting spray immediately following the soapy solution. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. The sanitizer and disinfectant used to sanitize tables, toys, and diapering surfaces were not maintained five feet from the floor in all classrooms. Observed on the preschool age playground: metal border stakes were sticking up, causing a protrusion hazard. Sharp thorns were on vines that were attached to the fence, accessible to children. Steps on the large play structure were rusted and flaking. Observed on the playground for toddlers: wood on the ramps leading into the building was split, broken, or had nails protruding out of the wood. A cap, closing the PVC pipe used for a border, was not secured, causing an entrapment hazard. A wood handrail was broken in two pieces, causing sharp edges and pinching points. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2, an electrical outlet did not have a safety plug when the outlet was not being used. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Cover it correction fluid (white out) not maintained in locked storage, in space 4. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space two, medications were administered without medical authorization forms completed. The medications were Aquaphor ointment, Butt paste, A&D Ointment, and Desitin diaper cream. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In space two, there were medications that had expired but were still being administered. An Albuterol inhaler expired on 10/2022. A&D ointment expired 12/2022. Desitin diaper cream expired 10/2022. Aquaphor ointment expired 3/2023. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 4, I observed plastic bags being stored in the child’s individual cubbies, accessible to children under three years of age. .0604(q) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The Administrator, Kimberly McDuffie's SIDS training expired on 10/21/2022 and has not been taken since the expiration date. .1102(f) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child enrolled on 11/15/2022, does not have medical or immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child was enrolled on 4/6/2022 and the medical exam was completed on 11/2/2022, after the 30 day requirement. A child was enrolled on 7/19/2022. The medical exam was completed on 9/20/2022, after the 30 day requirement. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 4/6/2022 did not receive the required immunizations until 11/8/2022. A child enrolled on 7/19/2022 did not receive the required immunizations until 9/20/2022. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In space two, there were seven children two years of age present and one child one year of age present, for a total of eight children present with one teacher. In space four, there were five infants present and three children one year of age present, with one teacher and Ms. Newton present; however, Ms. Newton walked out of the classroom to greet me at the front door and meet with me in the office, leaving the classroom with only one teacher. 10A NCAC 09 .2818 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the plan to ensure all the information was current in the plan. The plan has not been updated to reflect the staff changes. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space two, an asthma action medical plan for one child was not renewed prior to the expiration date of 9/2/2023. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In space two, there was a prescription medication - clotrimazole - that was not labeled with the child’s name and did not have any written instructions or a signature of a physician. 10A NCAC 09 .0803(2)(b)(i-v) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff members A. Williams, M. Newton, D. Outlaw, E. Graham, K. White, and G. Cain did not include Health and Safety training topics as part of on-going training within five years of completing the previous health and safety topics. The previous health and safety trainings expired 10/2023. .1103(b) CONSULTATION, TECHNICAL ASSISTANCE, AND RULE REMINDERS: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be received by December 26, 2023, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. STAFF/CHILD RATIO: Child care administrators hold the responsibility of ensuring that staff always comply with staff-child ratio requirements. Staff-to-child ratios are important for safety reasons. Caregivers provide oversight and accountability for the safety of children in your program. The risks for children increase when required ratios are not maintained. Maintaining staff-to-child ratios ensures that child care providers can effectively supervise the entire group while engaging children in daily activities and routines. Conducting regular ratio audits and monitoring classrooms can assist you in your efforts with maintaining staff/child ratios. I observed two classrooms that were not in compliance with staff/child ratio. We discussed that if you are short-staffed, you must not allow children to stay if it makes you out of compliance with child ratios. A follow-up visit will take place to ensure compliance is maintained with the staff/child ratio requirement. MEDICATION – PARENT AUTHORIZATION, EXPIRATION, AND ACTION PLANS: The following items were observed to be non-compliant: -An asthma action plan for one child was not renewed prior to the expiration date of 9/2/2023. Ensure all medical action plans are updated on an annual basis, prior to the expiration date. -There were medications in the medication lock box that did not have medication authorization forms. The medications were Aquaphor ointment, Butt paste, A&D Ointment, and Desitin diaper cream. Authorization may be given for up to 12 months for diaper creams and ointments. -There were medications that had expired but were still being administered. An Albuterol inhaler expired on 10/2022. A&D ointment expired 12/2022. Desitin diaper cream expired 10/2022. Aquaphor ointment expired 3/2023. As a reminder, no medication shall be administered to a child after it’s expiration date. -There was a prescription medication that was not labeled with the child’s name and did not have any written instructions. Ensure to capture all the requirements for prescribed medications. ARRIVAL/DEPARTURE TIMES: Arrival times were not documented in space 2 for the morning of 12/12/23. Ensure all arrival and departure times are documented as the child arrives and departs from the facility. SAFE ENVIRONMENT: The sanitizer and disinfectant used to sanitize tables, toys, and diapering surfaces were not maintained five feet from the floor in all classrooms. We discussed hanging shelves at least five feet from the floor in each classroom to ensure children do not have access to the bottles. The following hazards were observed on the preschool age playground: Metal border stakes were sticking up, causing a protrusion hazard. Sharp thorns were on vines that were attached to the fence, accessible to children. Steps on the large play structure were rusted and flaking. The following hazards were observed on the toddler age playground: Wood on the ramps leading into the building was split, broken, or had nails protruding out of the wood. A cap, closing the PVC pipe used for a border, was not secured, causing an entrapment hazard. A wood handrail was broken in two pieces, causing sharp edges and pinching points. I reviewed the playground inspection forms and there was no documentation of the listed items. We reviewed the importance of the monthly checklist and how completing this monthly checklist thoroughly can ensure the safety of children on the playground. STORAGE OF HAZARDOUS MATERIAL: I observed a bottle of Cover it correction fluid (white out) not maintained in locked storage, in space 4. We reviewed that when items are labeled, “Keep out of the reach of children” along with additional warnings, they must be maintained in locked storage. This was corrected by the teacher placing the item in locked storage. SHELTER-IN-PLACE / LOCKDOWN DRILLS: A shelter-in-place/lockdown drill was not completed for the month of August. We reviewed that the drill is required to be completed at least every three months. A drill was completed on May 11, 2023. The next drill should have been completed in August of 2023. The next drill was completed on September 7, 2023. ACTIVITY PLANS: The activity plan posted for space 2 was not current. The activity plan posted was dated November 12, 2023. As a reminder, activity plans are critical to the structure of the classroom. It assists in the teacher’s day to day routines and ensures the children are receiving developmentally appropriate instruction. We discussed the importance of keeping the activity plan current to also ensure that a substitute has a guide to follow in the teacher’s absence. SAFETY PLUGS/ELECTRICAL OUTLETS: In space 2, I observed an electrical outlet that did not have a safety plug when the outlet was not being used. We reviewed that this is one way to ensure the safety of children, especially toddler aged children. SANITATION OF DIAPERING SURFACES: In space 2, I observed a teacher completing the steps of changing a diaper on a child. When she completed the diaper change, the teacher sprayed a soapy solution on the changing table but failed to spray the changing table with the disinfecting spray immediately following the soapy solution. We reviewed the diaper changing process, along with the disinfecting of the changing table. I encourage you to review this process with all teachers. You may contact