Creative Childcare

G.S. 110-90 · Violation

Name of Operation: CREATIVE CHILDCARE Facility ID: 01000253 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 9/30/2025 Number Present: 51 Completed Date: 9/30/2025 Age: From 0 To 4 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced A routine unannounced visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Evelyn Graves, Owner. Your program currently operates with a Five Star license. Restrictions include First and Second shift; Meets enhanced ratios; Meets enhanced space. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health Administering Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation A walk-through of the facility was completed today. Indoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children participating in free play, indoor gross motor activities, and group time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on March 18, 2025. A sanitation inspection was completed December 5, 2024, with a Superior classification. The last fire inspection was conducted on March 21, 2025. Program records and required postings were monitored. A fire drill was conducted on September 29, 2025. A shelter in place drill was documented on September 29, 2025. An outdoor inspection was documented on September 28, 2025. Three new staff members were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do provide transportation in the for children in the afternoon. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored two vehicles today. I observed a 2007 Chevy Mini Bus Tag# PAK-4362 and a 2001 Chevy Van, Tag #WZX-5921. The vehicles were clean, in good repair, had working seatbelts, had adequate tire tread and was current on inspection and insurance. Your next inspection date on the Chevy Minibus is June 2026, and the Chevy van is July 2026. The insurance is valid through September 2, 2026. The following violations were cited during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The thermometers in the kitchen and infant room did not read at 45 degrees. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A closet that stored bleach, foam cleaner, and liquid hand soap was unlocked. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic ziploc bag was accessible less than five feet for children under three years of age. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Operator has not entered staff into the ABCMS system. G.S. 110-90.2 & .2703(r) 9999 A violation was found for which there is no item number. There was an EpiPen in space 3 that did not have a Medication Administration Permission form and log for review. Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 14, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. You may email the letter to turkessha.casterlow@dhhs.nc.gov. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • It is important to have permission to administer medication from parents in child care for legal, safety, and ethical reasons. Parental authorization ensures the child care provider has accurate instructions, protects the child's well-being, and shields the provider from liability. • Locking hazardous materials in child care centers is essential to prevent accidental poisoning, chemical burns, and other severe health issues by physically restricting children's access to dangerous items like cleaning supplies, medications, and other toxic substances. Children are particularly vulnerable to the harmful effects of these materials, making strict storage protocols crucial for maintaining a safe and nurturing environment. • It's important to keep plastic away from children under three in childcare because they are highly susceptible to health problems from plastic chemicals like phthalates and BPA, which can disrupt hormones and affect development. Additionally, many small plastic items pose a choking hazard for this age group, as they are more likely to put objects in their mouths. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Preparing for North Carolina’s New QRIS System North Carolina’s Quality Rating Improvement System (QRIS) is being modernized to provide more flexible and equitable ways for programs to demonstrate quality. Beginning later this year, providers will be able to choose from three star-rating pathways: Program Assessment, Classroom & Instructional Quality Accreditation. This new approach allows programs to align their strengths with the pathway that best fits their operations. Now is the time to prepare. Programs should begin evaluating staff qualifications including updating staff education in NC Works, curriculum, and classroom interactions to determine the most suitable pathway. Updates to staff qualification standards and assessment tools are expected, and while current star ratings remain valid for now, all new ratings will be issued under the revised QRIS system. Your program’s quality should reflect not only compliance, but also a strong commitment to best practices, child development, and continuous improvement. Providers are encouraged to take advantage of available technical assistance and training opportunities. • S. Reed will need CPR/First Aid by November 4, 2025. • D. Jackson must complete Health and Safety Training by March 17, 2026. At the completion of the visit, this visit summary was reviewed with and provided to you. You were provided with an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Childcare licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you meet all requirements is to periodically review the childcare laws and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CREATIVE CHILDCARE Facility ID: 01000253 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 9/30/2025 Number Present: 51 Completed Date: 9/30/2025 Age: From 0 To 4 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced A routine unannounced visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Evelyn Graves, Owner. Your program currently operates with a Five Star license. Restrictions include First and Second shift; Meets enhanced ratios; Meets enhanced space. