Children'S World Learning Center

GS 110-91 · Violation

Name of Operation: CHILDREN'S WORLD LEARNING CENTER Facility ID: 74000281 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 11/18/2025 Number Present: 109 Completed Date: 11/18/2025 Age: From 0 To 5 Total Minutes: 340 Time In: 08:05 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit including compliance with requirements located in Child Care Rule Section .3000 in spaces PK1, PK2, PK3, and PK4 where children participating in the NC Pre-K program are cared for. M. Cabacar, administrator, assisted me with the visit. Your program currently operates with a five-star license, issued on September 29, 2017, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space) and 1 quality point for having enhanced policies, staff benefits package and an infrastructure of parent involvement. The last annual compliance visit was conducted on December 11, 2024. The sanitation inspection was completed on June 25, 2025, with a “Superior” classification. The last fire inspection was conducted on October 15, 2025, and your facility was approved for daytime and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent as of November 18, 2025. The NC Secretary of State website was reviewed on November 11, 2025, and Children’s World Learning Center, INC. was listed as current- active. The contact information for the facility was reviewed with Ms. Cabacar and all information was verified. No changes are required. Contact me immediately if you need to request any changes to your address, telephone number, or email address or to request changes to the license. You visited each indoor and outdoor space with me. Children throughout the classroom spaces were observed transitioning to breakfast and eating breakfast. Later children enrolled in the classroom spaces designated for NC Pre-K, were observed during outdoor play. The children engaged in a variety of gross motor activities including running, playing on stationary structures and kicking balls to each other. Staff positioned themselves near equipment. Breakfast was observed and consisted of blueberry muffins, applesauce, diced mangos, or cantaloupe, and milk. The following violations were documented. Violation Number Comment Rule 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. One of eighteen children's records reviewed did not have a valid medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 2, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 191 Ayden, NC 28513 megan.brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Within in 30 days of enrollment a child must have a health assessment on file and each child must also have an immunization record on file. Of eighteen children’s records reviewed one child did not have a valid had a health assessment on file. You stated that in your review of children’s health assessments, that child’s was missed and you would ask the parent to bring in the complete health assessment. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. Additional Comments The facilities playground spaces are being renovated with additional equipment and fencing. The children continue to have dedicated spaced to have outdoor play while the renovations are occurring. Contact me when the renovations are complete. Reminders License Fee: Keep an eye on your email inbox for the 2025 Annual License Fee invoice. Invoices were emailed to the facility email address on November 3, 2025. Since the invoice number changes each year, you will need to ensure the invoice number you are paying begins with 25. Online payments are due by December 3, 2025. License fees are paid online only, and paper checks are not accepted for payment. For questions regarding license fees, visit the License Fee Frequently Asked Questions (FAQs en español) or email DCDEE_LF@dhhs.nc.gov for further assistance. Sex Offender Registry: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID Credentials: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RESOURCES: Martin-Pitt Partnership for Children is available to provide you with resources, training, technical assistance, and information on child care issues and trends. Their phone number is (252) 792-0005. You can also check their website at https://mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: CHILDREN'S WORLD LEARNING CENTER Facility ID: 74000281 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 11/18/2025 Number Present: 109 Completed Date: 11/18/2025 Age: From 0 To 5 Total Minutes: 340 Time In: 08:05 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit including compliance with requirements located in Child Care Rule Section .3000 in spaces PK1, PK2, PK3, and PK4 where children participating in the NC Pre-K program are cared for. M. Cabacar, administrator, assisted me with the visit. Your program currently operates with a five-star license, issued on September 29, 2017, earning 6 points in the education component, 6 points in the program standards component (meeting enhanced space) and 1 quality point for having enhanced policies, staff benefits package and an infrastructure of parent involvement. The last annual compliance visit was conducted on December 11, 2024. The sanitation inspection was completed on June 25, 2025, with a “Superior” classification. The last fire inspection was conducted on October 15, 2025, and your facility was approved for daytime and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent as of November 18, 2025. The NC Secretary of State website was reviewed on November 11, 2025, and Children’s World Learning Center, INC. was listed as current- active. The contact information for the facility was reviewed with Ms. Cabacar and all information was verified. No changes are required. Contact me immediately if you need to request any changes to your address, telephone number, or email address or to request changes to the license. You visited each