the NC Childcare Health and Safety Resource Center for free diaper changing posters. You can access free downloadable posters or order posters, via postal mail, free of charge. The website is found at https://healthychildcare.unc.edu/. Go to the “Resource” tab and scroll down to “Posters”. EPR PLAN: You stated that you have not been able to publish the EPR plan due to having issues with your NCID. You explained that you had to develop a new plan due to the expiration of your NCID and you were not able to access the prior EPR plan. I reminded you that the EPR plan must be reviewed and revised annually or when updated and published on a template provided by the Division. This plan must be reviewed with all staff members annually or when any updates have taken place. I have provided you with contact information to NCID and the Risk Management Portal representative. CHILDREN’S RECORDS: While reviewing a selection of children’s records, the following items were non-compliant: -A child enrolled on 4/6/2022 and the medical exam was completed on 11/2/2022. The immunizations were completed on 11/8/2022. -A child was enrolled on 7/19/2022. The medical exam was completed on 9/20/2022 and the immunizations were completed on 9/20/2022. -One child did not have a medical exam on file and was enrolled on 11/15/2022. As a reminder, medical exams and immunization records must be on file before or within 30 days of enrollment. I encourage you to review all children’s records to ensure all required documents are received according to the deadlines. STORAGE OF PLASTIC BAGS: In space 4, I observed plastic bags being stored in the child’s individual cubbies. As a reminder, plastic bags can be a suffocation hazard for children under the age of three. The teacher asked if this would apply since this was the classroom for infants and children one year of age. I reminded the teacher that the children one year of age are walking and pulling up on items and the bags were accessible to the children. Ensure these plastic bags are stored at least five feet from the floor in the classrooms that have children under the age of three present or enrolled. ADMINISTRATIVE ACTION: We discussed an Administrative Action may be issued to the facility in regard to receiving 16 or more violations of separate rules in a single visit. Today your facility received 17 violations of child care requirements. I reminded you that I would have to conduct a follow-up visit for the staff/child ratio violation and to monitor staff records. If violations are received while monitoring the staff records, those violations would be added to the 17 violations received today. I will be in contact with you regarding Administrative Action. RATED LICENSE REASSESSMENT: We discussed that this facility is in Co-hort 1 for the Rated License Reassessment. When asked, you stated that you did not feel that this facility is ready for the Environmental Rating Scale to be completed in your planning year. You stated that you are in the process of hiring additional staff. I reminded you that your planning year is from July 1, 2023, until June 30, 2024. Your reassessment period will be from July 1, 2024, until June 30, 2025. The reassessment must be completed by June 30, 2025. NCRLAP has the following resources and training available on their website: • Here is the hyperlink to the Thinking More About resources: https://ncrlap.org/Resources/ • Here is the hyperlink to videos you and your staff may find helpful: https://ncrlap.org/Resources/Videos/ • NCRLAP offers contact hour earning online training. Go to https://ncrlap.org/Resources/Training/Register/ to see their scale related training as well as additional trainings covering special topics such as language and interactions, outdoor learning environments, and requirements for materials in family child care homes. • Megan Porter, State Anchor, can provide personalized, on-site ERS focused trainings for programs upon request. She can be reached at meporter@uncg.edu ON SITE ADMINISTRATOR: We reviewed the administrator listed in our Regulatory system for this program, Kimberly McDuffie. We discussed the administrator duties and responsibilities for operating this program. We reviewed that you, Ms. Newton, are completing the majority of these responsibilities. We discussed the amount of on-site administrative hours you are required to complete at Wee Are The World Child Care. Based on those hours, you are not able to be the on-site administrator for this facility. We discussed the importance of having an administrator that is capable of being present and is able to complete daily tasks to ensure the facility is in compliance with child care requirements. Please review and email me if Ms. McDuffie is going to continue in the role of the administrator. SANITATION: Children’s Environmental Health has newly readopted child care sanitation rules. You should visit our website under the services tab, then select child care rules, law and public information, and then section 2800 Sanitation of Child Care to review newly readopted rules. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective July 1, 2023. RESOURCES: The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. 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 .2818 · Violation

Name of Operation: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 30 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Staff and Training worksheets were not received. An email reminder was sent on November 28, 2023, and December 11, 2023, requesting the worksheets. Staff files could not be monitored due to not having the staff/training worksheets. A follow-up visit will be completed to monitor staff files. This center currently operates with a Five -Star license issued on May 2, 2018, with five points in Program Standards, seven points in Staff Education and one Quality Point based on 75% of group leaders having a NC School Age Care Credential. Due to one classroom including five NC Pre-K positions, NC Pre-K was monitored. The current NC Pre-K staff are the same staff as indicated in the NC Pre-K Plan System. I monitored a selection of children’s files for completed health assessments and developmental screenings. The center uses Teaching Strategies Gold instrument to document evidence of children’s ongoing progress. The checkpoint assessments are conducted three times per year: fall, winter, and summer. Parent / Teacher conferences are conducted twice per year. Examples of family involvement were discussed. The last sanitation inspection was completed on January 6, 2023, with a “Superior” classification. The last fire inspection was completed on January 3, 2023, and the facility was approved for day time care only. K. McDuffie, documented Administrator, was unavailable upon arrival. The visit was conducted with Mia Newton, Administrator at Wee Are The World Child Care Center. Ms. Newton was notified of the purpose of the visit and was available for consultation at the conclusion of the visit. Prior to today’s visit, the program’s compliance history was 93% over the current 18- month period. A copy of your compliance history report was left with you. The facility is owned by the corporation, Wee Are The World Child Care, INC. The corporation was verified to be current and active. Ms. Newton verified the location address, telephone, and email on file with DCDEE is accurate. Upon entering the facility, Ms. Newton informed me that there were two staff members absent. Ms. Newton was working in a classroom; however, she greeted me at the door and spoke with me in the office. The classroom Ms. Newton was assisting in had five infants present and three children one year of age present: therefore, when Ms. Newton left the classroom to greet me and speak with me in the office, the classroom was out of compliance with staff/child ratio. Upon entering the classroom for children two years of age, I observed that there were seven children, two years of age present and one child one year of age present, for a total of eight children present with one teacher: therefore, the classroom for two-year-old children was out of compliance with staff/child ratio. The last posted activity plan for this classroom was dated November 12, 2023. I observed children participating in self-select in centers, teacher led activities, free play outdoors, and routine care needs being met. Adequate materials were observed in each classroom. I used the Annual Compliance Monitoring Checklist for Child Care and the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. The violations documented were reviewed with Ms. Newton at the conclusion of the visit. A hand-written visit summary was provided to you. A computer-generated visit summary will be emailed to you. The following violations were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not documented in space 2 for the morning of 12/12/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan posted for space 2 was not current. The activity plan posted was dated November 12, 2023. GS 110-91(12); .0508(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. In space 2, a teacher was observed completing the steps of changing a diaper on a child. When she completed the diaper change, the teacher sprayed a soapy solution on the changing table but failed to spray the changing table with the disinfecting spray immediately following the soapy solution. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. The sanitizer and disinfectant used to sanitize tables, toys, and diapering surfaces were not maintained five feet from the floor in all classrooms. Observed on the preschool age playground: metal border stakes were sticking up, causing a protrusion hazard. Sharp thorns were on vines that were attached to the fence, accessible to children. Steps on the large play structure were rusted and flaking. Observed on the playground for toddlers: wood on the ramps leading into the building was split, broken, or had nails protruding out of the wood. A cap, closing the PVC pipe used for a border, was not secured, causing an entrapment hazard. A wood handrail was broken in two pieces, causing sharp edges and pinching points. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2, an electrical outlet did not have a safety plug when the outlet was not being used. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Cover it correction fluid (white out) not maintained in locked storage, in space 4. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space two, medications were administered without medical authorization forms completed. The medications were Aquaphor ointment, Butt paste, A&D Ointment, and Desitin diaper cream. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In space two, there were medications that had expired but were still being administered. An Albuterol inhaler expired on 10/2022. A&D ointment expired 12/2022. Desitin diaper cream expired 10/2022. Aquaphor ointment expired 3/2023. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 4, I observed plastic bags being stored in the child’s individual cubbies, accessible to children under three years of age. .0604(q) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The Administrator, Kimberly McDuffie's SIDS training expired on 10/21/2022 and has not been taken since the expiration date. .1102(f) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child enrolled on 11/15/2022, does not have medical or immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child was enrolled on 4/6/2022 and the medical exam was completed on 11/2/2022, after the 30 day requirement. A child was enrolled on 7/19/2022. The medical exam was completed on 9/20/2022, after the 30 day requirement. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 4/6/2022 did not receive the required immunizations until 11/8/2022. A child enrolled on 7/19/2022 did not receive the required immunizations until 9/20/2022. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In space two, there were seven children two years of age present and one child one year of age present, for a total of eight children present with one teacher. In space four, there were five infants present and three children one year of age present, with one teacher and Ms. Newton present; however, Ms. Newton walked out of the classroom to greet me at the front door and meet with me in the office, leaving the classroom with only one teacher. 10A NCAC 09 .2818 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the plan to ensure all the information was current in the plan. The plan has not been updated to reflect the staff changes. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space two, an asthma action medical plan for one child was not renewed prior to the expiration date of 9/2/2023. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In space two, there was a prescription medication - clotrimazole - that was not labeled with the child’s name and did not have any written instructions or a signature of a physician. 10A NCAC 09 .0803(2)(b)(i-v) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff members A. Williams, M. Newton, D. Outlaw, E. Graham, K. White, and G. Cain did not include Health and Safety training topics as part of on-going training within five years of completing the previous health and safety topics. The previous health and safety trainings expired 10/2023. .1103(b) CONSULTATION, TECHNICAL ASSISTANCE, AND RULE REMINDERS: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be received by December 26, 2023, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. STAFF/CHILD RATIO: Child care administrators hold the responsibility of ensuring that staff always comply with staff-child ratio requirements. Staff-to-child ratios are important for safety reasons. Caregivers provide oversight and accountability for the safety of children in your program. The risks for children increase when required ratios are not maintained. Maintaining staff-to-child ratios ensures that child care providers can effectively supervise the entire group while engaging children in daily activities and routines. Conducting regular ratio audits and monitoring classrooms can assist you in your efforts with maintaining staff/child ratios. I observed two classrooms that were not in compliance with staff/child ratio. We discussed that if you are short-staffed, you must not allow children to stay if it makes you out of compliance with child ratios. A follow-up visit will take place to ensure compliance is maintained with the staff/child ratio requirement. MEDICATION – PARENT AUTHORIZATION, EXPIRATION, AND ACTION PLANS: The following items were observed to be non-compliant: -An asthma action plan for one child was not renewed prior to the expiration date of 9/2/2023. Ensure all medical action plans are updated on an annual basis, prior to the expiration date. -There were medications in the medication lock box that did not have medication authorization forms. The medications were Aquaphor ointment, Butt paste, A&D Ointment, and Desitin diaper cream. Authorization may be given for up to 12 months for diaper creams and ointments. -There were medications that had expired but were still being administered. An Albuterol inhaler expired on 10/2022. A&D ointment expired 12/2022. Desitin diaper cream expired 10/2022. Aquaphor ointment expired 3/2023. As a reminder, no medication shall be administered to a child after it’s expiration date. -There was a prescription medication that was not labeled with the child’s name and did not have any written instructions. Ensure to capture all the requirements for prescribed medications. ARRIVAL/DEPARTURE TIMES: Arrival times were not documented in space 2 for the morning of 12/12/23. Ensure all arrival and departure times are documented as the child arrives and departs from the facility. SAFE ENVIRONMENT: The sanitizer and disinfectant used to sanitize tables, toys, and diapering surfaces were not maintained five feet from the floor in all classrooms. We discussed hanging shelves at least five feet from the floor in each classroom to ensure children do not have access to the bottles. The following hazards were observed on the preschool age playground: Metal border stakes were sticking up, causing a protrusion hazard. Sharp thorns were on vines that were attached to the fence, accessible to children. Steps on the large play structure were rusted and flaking. The following hazards were observed on the toddler age playground: Wood on the ramps leading into the building was split, broken, or had nails protruding out of the wood. A cap, closing the PVC pipe used for a border, was not secured, causing an entrapment hazard. A wood handrail was broken in two pieces, causing sharp edges and pinching points. I reviewed the playground inspection forms and there was no documentation of the listed items. We reviewed the importance of the monthly checklist and how completing this monthly checklist thoroughly can ensure the safety of children on the playground. STORAGE OF HAZARDOUS MATERIAL: I observed a bottle of Cover it correction fluid (white out) not maintained in locked storage, in space 4. We reviewed that when items are labeled, “Keep out of the reach of children” along with additional warnings, they must be maintained in locked storage. This was corrected by the teacher placing the item in locked storage. SHELTER-IN-PLACE / LOCKDOWN DRILLS: A shelter-in-place/lockdown drill was not completed for the month of August. We reviewed that the drill is required to be completed at least every three months. A drill was completed on May 11, 2023. The next drill should have been completed in August of 2023. The next drill was completed on September 7, 2023. ACTIVITY PLANS: The activity plan posted for space 2 was not current. The activity plan posted was dated November 12, 2023. As a reminder, activity plans are critical to the structure of the classroom. It assists in the teacher’s day to day routines and ensures the children are receiving developmentally appropriate instruction. We discussed the importance of keeping the activity plan current to also ensure that a substitute has a guide to follow in the teacher’s absence. SAFETY PLUGS/ELECTRICAL OUTLETS: In space 2, I observed an electrical outlet that did not have a safety plug when the outlet was not being used. We reviewed that this is one way to ensure the safety of children, especially toddler aged children. SANITATION OF DIAPERING SURFACES: In space 2, I observed a teacher completing the steps of changing a diaper on a child. When she completed the diaper change, the teacher sprayed a soapy solution on the changing table but failed to spray the changing table with the disinfecting spray immediately following the soapy solution. We reviewed the diaper changing process, along with the disinfecting of the changing table. I encourage you to review this process with all teachers. You may contact the NC Childcare Health and Safety Resource Center for free diaper changing posters. You can access free downloadable posters or order posters, via postal mail, free of charge. The website is found at https://healthychildcare.unc.edu/. Go