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health Administering Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation A walk-through of the facility was completed today. Indoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children participating in free play, indoor gross motor activities, and group time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on March 18, 2025. A sanitation inspection was completed December 5, 2024, with a Superior classification. The last fire inspection was conducted on March 21, 2025. Program records and required postings were monitored. A fire drill was conducted on September 29, 2025. A shelter in place drill was documented on September 29, 2025. An outdoor inspection was documented on September 28, 2025. Three new staff members were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do provide transportation in the for children in the afternoon. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored two vehicles today. I observed a 2007 Chevy Mini Bus Tag# PAK-4362 and a 2001 Chevy Van, Tag #WZX-5921. The vehicles were clean, in good repair, had working seatbelts, had adequate tire tread and was current on inspection and insurance. Your next inspection date on the Chevy Minibus is June 2026, and the Chevy van is July 2026. The insurance is valid through September 2, 2026. The following violations were cited during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The thermometers in the kitchen and infant room did not read at 45 degrees. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A closet that stored bleach, foam cleaner, and liquid hand soap was unlocked. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic ziploc bag was accessible less than five feet for children under three years of age. .0604(q) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Operator has not entered staff into the ABCMS system. G.S. 110-90.2 & .2703(r) 9999 A violation was found for which there is no item number. There was an EpiPen in space 3 that did not have a Medication Administration Permission form and log for review. Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 14, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. You may email the letter to turkessha.casterlow@dhhs.nc.gov. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • It is important to have permission to administer medication from parents in child care for legal, safety, and ethical reasons. Parental authorization ensures the child care provider has accurate instructions, protects the child's well-being, and shields the provider from liability. • Locking hazardous materials in child care centers is essential to prevent accidental poisoning, chemical burns, and other severe health issues by physically restricting children's access to dangerous items like cleaning supplies, medications, and other toxic substances. Children are particularly vulnerable to the harmful effects of these materials, making strict storage protocols crucial for maintaining a safe and nurturing environment. • It's important to keep plastic away from children under three in childcare because they are highly susceptible to health problems from plastic chemicals like phthalates and BPA, which can disrupt hormones and affect development. Additionally, many small plastic items pose a choking hazard for this age group, as they are more likely to put objects in their mouths. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Preparing for North Carolina’s New QRIS System North Carolina’s Quality Rating Improvement System (QRIS) is being modernized to provide more flexible and equitable ways for programs to demonstrate quality. Beginning later this year, providers will be able to choose from three star-rating pathways: Program Assessment, Classroom & Instructional Quality Accreditation. This new approach allows programs to align their strengths with the pathway that best fits their operations. Now is the time to prepare. Programs should begin evaluating staff qualifications including updating staff education in NC Works, curriculum, and classroom interactions to determine the most suitable pathway. Updates to staff qualification standards and assessment tools are expected, and while current star ratings remain valid for now, all new ratings will be issued under the revised QRIS system. Your program’s quality should reflect not only compliance, but also a strong commitment to best practices, child development, and continuous improvement. Providers are encouraged to take advantage of available technical assistance and training opportunities. • S. Reed will need CPR/First Aid by November 4, 2025. • D. Jackson must complete Health and Safety Training by March 17, 2026. At the completion of the visit, this visit summary was reviewed with and provided to you. You were provided with an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Childcare licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you meet all requirements is to periodically review the childcare laws and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: CREATIVE CHILDCARE Facility ID: 01000253 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 55 Completed Date: 3/18/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 10:00 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced annual compliance visit was conducted. A checklist was used to note the childcare requirements monitored today, and a copy was left with you today. The last annual compliance visit was conducted 4/2/24. Currently this program operates with a Five (5) Star License, issued 12/11/19. The facility earned seven (7) points in staff education, six (6) points in program standards, and one (1) quality point for education options met. The center director Evelyn Graves and assistant director Carolyn Worth assisted me today. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 12/5/24 with a ‘Superior’ classification and 4 demerits. The last fire inspection was conducted on 3/1/24. Children were observed playing outside, playing in activity areas, eating lunch, resting, and routine care activities. The center has two NCPK classrooms. Currently, there are twenty-six NCPK children enrolled in the two classrooms. The NCPK requirements were monitored during today’s visit. The program operates for 6.5 hours a day. A monthly breakfast and lunch menu was posted in each classroom. Four NC Pre-K children's files were monitored and each contained a DIAL screening within 90 days, and evidence of each child's on-going progress. The teachers use Creative Curriculum and activity plans were current and posted. Staff/child ratio of 1:9 or less is being maintained. The parents receive messages via Teaching Strategies, newsletters, and volunteer throughout the school year and have planned parent participation activities. The teachers also have parent meetings and conferences. The current ECERS-R score was received 12/2/19. The facility received a score of 5.27. The facility uses two vans, WZX 5921 and PAK 4362, to transport children. Both were on site and monitored today. A full assessment of childcare requirements was conducted today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. 