indoor and outdoor space with me. Children throughout the classroom spaces were observed transitioning to breakfast and eating breakfast. Later children enrolled in the classroom spaces designated for NC Pre-K, were observed during outdoor play. The children engaged in a variety of gross motor activities including running, playing on stationary structures and kicking balls to each other. Staff positioned themselves near equipment. Breakfast was observed and consisted of blueberry muffins, applesauce, diced mangos, or cantaloupe, and milk. The following violations were documented. Violation Number Comment Rule 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. One of eighteen children's records reviewed did not have a valid medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 2, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 191 Ayden, NC 28513 megan.brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Within in 30 days of enrollment a child must have a health assessment on file and each child must also have an immunization record on file. Of eighteen children’s records reviewed one child did not have a valid had a health assessment on file. You stated that in your review of children’s health assessments, that child’s was missed and you would ask the parent to bring in the complete health assessment. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. Additional Comments The facilities playground spaces are being renovated with additional equipment and fencing. The children continue to have dedicated spaced to have outdoor play while the renovations are occurring. Contact me when the renovations are complete. Reminders License Fee: Keep an eye on your email inbox for the 2025 Annual License Fee invoice. Invoices were emailed to the facility email address on November 3, 2025. Since the invoice number changes each year, you will need to ensure the invoice number you are paying begins with 25. Online payments are due by December 3, 2025. License fees are paid online only, and paper checks are not accepted for payment. For questions regarding license fees, visit the License Fee Frequently Asked Questions (FAQs en español) or email DCDEE_LF@dhhs.nc.gov for further assistance. Sex Offender Registry: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID Credentials: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RESOURCES: Martin-Pitt Partnership for Children is available to provide you with resources, training, technical assistance, and information on child care issues and trends. Their phone number is (252) 792-0005. You can also check their website at https://mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 .3009 · Violation

Name of Operation: CHILDREN'S WORLD LEARNING CENTER Facility ID: 74000281 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 138 Completed Date: 5/14/2025 Age: From 0 To 5 Total Minutes: 275 Time In: 08:50 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. M. Cabacar, director assisted me with today’s visit. Your program currently operates with a five-star license, issued 9/29/2017 earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for using a having enhanced policies, staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent as of 5/7/25. The NC Secretary of State website was reviewed on 8/8/2022 and Children’s World Learning Center, Inc. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Throughout the classroom spaces children were observed during free play with age-appropriate materials. In classroom space #7 children were observed during morning group, the children sat with the teacher on the carpet as the teacher read a story. The last annual compliance visit was conducted 12/11/24. A sanitation inspection was conducted at your facility on 12/16/24 with “Superior” classification and the fire inspection remains current. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children enrolled in NC Pre-K classroom spaces were observed during morning group time and reading. Assessments and parent engagement newsletters and activities were observed. The following violation was observed today. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In classroom space #PK1 there was an Ventolin HFA inhaler that expired 11/2024. .0803(12) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 28, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Medication: Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. Proper disposal of medications is important to help ensure a healthy environment for children in our communities. In PK 1 there was a Ventolin HFA inhaler that expired 11/2024. We discussed returning all unused or expired medications to parents within 72 hours. Check medications monthly to ensure all medication requirements are met. Additional Comments: The Division of Child Development and Early Education invites you to attend a meeting on May 27, 2025 10:00 am – 12:00pm at Mark W. Owens Jr. Auditorium, 403 Government Circle Greenville, NC 27834. Bring your orientation binders/notebooks/materials or any other items you use when conducting orientation with new staff to the meeting. You will receive 2 hours of ongoing training, if you attend the entire meeting. Please rsvp via email. Healthy Social Behaviors: The Basics of Biting Tuesday, May 20, 2025 7:00-8:00 p.m. Webinar link: https://ccrinc.zoom.us/j/3677997738 Meeting ID: 367 799 7738 Children use biting as a form of communication. Join a free, talk-to-the-experts webinar, presented by the Healthy Social Behaviors Helpline advisors, as they identify the function of biting behavior, and share supportive resources to help young children NCID: Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: CHILDREN'S WORLD LEARNING CENTER Facility ID: 74000281 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 138 Completed Date: 5/14/2025 Age: From 0 To 5 Total Minutes: 275 Time In: 08:50 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. M. Cabacar, director assisted me with today’s visit. Your program currently operates with a five-star license, issued 9/29/2017 earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for using a having enhanced policies, staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty two percent as of 5/7/25. The NC Secretary of State website was reviewed on 8/8/2022 and Children’s World Learning Center, Inc. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Throughout the classroom spaces children were observed during free play with age-appropriate materials. In classroom space #7 children were observed during morning group, the children sat with the teacher on the carpet as the teacher read a story. The last annual compliance visit was conducted 12/11/24. A sanitation inspection was conducted at your facility on 12/16/24 with “Superior” classification and the fire inspection remains current. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children enrolled in NC Pre-K classroom spaces were observed during morning group time and reading. Assessments and parent engagement newsletters and activities were observed. The following violation was observed today. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In classroom space #PK1 there was an Ventolin HFA inhaler that expired 11/2024. .0803(12) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 28, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Medication: Medication should not be used beyond the date of expiration. Unused medications should be returned to the parent/guardian for disposal. Proper disposal of medications is important to help ensure a healthy environment for children in our communities. In PK 1 there was a Ventolin HFA inhaler that expired 11/2024. We discussed returning all unused or expired medications to parents within 72 hours. Check medications monthly to ensure all medication requirements are met. Additional Comments: The Division of Child Development and Early Education invites you to attend a meeting on May 27, 2025 10:00 am – 12:00pm at Mark W. Owens Jr. Auditorium, 403 Government Circle Greenville, NC 27834. Bring your orientation binders/notebooks/materials or any other items you use when conducting orientation with new staff to the meeting. You will receive 2 hours of ongoing training, if you attend the entire meeting. Please rsvp via email. Healthy Social Behaviors: The Basics of Biting Tuesday, May 20, 2025 7:00-8:00 p.m. Webinar link: https://ccrinc.zoom.us/j/3677997738 Meeting ID: 367 799 7738 Children use biting as a form of communication. Join a free, talk-to-the-experts webinar, presented by the Healthy Social Behaviors Helpline advisors, as they identify the function of biting behavior, and share supportive resources to help young children NCID: Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. When you change your current password after Feb. 23, however, you will be required to create a new one that must: • Be a minimum of 14 characters. • Consist of at least one numeric character, at least one uppercase letter, at least one lowercase letter, and at least one special character such as #, &, * etc. • Passwords shall not contain number or character substitutes to create dictionary words (e.g., d33psl33p for deepsleep). The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: CHILDREN'S WORLD LEARNING CENTER Facility ID: 74000281 Consultant: MEGAN BROWN Operation Type: Center Case Number: 1224-148L Visit Date: 12/19/2024 Number Present: 26 Completed Date: 12/19/2024 Age: From 1 To 4 Total Minutes: 129 Time In: 12:01 PM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements and to verify correction of violations documented during my 12/11/24 annual compliance visit. The allegations are as follows: Children are not adequately supervised. Incident reports are not prepared as required. Inappropriate discipline is used. Enrollment: Space #5 & 6 Staff: A. Yancey, C. Rodriguez Enrolled: 10 children -10 children one years of age Present: 11 children – 11 children one years of age Space #7 Staff: J. Beachman, D. Woodard Enrollment: 1 child one years of age, 9 children two years of age Present: 8 children two years of age Space #9 Staff: C. Godley Enrolled: 3 children three years of age, 5 children four years of age Present: 3 children three years of age, 4 children four years of age Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. The license and emergency care plan were posted. Children enrolled in classroom space #5&6 were eating lunch and transitioning to rest time. Children enrolled in classroom spaces #7 and 9 were resting on linen covered cots. Based on the information provided regarding concerns that that inappropriate discipline was used, selected staff interviews were conducted. Staff assisted children with laying on their cots after handwashing when transitioning to rest time. Staff verbally redirected children when needed. Based on observations the allegation is unconfirmed. Based on the information provided regarding concerns that children were not being adequately supervised. Selected interviews were conducted. It was reported that an incident occurred in the outdoor space for toddlers. A parent arrived to pick up their child and the child was sitting on top of the table, as staff was on their cell phone. You stated that the staff member was on their phone communicating with a parent regarding a sick child. You also shared that you talked the staff member about cell phone use. You also informed me that staff may use cell phones only during nap time when all the children are down. I reviewed the facilities Cell Phone Policy. Based on collateral reports the allegation is confirmed. Based on the information provided regarding concerns incident reports are not prepared as required, incident reports and the facilities incident log was reviewed. It was reported that a child enrolled in space #5&6 had a