to the “Resource” tab and scroll down to “Posters”. EPR PLAN: You stated that you have not been able to publish the EPR plan due to having issues with your NCID. You explained that you had to develop a new plan due to the expiration of your NCID and you were not able to access the prior EPR plan. I reminded you that the EPR plan must be reviewed and revised annually or when updated and published on a template provided by the Division. This plan must be reviewed with all staff members annually or when any updates have taken place. I have provided you with contact information to NCID and the Risk Management Portal representative. CHILDREN’S RECORDS: While reviewing a selection of children’s records, the following items were non-compliant: -A child enrolled on 4/6/2022 and the medical exam was completed on 11/2/2022. The immunizations were completed on 11/8/2022. -A child was enrolled on 7/19/2022. The medical exam was completed on 9/20/2022 and the immunizations were completed on 9/20/2022. -One child did not have a medical exam on file and was enrolled on 11/15/2022. As a reminder, medical exams and immunization records must be on file before or within 30 days of enrollment. I encourage you to review all children’s records to ensure all required documents are received according to the deadlines. STORAGE OF PLASTIC BAGS: In space 4, I observed plastic bags being stored in the child’s individual cubbies. As a reminder, plastic bags can be a suffocation hazard for children under the age of three. The teacher asked if this would apply since this was the classroom for infants and children one year of age. I reminded the teacher that the children one year of age are walking and pulling up on items and the bags were accessible to the children. Ensure these plastic bags are stored at least five feet from the floor in the classrooms that have children under the age of three present or enrolled. ADMINISTRATIVE ACTION: We discussed an Administrative Action may be issued to the facility in regard to receiving 16 or more violations of separate rules in a single visit. Today your facility received 17 violations of child care requirements. I reminded you that I would have to conduct a follow-up visit for the staff/child ratio violation and to monitor staff records. If violations are received while monitoring the staff records, those violations would be added to the 17 violations received today. I will be in contact with you regarding Administrative Action. RATED LICENSE REASSESSMENT: We discussed that this facility is in Co-hort 1 for the Rated License Reassessment. When asked, you stated that you did not feel that this facility is ready for the Environmental Rating Scale to be completed in your planning year. You stated that you are in the process of hiring additional staff. I reminded you that your planning year is from July 1, 2023, until June 30, 2024. Your reassessment period will be from July 1, 2024, until June 30, 2025. The reassessment must be completed by June 30, 2025. NCRLAP has the following resources and training available on their website: • Here is the hyperlink to the Thinking More About resources: https://ncrlap.org/Resources/ • Here is the hyperlink to videos you and your staff may find helpful: https://ncrlap.org/Resources/Videos/ • NCRLAP offers contact hour earning online training. Go to https://ncrlap.org/Resources/Training/Register/ to see their scale related training as well as additional trainings covering special topics such as language and interactions, outdoor learning environments, and requirements for materials in family child care homes. • Megan Porter, State Anchor, can provide personalized, on-site ERS focused trainings for programs upon request. She can be reached at meporter@uncg.edu ON SITE ADMINISTRATOR: We reviewed the administrator listed in our Regulatory system for this program, Kimberly McDuffie. We discussed the administrator duties and responsibilities for operating this program. We reviewed that you, Ms. Newton, are completing the majority of these responsibilities. We discussed the amount of on-site administrative hours you are required to complete at Wee Are The World Child Care. Based on those hours, you are not able to be the on-site administrator for this facility. We discussed the importance of having an administrator that is capable of being present and is able to complete daily tasks to ensure the facility is in compliance with child care requirements. Please review and email me if Ms. McDuffie is going to continue in the role of the administrator. SANITATION: Children’s Environmental Health has newly readopted child care sanitation rules. You should visit our website under the services tab, then select child care rules, law and public information, and then section 2800 Sanitation of Child Care to review newly readopted rules. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective July 1, 2023. RESOURCES: The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. 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

GS 110-91 · Violation

Name of Operation: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 30 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Staff and Training worksheets were not received. An email reminder was sent on November 28, 2023, and December 11, 2023, requesting the worksheets. Staff files could not be monitored due to not having the staff/training worksheets. A follow-up visit will be completed to monitor staff files. This center currently operates with a Five -Star license issued on May 2, 2018, with five points in Program Standards, seven points in Staff Education and one Quality Point based on 75% of group leaders having a NC School Age Care Credential. Due to one classroom including five NC Pre-K positions, NC Pre-K was monitored. The current NC Pre-K staff are the same staff as indicated in the NC Pre-K Plan System. I monitored a selection of children’s files for completed health assessments and developmental screenings. The center uses Teaching Strategies Gold instrument to document evidence of children’s ongoing progress. The checkpoint assessments are conducted three times per year: fall, winter, and summer. Parent / Teacher conferences are conducted twice per year. Examples of family involvement were discussed. The last sanitation inspection was completed on January 6, 2023, with a “Superior” classification. The last fire inspection was completed on January 3, 2023, and the facility was approved for day time care only. K. McDuffie, documented Administrator, was unavailable upon arrival. The visit was conducted with Mia Newton, Administrator at Wee Are The World Child Care Center. Ms. Newton was notified of the purpose of the visit and was available for consultation at the conclusion of the visit. Prior to today’s visit, the program’s compliance history was 93% over the current 18- month period. A copy of your compliance history report was left with you. The facility is owned by the corporation, Wee Are The World Child Care, INC. The corporation was verified to be current and active. Ms. Newton verified the location address, telephone, and email on file with DCDEE is accurate. Upon entering the facility, Ms. Newton informed me that there were two staff members absent. Ms. Newton was working in a classroom; however, she greeted me at the door and spoke with me in the office. The classroom Ms. Newton was assisting in had five infants present and three children one year of age present: therefore, when Ms. Newton left the classroom to greet me and speak with me in the office, the classroom was out of compliance with staff/child ratio. Upon entering the classroom for children two years of age, I observed that there were seven children, two years of age present and one child one year of age present, for a total of eight children present with one teacher: therefore, the classroom for two-year-old children was out of compliance with staff/child ratio. The last posted activity plan for this classroom was dated November 12, 2023. I observed children participating in self-select in centers, teacher led activities, free play outdoors, and routine care needs being met. Adequate materials were observed in each classroom. I used the Annual Compliance Monitoring Checklist for Child Care and the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. The violations documented were reviewed with Ms. Newton at the conclusion of the visit. A hand-written visit summary was provided to you. A computer-generated visit summary will be emailed to you. The following violations were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not documented in space 2 for the morning of 12/12/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan posted for space 2 was not current. The activity plan posted was dated November 12, 2023. GS 110-91(12); .0508(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. In space 2, a teacher was observed completing the steps of changing a diaper on a child. When she completed the diaper change, the teacher sprayed a soapy solution on the changing table but failed to spray the changing table with the disinfecting spray immediately following the soapy solution. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. The sanitizer and disinfectant used to sanitize tables, toys, and diapering surfaces were not maintained five feet from the floor in all classrooms. Observed on the preschool age playground: metal border stakes were sticking up, causing a protrusion hazard. Sharp thorns were on vines that were attached to the fence, accessible to children. Steps on the large play structure were rusted and flaking. Observed on the playground for toddlers: wood on the ramps leading into the building was split, broken, or had nails protruding out of the wood. A cap, closing the PVC pipe used for a border, was not secured, causing an entrapment hazard. A wood handrail was broken in two pieces, causing sharp edges and pinching points. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2, an electrical outlet did not have a safety plug when the outlet was not being used. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Cover it correction fluid (white out) not maintained in locked storage, in space 4. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space two, medications were administered without medical authorization forms completed. The medications were Aquaphor ointment, Butt paste, A&D Ointment, and Desitin diaper cream. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In space two, there were medications that had expired but were still being administered. An Albuterol inhaler expired on 10/2022. A&D ointment expired 12/2022. Desitin diaper cream expired 10/2022. Aquaphor ointment expired 3/2023. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 4, I observed plastic bags being stored in the child’s individual cubbies, accessible to children under three years of age. .0604(q) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The Administrator, Kimberly McDuffie's SIDS training expired on 10/21/2022 and has not been taken since the expiration date. .1102(f) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child enrolled on 11/15/2022, does not have medical or immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child was enrolled on 4/6/2022 and the medical exam was completed on 11/2/2022, after the 30 day requirement. A child was enrolled on 7/19/2022. The medical exam was completed on 9/20/2022, after the 30 day requirement. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 4/6/2022 did not receive the required immunizations until 11/8/2022. A child enrolled on 7/19/2022 did not receive the required immunizations until 9/20/2022. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In space two, there were seven children two years of age present and one child one year of age present, for a total of eight children present with one teacher. In space four, there were five infants present and three children one year of age present, with one teacher and Ms. Newton present; however, Ms. Newton walked out of the classroom to greet me at the front door and meet with me in the office, leaving the classroom with only one teacher. 10A NCAC 09 .2818 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the plan to ensure all the information was current in the plan. The plan has not been updated to reflect the staff changes. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space two, an asthma action medical plan for one child was not renewed prior to the expiration date of 9/2/2023. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In space two, there was a prescription medication - clotrimazole - that was not labeled with the child’s name and did not have any written instructions or a signature of a physician. 10A NCAC 09 .0803(2)(b)(i-v) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff members A. Williams, M. Newton, D. Outlaw, E. Graham, K. White, and G. Cain did not include Health and Safety training topics as part of on-going training within five years of completing the previous health and safety topics. The previous health and safety trainings expired 10/2023. .1103(b) CONSULTATION, TECHNICAL ASSISTANCE, AND RULE REMINDERS: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be received by December 26, 2023, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. STAFF/CHILD RATIO: Child care administrators hold the responsibility of ensuring that staff always comply with staff-child ratio requirements. Staff-to-child ratios are important for safety reasons. Caregivers provide oversight and accountability for the safety of children in your program. The risks for children increase when required ratios are not maintained. Maintaining staff-to-child ratios ensures that child care providers can effectively supervise the entire group while engaging children in daily activities and routines. Conducting regular ratio audits and monitoring classrooms can assist you in your efforts with maintaining staff/child ratios. I observed two classrooms that were not in compliance with staff/child ratio. We discussed that if you are short-staffed, you must not allow children to stay if it makes you out of compliance with child ratios. A follow-up visit will take place to ensure compliance is maintained with the staff/child ratio requirement. MEDICATION – PARENT AUTHORIZATION, EXPIRATION, AND ACTION PLANS: The following items were observed to be non-compliant: -An asthma action plan for one child was not renewed prior to the expiration date of 9/2/2023. Ensure all medical action plans are updated on an annual basis, prior to the expiration date. -There were medications in the medication lock box that did not have medication authorization forms. The medications were Aquaphor ointment, Butt paste, A&D Ointment, and Desitin diaper cream. Authorization may be given for up to 12 months for diaper creams and ointments. -There were medications that had expired but were still being administered. An Albuterol inhaler expired on 10/2022. A&D ointment expired 12/2022. Desitin diaper cream expired 10/2022. Aquaphor ointment expired 3/2023. As a reminder, no medication shall be administered to a child after it’s expiration date. -There was a prescription medication that was not labeled with the child’s name and did not have any written instructions. Ensure to capture all the requirements for prescribed medications. ARRIVAL/DEPARTURE TIMES: Arrival times were not documented in space 2 for the morning of 12/12/23. Ensure all arrival and departure times are documented as the child arrives and departs from the facility. SAFE ENVIRONMENT: The sanitizer and disinfectant used to sanitize tables, toys, and diapering surfaces were not maintained five feet from the floor in all classrooms. We discussed hanging shelves at least five feet from the floor in each classroom to ensure children do not have access to the bottles. The following hazards were observed on the preschool age playground: Metal border stakes were sticking up, causing a protrusion hazard. Sharp thorns were on vines that were attached to the fence, accessible to children. Steps on the large play structure were rusted and flaking. The following hazards were observed on the toddler age playground: Wood on the ramps leading into the building was split, broken, or had nails protruding out of the wood. A cap, closing the PVC pipe used for a border, was not secured, causing an entrapment hazard. A wood handrail was broken in two pieces, causing sharp edges and pinching points. I reviewed the playground inspection forms and there was no documentation of the listed items. We reviewed the importance of the monthly checklist and how completing this monthly checklist thoroughly can ensure the safety of children on the playground. STORAGE OF HAZARDOUS MATERIAL: I observed a bottle of Cover it correction fluid (white out) not maintained in locked storage, in space 4. We reviewed that when items are labeled, “Keep out of the reach of children” along with additional warnings, they must be maintained in locked storage. This was corrected by the teacher placing the item in locked storage. SHELTER-IN-PLACE / LOCKDOWN DRILLS: A shelter-in-place/lockdown drill was not completed for the month of August. We reviewed that the drill is required to be completed at least every three months. A drill was completed on May 11, 2023. The next drill should have been completed in August of 2023. The next drill was completed on September 7, 2023. ACTIVITY PLANS: The activity plan posted for space 2 was not current. The activity plan posted was dated November 12, 2023. As a reminder, activity plans are critical to the structure of the classroom. It assists in the teacher’s day to day routines and ensures the children are receiving developmentally appropriate instruction. We discussed the importance of keeping the activity plan current to also ensure that a substitute has a guide to follow in the teacher’s absence. SAFETY PLUGS/ELECTRICAL OUTLETS: In space 2, I observed an electrical outlet that did not have a safety plug when the outlet was not being used. We reviewed that this is one way to ensure the safety of children, especially toddler aged children. SANITATION OF DIAPERING SURFACES: In space 2, I observed a teacher completing the steps of changing a diaper on a child. When she completed the diaper change, the teacher sprayed a soapy solution on the changing table but failed to spray the changing table with the disinfecting spray immediately following the soapy solution. We reviewed the diaper changing process, along with the disinfecting of the changing table. I encourage you to review this process with all teachers. You may contact the NC Childcare Health and Safety Resource Center for free diaper changing posters. You can access free downloadable posters or order posters, via postal mail, free of charge. The website is found at https://healthychildcare.unc.edu/. Go to the “Resource” tab and scroll down to “Posters”. EPR PLAN: You stated that you have not been able to publish the EPR plan due to having issues with your NCID. You explained that you had to develop a new plan