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 last fire inspection was completed 3/1/24. 10A NCAC 09 .0304(a) 1765 The health assessment did not include a physical examination. One child's file was missing the physical. .3005(a)(1) 1766 The health assessment did not include updated immunizations. Immunizations were missing for one NCPK child. .3005 (a)(2) 1769 The health assessment did not include a dental screening. A dental screening was missing from three children's files. .3005 (a)(5) 1898 Staff did not complete the health and safety training within one year of employment. The training for J. Grant was due by 9/18/24 and was incomplete. The training for T. Payne was due by 2/19/25 and was completed 3/10/25. .1102(a) 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. The training for C. Tinnin was due by 3/17/25 and was incomplete. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Parent signature was missing for one child. .0608(b)(1-6) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with Ms. Graves. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received no later than 4/1/25. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION: All licensed childcare facilities are currently under the ‘Hold-Harmless’ state for their license from DCDEE. Once QRIS is implemented, you will receive information from DCDEE regarding the new pathways for licensure and your timeframe for completing your license renewal. The NCRLAP website, https://ncrlap.org, has trainings geared towards the new ECERS3 and ITERS3 assessment scales. These will introduce you to the updated assessment scales and provide tips for completing the new scales. The criminal background letter for E. Graves expires 7/16/25. When staff are completing the health and safety trainings, the training for medication administration is found in a separate location on the DCDEE MOODLE site. This training must be completed with the other trainings. CPR/FA and Recognizing and Responding to Suspicions of Child Maltreatment for D. Jackson is due by 6/17/25. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab *QRIS-Public Comment period ends 4/4/24. The public comment meeting is 3/26/35. If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: CREATIVE CHILDCARE Facility ID: 01000253 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 42 Completed Date: 4/2/2024 Age: From 0 To 6 Total Minutes: 265 Time In: 09:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced annual compliance with rated license assessment visit was conducted. A checklist was used to note the requirements I monitored today, and a copy was left with you today. The last annual compliance visit was conducted 3/23/24. Currently this program operates with a Five (5) Star License, issued 12/11/19. The facility earned seven (7) points in staff education, six (6) points in program standards, and one (1) quality point for education options met. The center assistant director Carolyn Worth assisted me today. Center director Evelyn Graves as not present today. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 2/15/24 with a ‘Superior’ classification and 6 demerits. The last fire inspection was conducted on 3/1/24. Children were observed playing outside, playing in activity areas, eating lunch, resting, and routine care activities. The center has two NCPK classrooms. Currently, there are thirty-six NCPK children enrolled in the two classrooms. The NCPK requirements were monitored during today’s visit. The program operates for 6.5 hours a day. A monthly breakfast and lunch menu was posted in each classroom. Four NC Pre-K children's files were monitored and each contained a health assessment within 30 days, a DIAL screening within 90 days, and evidence of each child's on-going progress. The teachers use Frog Street curriculum and activity plans were current and posted. Staff/child ratio of 1:9 or less is being maintained. The parents receive messages via Teaching Strategies, a monthly newsletter, and volunteer throughout the school year and have planned parent participation activities. The teachers also have parent meetings and conferences every three months. The current ECERS-R score was received 12/2/19. The facility received a score of 5.27. The center uses two vans (PAK 4362 and WZX 5921) for transportation. Both were on site and monitored today. A full assessment of childcare requirements was conducted today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Two diaper creams in room 4 did not have parent permission to administer. 15A NCAC 18A .2820(d) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The form was not updated annually for eight staff members. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The form was not updated annually for eight staff members. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The completion of orientation for T. Payne was due 4/1/24 and was not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The training for K. Mason was due by 3/12/24. A copy of the training certificate must accompany the corrective action letter. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The training for K. Mason was due by 3/12/24. A copy of the training certificate must accompany the corrective action letter. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. The following staff members were short training hours: S. Bumpass-4 hours, T. Graves-4 hours, and A. Lemons-6 hours. Copies of the training certificates must accompany the corrective action letter. .1103(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Photographs were not on file for two children on van WZK 5921. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The items for eight staff members were older than twelve months. 10A NCAC 09 .0514(f) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with Ms. Worth. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received no later than 4/16/24. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION: We discussed the resumption of rated license assessments today. You have been placed in cohort one. You are currently in a technical assistance year until June 30, 2024 and your assessment year is from July 1, 2024-June 30, 2025. A technical assistance visit was conducted 1/23/24 and your request for assessment and assessment application were received 2/29/24. I will submit your request to NCRLAP this week. A representative will contact you and discuss your assessment window and ask you for up to five blackout dates. Once your assessment is completed, I will receive the report within two weeks. I will schedule a visit with you to review the results and discuss your options at that time. The remainder of the staff orientation for A. Scales must be completed by 4/8/24. CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment is due for T. Payne by 5/19/25 and A. Scales by 5/26/24. You may refer to the staff/training worksheets for the due dates for the health and safety trainings. These are on line 17. We discussed completing all annual items such as health questionnaire, emergency information, professional development plan, and staff evaluations the first week of January so they are current. We discussed the record retention time for safe sleep visual check sheets. They must be kept for thirty days from the date on the form. You may refer to childcare rule 10A NCAC 09 .2318 for a full list of all records and their retention times. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: CREATIVE CHILDCARE Facility ID: 01000253 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 42 Completed Date: 4/2/2024 Age: From 0 To 6 Total Minutes: 265 Time In: 09:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced annual compliance with rated license assessment visit was conducted. A checklist was used to note the requirements I monitored today, and a copy was left with you today. The last annual compliance visit was conducted 3/23/24. Currently this program operates with a Five (5) Star License, issued 12/11/19. The facility earned seven (7) points in staff education, six (6) points in program standards, and one (1) quality point for education options met. The center assistant director Carolyn Worth assisted me today. Center director Evelyn Graves as not present today. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 2/15/24 with a ‘Superior’ classification and 6 demerits. The last fire inspection was conducted on 3/1/24. Children were observed playing outside, playing in activity areas, eating lunch, resting, and routine care activities. The center has two NCPK classrooms. Currently, there are thirty-six NCPK children enrolled in the two classrooms. The NCPK requirements were monitored during today’s visit. The program operates for 6.5 hours a day. A monthly breakfast and lunch menu was posted in each classroom. Four NC Pre-K children's files were monitored and each contained a health assessment within 30 days, a DIAL screening within 90 days, and evidence of each child's on-going progress. The teachers use Frog Street curriculum and activity plans were current and posted. Staff/child ratio of 1:9 or less is being maintained. The parents receive messages via Teaching Strategies, a monthly newsletter, and volunteer throughout the school year and have planned parent participation activities. The teachers also have parent meetings and conferences every three months. The current ECERS-R score was received 12/2/19. The facility received a score of 5.27. The center uses two vans (PAK 4362 and WZX 5921) for transportation. Both were on site and monitored today. A full assessment of childcare requirements was conducted today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Two diaper creams in room 4 did not have parent permission to administer. 15A NCAC 18A .2820(d) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The form was not updated annually for eight staff members. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The form was not updated annually for eight staff members. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The completion of orientation for T. Payne was due 4/1/24 and was not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The training for K. Mason was due by 3/12/24. A copy of the training certificate must accompany the corrective action letter. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The training for K. Mason was due by 3/12/24. A copy of the training certificate must accompany the corrective action letter. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. The following staff members were short training hours: S. Bumpass-4 hours, T. Graves-4 hours, and A. Lemons-6 hours. Copies of the training certificates must accompany the corrective action letter. .1103(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Photographs were not on file for two children on van WZK 5921. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The items for eight staff members were older than twelve months. 10A NCAC 09 .0514(f) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with Ms. Worth. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received no later than 4/16/24. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION: We discussed the resumption of rated license assessments today. You have been placed in cohort one. You are currently in a technical assistance year until June 30, 2024 and your assessment year is from July 1, 2024-June 30, 2025. A technical assistance visit was conducted 1/23/24 and your request for assessment and assessment application were received 2/29/24. I will submit your request to NCRLAP this week. A representative will contact you and discuss your assessment window and ask you for up to five blackout dates. Once your assessment is completed, I will receive the report within two weeks. I will schedule a visit with you to review the results and discuss your options at that time. The remainder of the staff orientation for A. Scales must be completed by 4/8/24. CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment is due for T. Payne by 5/19/25 and A. Scales by 5/26/24. You may refer to the staff/training worksheets for the due dates for the health and safety trainings. These are on line 17. We discussed completing all annual items such as health questionnaire, emergency information, professional development plan, and staff evaluations the first week of January so they are current. We discussed the record retention time for safe sleep visual check sheets. They must be kept for thirty days from the date on the form. You may refer to childcare rule 10A NCAC 09 .2318 for a full list of all records and their retention times. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2318 · Violation

Name of Operation: CREATIVE CHILDCARE Facility ID: 01000253 Consultant: LORI RIERSON Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 42 Completed Date: 4/2/2024 Age: From 0 To 6 Total Minutes: 265 Time In: 09:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced Today an unannounced annual compliance with rated license assessment visit was conducted. A checklist was used to note the requirements I monitored today, and a copy was left with you today. The last annual compliance visit was conducted 3/23/24. Currently this program operates with a Five (5) Star License, issued 12/11/19. The facility earned seven (7) points in staff education, six (6) points in program standards, and one (1) quality point for education options met. The center assistant director Carolyn Worth assisted me today. Center director Evelyn Graves as not present today. I conducted an assisted walk-through of the center. The last sanitation inspection was completed 2/15/24 with a ‘Superior’ classification and 6 demerits. The last fire inspection was conducted on 3/1/24. Children were observed playing outside, playing in activity areas, eating lunch, resting, and routine care activities. The center has two NCPK classrooms. Currently, there are thirty-six NCPK children enrolled in the two classrooms. The NCPK requirements were monitored during today’s visit. The program operates for 6.5 hours a day. A monthly breakfast and lunch menu was posted in each classroom. Four NC Pre-K children's files were monitored and each contained a health assessment within 30 days, a DIAL screening within 90 days, and evidence of each child's on-going progress. The teachers use Frog Street curriculum and activity plans were current and posted. Staff/child ratio of 1:9 or less is being maintained. The parents receive messages via Teaching Strategies, a monthly newsletter, and volunteer throughout the school year and have planned parent participation activities. The teachers also have parent meetings and conferences every three months. The current ECERS-R score was received 12/2/19. The facility received a score of 5.27. The center uses two vans (PAK 4362 and WZX 5921) for transportation. Both were on site and monitored today. A full assessment of childcare requirements was conducted today. The following violation(s) were documented and technical assistance regarding maintaining compliance was offered. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Two diaper creams in room 4 did not have parent permission to administer. 15A NCAC 18A .2820(d) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The form was not updated annually for eight staff members. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The form was not updated annually for eight staff members. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The completion of orientation for T. Payne was due 4/1/24 and was not completed. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The training for K. Mason was due by 3/12/24. A copy of the training certificate must accompany the corrective action letter. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The training for K. Mason was due by 3/12/24. A copy of the training certificate must accompany the corrective action letter. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. The following staff members were short training hours: S. Bumpass-4 hours, T. Graves-4 hours, and A. Lemons-6 hours. Copies of the training certificates must accompany the corrective action letter. .1103(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Photographs were not on file for two children on van WZK 5921. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The items for eight staff members were older than twelve months. 10A NCAC 09 .0514(f) You were provided an opportunity to ask questions regarding interpretation and implementation of all childcare requirements. Each violation cited was discussed with Ms. Worth. The violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be received no later than 4/16/24. The letter must include the following: *Facility Name and ID number *List of each violation number *How each violation was corrected All items must be included, or the corrective action letter will be returned for corrections. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to lori.rierson@dhhs.nc.gov. CONSULTATION: We discussed the resumption of rated license assessments today. You have been placed in cohort one. You are currently in a technical assistance year until June 30, 2024 and your assessment year is from July 1, 2024-June 30, 2025. A technical assistance visit was conducted 1/23/24 and your request for assessment and assessment application were received 2/29/24. I will submit your request to NCRLAP this week. A representative will contact you and discuss your assessment window and ask you for up to five blackout dates. Once your assessment is completed, I will receive the report within two weeks. I will schedule a visit with you to review the results and discuss your options at that time. The remainder of the staff orientation for A. Scales must be completed by 4/8/24. CPR/First Aid and Recognizing and Responding to Suspicions of Child Maltreatment is due for T. Payne by 5/19/25 and A. Scales by 5/26/24. You may refer to the staff/training worksheets for the due dates for the health and safety trainings. These are on line 17. We discussed completing all annual items such as health questionnaire, emergency information, professional development plan, and staff evaluations the first week of January so they are current. We discussed the record retention time for safe sleep visual check sheets. They must be kept for thirty days from the date on the form. You may refer to childcare rule 10A NCAC 09 .2318 for a full list of all records and their retention times. AGENCY NEWS AND UPDATES: Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: *’What’s New’ tab If you have and questions or concerns, please call me at 336-816-4826, or email lori.rierson@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times