due to the expiration of your NCID and you were not able to access the prior EPR plan. I reminded you that the EPR plan must be reviewed and revised annually or when updated and published on a template provided by the Division. This plan must be reviewed with all staff members annually or when any updates have taken place. I have provided you with contact information to NCID and the Risk Management Portal representative. CHILDREN’S RECORDS: While reviewing a selection of children’s records, the following items were non-compliant: -A child enrolled on 4/6/2022 and the medical exam was completed on 11/2/2022. The immunizations were completed on 11/8/2022. -A child was enrolled on 7/19/2022. The medical exam was completed on 9/20/2022 and the immunizations were completed on 9/20/2022. -One child did not have a medical exam on file and was enrolled on 11/15/2022. As a reminder, medical exams and immunization records must be on file before or within 30 days of enrollment. I encourage you to review all children’s records to ensure all required documents are received according to the deadlines. STORAGE OF PLASTIC BAGS: In space 4, I observed plastic bags being stored in the child’s individual cubbies. As a reminder, plastic bags can be a suffocation hazard for children under the age of three. The teacher asked if this would apply since this was the classroom for infants and children one year of age. I reminded the teacher that the children one year of age are walking and pulling up on items and the bags were accessible to the children. Ensure these plastic bags are stored at least five feet from the floor in the classrooms that have children under the age of three present or enrolled. ADMINISTRATIVE ACTION: We discussed an Administrative Action may be issued to the facility in regard to receiving 16 or more violations of separate rules in a single visit. Today your facility received 17 violations of child care requirements. I reminded you that I would have to conduct a follow-up visit for the staff/child ratio violation and to monitor staff records. If violations are received while monitoring the staff records, those violations would be added to the 17 violations received today. I will be in contact with you regarding Administrative Action. RATED LICENSE REASSESSMENT: We discussed that this facility is in Co-hort 1 for the Rated License Reassessment. When asked, you stated that you did not feel that this facility is ready for the Environmental Rating Scale to be completed in your planning year. You stated that you are in the process of hiring additional staff. I reminded you that your planning year is from July 1, 2023, until June 30, 2024. Your reassessment period will be from July 1, 2024, until June 30, 2025. The reassessment must be completed by June 30, 2025. NCRLAP has the following resources and training available on their website: • Here is the hyperlink to the Thinking More About resources: https://ncrlap.org/Resources/ • Here is the hyperlink to videos you and your staff may find helpful: https://ncrlap.org/Resources/Videos/ • NCRLAP offers contact hour earning online training. Go to https://ncrlap.org/Resources/Training/Register/ to see their scale related training as well as additional trainings covering special topics such as language and interactions, outdoor learning environments, and requirements for materials in family child care homes. • Megan Porter, State Anchor, can provide personalized, on-site ERS focused trainings for programs upon request. She can be reached at meporter@uncg.edu ON SITE ADMINISTRATOR: We reviewed the administrator listed in our Regulatory system for this program, Kimberly McDuffie. We discussed the administrator duties and responsibilities for operating this program. We reviewed that you, Ms. Newton, are completing the majority of these responsibilities. We discussed the amount of on-site administrative hours you are required to complete at Wee Are The World Child Care. Based on those hours, you are not able to be the on-site administrator for this facility. We discussed the importance of having an administrator that is capable of being present and is able to complete daily tasks to ensure the facility is in compliance with child care requirements. Please review and email me if Ms. McDuffie is going to continue in the role of the administrator. SANITATION: Children’s Environmental Health has newly readopted child care sanitation rules. You should visit our website under the services tab, then select child care rules, law and public information, and then section 2800 Sanitation of Child Care to review newly readopted rules. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective July 1, 2023. RESOURCES: The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. 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

GS110-91 · Violation

Name of Operation: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 30 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Staff and Training worksheets were not received. An email reminder was sent on November 28, 2023, and December 11, 2023, requesting the worksheets. Staff files could not be monitored due to not having the staff/training worksheets. A follow-up visit will be completed to monitor staff files. This center currently operates with a Five -Star license issued on May 2, 2018, with five points in Program Standards, seven points in Staff Education and one Quality Point based on 75% of group leaders having a NC School Age Care Credential. Due to one classroom including five NC Pre-K positions, NC Pre-K was monitored. The current NC Pre-K staff are the same staff as indicated in the NC Pre-K Plan System. I monitored a selection of children’s files for completed health assessments and developmental screenings. The center uses Teaching Strategies Gold instrument to document evidence of children’s ongoing progress. The checkpoint assessments are conducted three times per year: fall, winter, and summer. Parent / Teacher conferences are conducted twice per year. Examples of family involvement were discussed. The last sanitation inspection was completed on January 6, 2023, with a “Superior” classification. The last fire inspection was completed on January 3, 2023, and the facility was approved for day time care only. K. McDuffie, documented Administrator, was unavailable upon arrival. The visit was conducted with Mia Newton, Administrator at Wee Are The World Child Care Center. Ms. Newton was notified of the purpose of the visit and was available for consultation at the conclusion of the visit. Prior to today’s visit, the program’s compliance history was 93% over the current 18- month period. A copy of your compliance history report was left with you. The facility is owned by the corporation, Wee Are The World Child Care, INC. The corporation was verified to be current and active. Ms. Newton verified the location address, telephone, and email on file with DCDEE is accurate. Upon entering the facility, Ms. Newton informed me that there were two staff members absent. Ms. Newton was working in a classroom; however, she greeted me at the door and spoke with me in the office. The classroom Ms. Newton was assisting in had five infants present and three children one year of age present: therefore, when Ms. Newton left the classroom to greet me and speak with me in the office, the classroom was out of compliance with staff/child ratio. Upon entering the classroom for children two years of age, I observed that there were seven children, two years of age present and one child one year of age present, for a total of eight children present with one teacher: therefore, the classroom for two-year-old children was out of compliance with staff/child ratio. The last posted activity plan for this classroom was dated November 12, 2023. I observed children participating in self-select in centers, teacher led activities, free play outdoors, and routine care needs being met. Adequate materials were observed in each classroom. I used the Annual Compliance Monitoring Checklist for Child Care and the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. The violations documented were reviewed with Ms. Newton at the conclusion of the visit. A hand-written visit summary was provided to you. A computer-generated visit summary will be emailed to you. The following violations were documented: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival times were not documented in space 2 for the morning of 12/12/23. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan posted for space 2 was not current. The activity plan posted was dated November 12, 2023. GS 110-91(12); .0508(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. In space 2, a teacher was observed completing the steps of changing a diaper on a child. When she completed the diaper change, the teacher sprayed a soapy solution on the changing table but failed to spray the changing table with the disinfecting spray immediately following the soapy solution. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. The sanitizer and disinfectant used to sanitize tables, toys, and diapering surfaces were not maintained five feet from the floor in all classrooms. Observed on the preschool age playground: metal border stakes were sticking up, causing a protrusion hazard. Sharp thorns were on vines that were attached to the fence, accessible to children. Steps on the large play structure were rusted and flaking. Observed on the playground for toddlers: wood on the ramps leading into the building was split, broken, or had nails protruding out of the wood. A cap, closing the PVC pipe used for a border, was not secured, causing an entrapment hazard. A wood handrail was broken in two pieces, causing sharp edges and pinching points. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 2, an electrical outlet did not have a safety plug when the outlet was not being used. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Cover it correction fluid (white out) not maintained in locked storage, in space 4. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space two, medications were administered without medical authorization forms completed. The medications were Aquaphor ointment, Butt paste, A&D Ointment, and Desitin diaper cream. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. In space two, there were medications that had expired but were still being administered. An Albuterol inhaler expired on 10/2022. A&D ointment expired 12/2022. Desitin diaper cream expired 10/2022. Aquaphor ointment expired 3/2023. 10A NCAC 09 .0803(1)(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 4, I observed plastic bags being stored in the child’s individual cubbies, accessible to children under three years of age. .0604(q) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The Administrator, Kimberly McDuffie's SIDS training expired on 10/21/2022 and has not been taken since the expiration date. .1102(f) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child enrolled on 11/15/2022, does not have medical or immunization records. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child was enrolled on 4/6/2022 and the medical exam was completed on 11/2/2022, after the 30 day requirement. A child was enrolled on 7/19/2022. The medical exam was completed on 9/20/2022, after the 30 day requirement. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child enrolled on 4/6/2022 did not receive the required immunizations until 11/8/2022. A child enrolled on 7/19/2022 did not receive the required immunizations until 9/20/2022. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. In space two, there were seven children two years of age present and one child one year of age present, for a total of eight children present with one teacher. In space four, there were five infants present and three children one year of age present, with one teacher and Ms. Newton present; however, Ms. Newton walked out of the classroom to greet me at the front door and meet with me in the office, leaving the classroom with only one teacher. 10A NCAC 09 .2818 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the plan to ensure all the information was current in the plan. The plan has not been updated to reflect the staff changes. .0607(e) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space two, an asthma action medical plan for one child was not renewed prior to the expiration date of 9/2/2023. .0801(b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In space two, there was a prescription medication - clotrimazole - that was not labeled with the child’s name and did not have any written instructions or a signature of a physician. 10A NCAC 09 .0803(2)(b)(i-v) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff members A. Williams, M. Newton, D. Outlaw, E. Graham, K. White, and G. Cain did not include Health and Safety training topics as part of on-going training within five years of completing the previous health and safety topics. The previous health and safety trainings expired 10/2023. .1103(b) CONSULTATION, TECHNICAL ASSISTANCE, AND RULE REMINDERS: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be received by December 26, 2023, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. STAFF/CHILD RATIO: Child care administrators hold the responsibility of ensuring that staff always comply with staff-child ratio requirements. Staff-to-child ratios are important for safety reasons. Caregivers provide oversight and accountability for the safety of children in your program. The risks for children increase when required ratios are not maintained. Maintaining staff-to-child ratios ensures that child care providers can effectively supervise the entire group while engaging children in daily activities and routines. Conducting regular ratio audits and monitoring classrooms can assist you in your efforts with maintaining staff/child ratios. I observed two classrooms that were not in compliance with staff/child ratio. We discussed that if you are short-staffed, you must not allow children to stay if it makes you out of compliance with child ratios. A follow-up visit will take place to ensure compliance is maintained with the staff/child ratio requirement. MEDICATION – PARENT AUTHORIZATION, EXPIRATION, AND ACTION PLANS: The following items were observed to be non-compliant: -An asthma action plan for one child was not renewed prior to the expiration date of 9/2/2023. Ensure all medical action plans are updated on an annual basis, prior to the expiration date. -There were medications in the medication lock box that did not have medication authorization forms. The medications were Aquaphor ointment, Butt paste, A&D Ointment, and Desitin diaper cream. Authorization may be given for up to 12 months for diaper creams and ointments. -There were medications that had expired but were still being administered. An Albuterol inhaler expired on 10/2022. A&D ointment expired 12/2022. Desitin diaper cream expired 10/2022. Aquaphor ointment expired 3/2023. As a reminder, no medication shall be administered to a child after it’s expiration date. -There was a prescription medication that was not labeled with the child’s name and did not have any written instructions. Ensure to capture all the requirements for prescribed medications. ARRIVAL/DEPARTURE TIMES: Arrival times were not documented in space 2 for the morning of 12/12/23. Ensure all arrival and departure times are documented as the child arrives and departs from the facility. SAFE ENVIRONMENT: The sanitizer and disinfectant used to sanitize tables, toys, and diapering surfaces were not maintained five feet from the floor in all classrooms. We discussed hanging shelves at least five feet from the floor in each classroom to ensure children do not have access to the bottles. The following hazards were observed on the preschool age playground: Metal border stakes were sticking up, causing a protrusion hazard. Sharp thorns were on vines that were attached to the fence, accessible to children. Steps on the large play structure were rusted and flaking. The following hazards were observed on the toddler age playground: Wood on the ramps leading into the building was split, broken, or had nails protruding out of the wood. A cap, closing the PVC pipe used for a border, was not secured, causing an entrapment hazard. A wood handrail was broken in two pieces, causing sharp edges and pinching points. I reviewed the playground inspection forms and there was no documentation of the listed items. We reviewed the importance of the monthly checklist and how completing this monthly checklist thoroughly can ensure the safety of children on the playground. STORAGE OF HAZARDOUS MATERIAL: I observed a bottle of Cover it correction fluid (white out) not maintained in locked storage, in space 4. We reviewed that when items are labeled, “Keep out of the reach of children” along with additional warnings, they must be maintained in locked storage. This was corrected by the teacher placing the item in locked storage. SHELTER-IN-PLACE / LOCKDOWN DRILLS: A shelter-in-place/lockdown drill was not completed for the month of August. We reviewed that the drill is required to be completed at least every three months. A drill was completed on May 11, 2023. The next drill should have been completed in August of 2023. The next drill was completed on September 7, 2023. ACTIVITY PLANS: The activity plan posted for space 2 was not current. The activity plan posted was dated November 12, 2023. As a reminder, activity plans are critical to the structure of the classroom. It assists in the teacher’s day to day routines and ensures the children are receiving developmentally appropriate instruction. We discussed the importance of keeping the activity plan current to also ensure that a substitute has a guide to follow in the teacher’s absence. SAFETY PLUGS/ELECTRICAL OUTLETS: In space 2, I observed an electrical outlet that did not have a safety plug when the outlet was not being used. We reviewed that this is one way to ensure the safety of children, especially toddler aged children. SANITATION OF DIAPERING SURFACES: In space 2, I observed a teacher completing the steps of changing a diaper on a child. When she completed the diaper change, the teacher sprayed a soapy solution on the changing table but failed to spray the changing table with the disinfecting spray immediately following the soapy solution. We reviewed the diaper changing process, along with the disinfecting of the changing table. I encourage you to review this process with all teachers. You may contact the NC Childcare Health and Safety Resource Center for free diaper changing posters. You can access free downloadable posters or order posters, via postal mail, free of charge. The website is found at https://healthychildcare.unc.edu/. Go to the “Resource” tab and scroll down to “Posters”. EPR PLAN: You stated that you have not been able to publish the EPR plan due to having issues with your NCID. You explained that you had to develop a new plan due to the expiration of your NCID and you were not able to access the prior EPR plan. I reminded you that the EPR plan must be reviewed and revised annually or when updated and published on a template provided by the Division. This plan must be reviewed with all staff members annually or when any updates have taken place. I have provided you with contact information to NCID and the Risk Management Portal representative. CHILDREN’S RECORDS: While reviewing a selection of children’s records, the following items were non-compliant: -A child enrolled on 4/6/2022 and the medical exam was completed on 11/2/2022. The immunizations were completed on 11/8/2022. -A child was enrolled on 7/19/2022. The medical exam was completed on 9/20/2022 and the immunizations were completed on 9/20/2022. -One child did not have a medical exam on file and was enrolled on 11/15/2022. As a reminder, medical exams and immunization records must be on file before or within 30 days of enrollment. I encourage you to review all children’s records to ensure all required documents are received according to the deadlines. STORAGE OF PLASTIC BAGS: In space 4, I observed plastic bags being stored in the child’s individual cubbies. As a reminder, plastic bags can be a suffocation hazard for children under the age of three. The teacher asked if this would apply since this was the classroom for infants and children one year of age. I reminded the teacher that the children one year of age are walking and pulling up on items and the bags were accessible to the children. Ensure these plastic bags are stored at least five feet from the floor in the classrooms that have children under the age of three present or enrolled. ADMINISTRATIVE ACTION: We discussed an Administrative Action may be issued to the facility in regard to receiving 16 or more violations of separate rules in a single visit. Today your facility received 17 violations of child care requirements. I reminded you that I would have to conduct a follow-up visit for the staff/child ratio violation and to monitor staff records. If violations are received while monitoring the staff records, those violations would be added to the 17 violations received today. I will be in contact with you regarding Administrative Action. RATED LICENSE REASSESSMENT: We discussed that this facility is in Co-hort 1 for the Rated License Reassessment. When asked, you stated that you did not feel that this facility is ready for the Environmental Rating Scale to be completed in your planning year. You stated that you are in the process of hiring additional staff. I reminded you that your planning year is from July 1, 2023, until June 30, 2024. Your reassessment period will be from July 1, 2024, until June 30, 2025. The reassessment must be completed by June 30, 2025. NCRLAP has the following resources and training available on their website: • Here is the hyperlink to the Thinking More About resources: https://ncrlap.org/Resources/ • Here is the hyperlink to videos you and your staff may find helpful: https://ncrlap.org/Resources/Videos/ • NCRLAP offers contact hour earning online training. Go to https://ncrlap.org/Resources/Training/Register/ to see their scale related training as well as additional trainings covering special topics such as language and interactions, outdoor learning environments, and requirements for materials in family child care homes. • Megan Porter, State Anchor, can provide personalized, on-site ERS focused trainings for programs upon request. She can be reached at meporter@uncg.edu ON SITE ADMINISTRATOR: We reviewed the administrator listed in our Regulatory system for this program, Kimberly McDuffie. We discussed the administrator duties and responsibilities for operating this program. We reviewed that you, Ms. Newton, are completing the majority of these responsibilities. We discussed the amount of on-site administrative hours you are required to complete at Wee Are The World Child Care. Based on those hours, you are not able to be the on-site administrator for this facility. We discussed the importance of having an administrator that is capable of being present and is able to complete daily tasks to ensure the facility is in compliance with child care requirements. Please review and email me if Ms. McDuffie is going to continue in the role of the administrator. SANITATION: Children’s Environmental Health has newly readopted child care sanitation rules. You should visit our website under the services tab, then select child care rules, law and public information, and then section 2800 Sanitation of Child Care to review newly readopted rules. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective July 1, 2023. RESOURCES: The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. 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: WEE ARE THE WORLD CHILD CARE CENTER 2 Facility ID: 96000417 Consultant: TINA JONES Operation Type: Center Case Number: 0823-372L Visit Date: 9/6/2023 Number Present: 30 Completed Date: 9/6/2023 Age: From 0 To 4 Total Minutes: 150 Time In: 09:00 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 obtain information regarding alleged violations of child care requirements related to supervision. You, M. Newton, Operator, were present when I arrived and were notified of the purpose for the visit. I reviewed the allegation with you and four (4) staff members. You and the teaching staff members interviewed were given an opportunity to provide additional information. I conducted observations in all classrooms used to care for enrolled children. Limited but required monitoring was completed. Thirty (30) children ranging in age from infant to four years of age were present. Enrollment was not completed. ALLEGATION: There are concerns that children are not being adequately supervised. Upon entering the facility, M. Newton, operator, greeted me. Children were all being supervised adequately during my observations. Staff were interviewed on supervision policies and procedures and no staff reported any concerns to me that made me feel that children were inadequately supervised. I observed children participating in free choice play, completing routines, preparing for outdoor play, and completing transitions. Children were never left unsupervised. Teachers interacted with children, assisted them with routines, and participated in play. During the interview of all the caregivers present, it was consistently stated that the children are being supervised adequately. One staff member stated that the facility has been short-staffed in the past; however, the facility is fully staffed currently. This staff member stated that if they were ever short-staffed, the administrator would assist to maintain compliance with staff/child ratio. One staff member stated that they had a child that was accident prone and that she discovered that she had to supervise him more efficiently due to him being accident prone. The staff members consistently stated that incident reports are completed for any child that had incidents at the facility. The staff members stated that when incidents occur that leave marks on the child, they would call the parent to make them aware prior to picking up that child at the end of the day. One staff member expressed concerns of having a changing table that faced the wall. I discussed with you the concern and that a mobile changing table would be beneficial for this classroom to maintain compliance with supervision. You stated that this is the first time of hearing about this concern; however, you would take that into consideration. Based on information received from interviewed staff and my observations, the finding regarding the allegation of inadequate supervision was unsubstantiated. The following violations were documented: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The required fire drill for the month of August was not completed and documented. The last fire drill was dated for 7/31/2023. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The required shelter-in-place or lockdown drill was not completed and documented every three months. The last drill was completed on 5/11/2023. .0604(u);.0302(d)(8) CONSULTATION AND TECHNICAL ASSISTANCE: Violations documented above must be corrected immediately. A signed and dated letter of compliance must be received by September 20, 2023, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by your regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. 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. Your compliance history score as of today is 90%. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. PROGRAM RECORDS: Fire Drills and Shelter-in-place/lockdown drills - ensure fire drills are completed and documented monthly as required. Shelter-in-place/lockdown drills are required to be completed every three months. Ensure the shelter-in-place/lockdown drills are completed and documented as required. SUPERVISION: Supervision is an active process. It involves watching, listening, interacting, monitoring, and preventing accidents. Active supervision promotes a safe environment and prevents injuries in young children. It requires focused attention and intentional observation at all times. We encourage all staff to use active supervision strategies to make sure children of all ages explore their environments safely. Each program can keep children safe by teaching all staff how to look, listen, and engage. I encouraged you to continue providing technical assistance concerning supervision to all staff, especially new staff. This technical assistance can include trainings, modeling, and shadowing staff. 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