scratch on their head. An incident report was completed, the parent was notified, and an incident report was provided. A copy of the incident report was on file. Based on observations the allegation is unconfirmed. Violation Number Comment Rule 303 Children were not adequately supervised at all times. It was reported that a child one year of age was observed sitting on top of a table, while the staff member designated to care for the child was on their cell phone. .1801(a)(1-5) The following violations documented during the 12/11/24 visit were monitored for compliance during this visit: 303- Children were not adequately supervised at all times. A child enrolled in classroom space #9 was in the hallway bathroom. Staff assigned to classroom space #9 were in the classroom space and unaware the child was in the bathroom. Today the classroom door was closed. The staff member was observed cleaning tables and sweeping after lunch, while the children rested on linen covered cots. As the staff member moved around the classroom space, was able to see and hear the children. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 2,2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. In addition, younger children need closer supervision to remain safe. Adequate supervision shall mean that: (1) Staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render immediate assistance;(2) Staff must interact with the children while moving about the indoor or outdoor area;(3) Staff must know where each child is located and be aware of children’s activities at all times;(4) Staff must provide supervision appropriate to the individual age, needs and capabilities of each child. On the playground designated for toddler children, a parent arrived to pick up their child, and the child was sitting on top of the table, and the staff member was on their cell phone. We discussed reviewing supervision policies with staff, and retrain staff on polices and providing active supervision. Violations were documented for failure to maintain compliance with discipline requirements. Violations of this nature directly impact the safety of the children while in your care. In addition, these types of violations have the greatest negative impact on your compliance history. Confirmed allegations may lead to an administrative action against your license. A follow up visit may be conducted in the near future to monitor compliance with child care requirements. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: CHILDREN'S WORLD LEARNING CENTER Facility ID: 74000281 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 117 Completed Date: 12/11/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 10:45 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit including compliance with requirements located in Child Care Rule Section .3000 in spaces PK1, PK2, PK3, and PK4 where children participating in the NC Pre-K program are cared for. M. Cabacar, administrator assisted me with the visit. Your program currently operates with a Five star license, issued 9/29/2017, earning 6 points in the education component, 6 points in the program standards component(meeting enhanced ratios and space) and 1 quality point for having enhanced policies, staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/20/2024. The sanitation inspection was completed 6/27/24 with a “Superior” classification. The last fire inspection was conducted 10/1/24 and your facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-five percent as of 12/9/24. The NC Secretary of State website was reviewed on 1/2/2024 and Children’s World Learning Center, INC. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. Children were observed in the indoor classroom spaces. Throughout the preschool building children were observed sitting at child sized tables eating lunch and transitioning to rest time. Children under age one received care according to their individual needs. Lunch was observed and included chicken patty with cheese, whole grain bun, mixed fruit, mixed vegetables and milk. Children enrolled in the NCPrek classroom spaces were observed transitioning to rest time and resting on linen covered cots. In the outdoor space children were observed playing on stationary climbing structures, with push toys and in portable play houses. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Student portfolios, assessment materials, NC PreK notebooks, and parent activities were reviewed. The following 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. A fire inspection was on file dated 10/1/2024 the previous inspection was conducted on 9/14/23. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. A child enrolled in classroom space #9 was in the hallway bathroom. Staff assigned to classroom space #9 were in the classroom space and unaware the child was in the bathroom. .1801(a)(1-5) 853 Incident logs were not completed and maintained as required. An incident log was on file, the last recorded incident was on 8/6/24. Incident reports from 8/12/24-12/5/24 were not documented on the incident log. .0802(g)(1-6) 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. One child being transported did not have emergency information or photograph on file. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Permission to transport forms were not on file for two children being transported. .1003(i)(j) 1314 Emergency information did not name childs health care professional. Two of seventeen children's records reviewed did not include the child's hospital preference. .0802(c)(2) 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. On of seventeen children's records did not have a immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Three of seventeen children's records reviewed discipline policy did not include the date of enrollment. .1804(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff, P. Elbeck hired on 6/24/24 completed the training on 12/2/24, not within 90 days of employment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 25,2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. A child enrolled in classroom space #9 was in the hallway bathroom unattended. Staff were inside the classroom space and were unaware the child walked out of the classroom to the bathroom. You instructed one staff member to step into the hallway to monitor the child in the bathroom. You informed me that you spoke with the staff member and have instructed staff to keep the door closed outside of bathroom routines. Fire Inspection: Facility safeguarding is not achieved by one agency carrying out a single regulatory program. Total safeguarding is achieved through a multiplicity of regulatory programs and agencies including sanitation and fire inspectors. Fire inspections should be completed annually and within 12 months of the previous inspection. The current inspection was completed on 10/1/24 and the previous inspection was completed on 9/14/23. You stated that you had the inspection scheduled before the required date and the fire marshal forgot the appointment. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. Recognizing & Responding to Suspicions of Child Maltreatment: Caregivers/teachers are mandatory reporters of child abuse and neglect. Education is important in identifying manifestations of child maltreatment that can increase the likelihood of appropriate reports to child protection and law enforcement agencies. A training certificate was on file for P. Elbeck hired 6/24/24 was dated 12/2/24. All staff must complete training within 90 days of employment. Incident Reports and Log - You must now document every injury incurred while a child is in your care, including cuts, scrapes, bumps, and bitemarks. These incidents must be recorded on the incident report form supplied by the Division. The report must include all required information and be signed by the parent. The incident must then be logged on the facility incident report log. Incidents completed between 8/12/24-12/5/24 were not logged on the facilities incident log. The incident log should be used to track patterns of injuries and adjust routines or the learning environment to prevent further injuries. It must be kept with other program records for review during monitoring and complaint visits. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Prior to being transported, permission must be granted by each child’s parent stating when and where the child will be transported to and from. Today two children did not have a signed permission to transport form on file. Each child transported must have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. One school age child did not have a photograph attached to their emergency information. You stated that the child recently begin care and you have to get the parent to complete the forms. Reminders: Clean Classrooms for Carolina Kids – Due to the devastation caused by Hurricane Helene, the deadline for enrolling in the Clean Classrooms for Carolina Kids testing for lead in water, lead paint, and asbestos has been extended to May 31, 2025. If you have not completed the online enrollment, online training, and initial survey, complete this for your facility as soon as possible. Funding is available for licensed facilities that need lead paint or asbestos mitigation. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. Annual License Fees – Annual license fees for any facility licensed on October 1, 2024 have been emailed to the facility email address. If you have not received an invoice, check your junk or spam folder. License fees need to be paid on-line by December 31, 2024 to avoid a late payment penalty and possible administrative action. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. License fees are not assessed for programs operated by public schools or programs operating with a religious notice of compliance. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: CHILDREN'S WORLD LEARNING CENTER Facility ID: 74000281 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 117 Completed Date: 12/11/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 10:45 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit including compliance with requirements located in Child Care Rule Section .3000 in spaces PK1, PK2, PK3, and PK4 where children participating in the NC Pre-K program are cared for. M. Cabacar, administrator assisted me with the visit. Your program currently operates with a Five star license, issued 9/29/2017, earning 6 points in the education component, 6 points in the program standards component(meeting enhanced ratios and space) and 1 quality point for having enhanced policies, staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/20/2024. The sanitation inspection was completed 6/27/24 with a “Superior” classification. The last fire inspection was conducted 10/1/24 and your facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-five percent as of 12/9/24. The NC Secretary of State website was reviewed on 1/2/2024 and Children’s World Learning Center, INC. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. Children were observed in the indoor classroom spaces. Throughout the preschool building children were observed sitting at child sized tables eating lunch and transitioning to rest time. Children under age one received care according to their individual needs. Lunch was observed and included chicken patty with cheese, whole grain bun, mixed fruit, mixed vegetables and milk. Children enrolled in the NCPrek classroom spaces were observed transitioning to rest time and resting on linen covered cots. In the outdoor space children were observed playing on stationary climbing structures, with push toys and in portable play houses. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Student portfolios, assessment materials, NC PreK notebooks, and parent activities were reviewed. The following 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. A fire inspection was on file dated 10/1/2024 the previous inspection was conducted on 9/14/23. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. A child enrolled in classroom space #9 was in the hallway bathroom. Staff assigned to classroom space #9 were in the classroom space and unaware the child was in the bathroom. .1801(a)(1-5) 853 Incident logs were not completed and maintained as required. An incident log was on file, the last recorded incident was on 8/6/24. Incident reports from 8/12/24-12/5/24 were not documented on the incident log. .0802(g)(1-6) 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. One child being transported did not have emergency information or photograph on file. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Permission to transport forms were not on file for two children being transported. .1003(i)(j) 1314 Emergency information did not name childs health care professional. Two of seventeen children's records reviewed did not include the child's hospital preference. .0802(c)(2) 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. On of seventeen children's records did not have a immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Three of seventeen children's records reviewed discipline policy did not include the date of enrollment. .1804(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff, P. Elbeck hired on 6/24/24 completed the training on 12/2/24, not within 90 days of employment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 25,2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. A child enrolled in classroom space #9 was in the hallway bathroom unattended. Staff were inside the classroom space and were unaware the child walked out of the classroom to the bathroom. You instructed one staff member to step into the hallway to monitor the child in the bathroom. You informed me that you spoke with the staff member and have instructed staff to keep the door closed outside of bathroom routines. Fire Inspection: Facility safeguarding is not achieved by one agency carrying out a single regulatory program. Total safeguarding is achieved through a multiplicity of regulatory programs and agencies including sanitation and fire inspectors. Fire inspections should be completed annually and within 12 months of the previous inspection. The current inspection was completed on 10/1/24 and the previous inspection was completed on 9/14/23. You stated that you had the inspection scheduled before the required date and the fire marshal forgot the appointment. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. Recognizing & Responding to Suspicions of Child Maltreatment: Caregivers/teachers are mandatory reporters of child abuse and neglect. Education is important in identifying manifestations of child maltreatment that can increase the likelihood of appropriate reports to child protection and law enforcement agencies. A training certificate was on file for P. Elbeck hired 6/24/24 was dated 12/2/24. All staff must complete training within 90 days of employment. Incident Reports and Log - You must now document every injury incurred while a child is in your care, including cuts, scrapes, bumps, and bitemarks. These incidents must be recorded on the incident report form supplied by the Division. The report must include all required information and be signed by the parent. The incident must then be logged on the facility incident report log. Incidents completed between 8/12/24-12/5/24 were not logged on the facilities incident log. The incident log should be used to track patterns of injuries and adjust routines or the learning environment to prevent further injuries. It must be kept with other program records for review during monitoring and complaint visits. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Prior to being transported, permission must be granted by each child’s parent stating when and where the child will be transported to and from. Today two children did not have a signed permission to transport form on file. Each child transported must have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. One school age child did not have a photograph attached to their emergency information. You stated that the child recently begin care and you have to get the parent to complete the forms. Reminders: Clean Classrooms for Carolina Kids – Due to the devastation caused by Hurricane Helene, the deadline for enrolling in the Clean Classrooms for Carolina Kids testing for lead in water, lead paint, and asbestos has been extended to May 31, 2025. If you have not completed the online enrollment, online training, and initial survey, complete this for your facility as soon as possible. Funding is available for licensed facilities that need lead paint or asbestos mitigation. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. Annual License Fees – Annual license fees for any facility licensed on October 1, 2024 have been emailed to the facility email address. If you have not received an invoice, check your junk or spam folder. License fees need to be paid on-line by December 31, 2024 to avoid a late payment penalty and possible administrative action. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. License fees are not assessed for programs operated by public schools or programs operating with a religious notice of compliance. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: CHILDREN'S WORLD LEARNING CENTER Facility ID: 74000281 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 117 Completed Date: 12/11/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 10:45 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit including compliance with requirements located in Child Care Rule Section .3000 in spaces PK1, PK2, PK3, and PK4 where children participating in the NC Pre-K program are cared for. M. Cabacar, administrator assisted me with the visit. Your program currently operates with a Five star license, issued 9/29/2017, earning 6 points in the education component, 6 points in the program standards component(meeting enhanced ratios and space) and 1 quality point for having enhanced policies, staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/20/2024. The sanitation inspection was completed 6/27/24 with a “Superior” classification. The last fire inspection was conducted 10/1/24 and your facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-five percent as of 12/9/24. The NC Secretary of State website was reviewed on 1/2/2024 and Children’s World Learning Center, INC. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. Children were observed in the indoor classroom spaces. Throughout the preschool building children were observed sitting at child sized tables eating lunch and transitioning to rest time. Children under age one received care according to their individual needs. Lunch was observed and included chicken patty with cheese, whole grain bun, mixed fruit, mixed vegetables and milk. Children enrolled in the NCPrek classroom spaces were observed transitioning to rest time and resting on linen covered cots. In the outdoor space children were observed playing on stationary climbing structures, with push toys and in portable play houses. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Student portfolios, assessment materials, NC PreK notebooks, and parent activities were reviewed. The following 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. A fire inspection was on file dated 10/1/2024 the previous inspection was conducted on 9/14/23. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. A child enrolled in classroom space #9 was in the hallway bathroom. Staff assigned to classroom space #9 were in the classroom space and unaware the child was in the bathroom. .1801(a)(1-5) 853 Incident logs were not completed and maintained as required. An incident log was on file, the last recorded incident was on 8/6/24. Incident reports from 8/12/24-12/5/24 were not documented on the incident log. .0802(g)(1-6) 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. One child being transported did not have emergency information or photograph on file. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Permission to transport forms were not on file for two children being transported. .1003(i)(j) 1314 Emergency information did not name childs health care professional. Two of seventeen children's records reviewed did not include the child's hospital preference. .0802(c)(2) 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. On of seventeen children's records did not have a immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Three of seventeen children's records reviewed discipline policy did not include the date of enrollment. .1804(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff, P. Elbeck hired on 6/24/24 completed the training on 12/2/24, not within 90 days of employment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 25,2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. A child enrolled in classroom space #9 was in the hallway bathroom unattended. Staff were inside the classroom space and were unaware the child walked out of the classroom to the bathroom. You instructed one staff member to step into the hallway to monitor the child in the bathroom. You informed me that you spoke with the staff member and have instructed staff to keep the door closed outside of bathroom routines. Fire Inspection: Facility safeguarding is not achieved by one agency carrying out a single regulatory program. Total safeguarding is achieved through a multiplicity of regulatory programs and agencies including sanitation and fire inspectors. Fire inspections should be completed annually and within 12 months of the previous inspection. The current inspection was completed on 10/1/24 and the previous inspection was completed on 9/14/23. You stated that you had the inspection scheduled before the required date and the fire marshal forgot the appointment. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. Recognizing & Responding to Suspicions of Child Maltreatment: Caregivers/teachers are mandatory reporters of child abuse and neglect. Education is important in identifying manifestations of child maltreatment that can increase the likelihood of appropriate reports to child protection and law enforcement agencies. A training certificate was on file for P. Elbeck hired 6/24/24 was dated 12/2/24. All staff must complete training within 90 days of employment. Incident Reports and Log - You must now document every injury incurred while a child is in your care, including cuts, scrapes, bumps, and bitemarks. These incidents must be recorded on the incident report form supplied by the Division. The report must include all required information and be signed by the parent. The incident must then be logged on the facility incident report log. Incidents completed between 8/12/24-12/5/24 were not logged on the facilities incident log. The incident log should be used to track patterns of injuries and adjust routines or the learning environment to prevent further injuries. It must be kept with other program records for review during monitoring and complaint visits. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Prior to being transported, permission must be granted by each child’s parent stating when and where the child will be transported to and from. Today two children did not have a signed permission to transport form on file. Each child transported must have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. One school age child did not have a photograph attached to their emergency information. You stated that the child recently begin care and you have to get the parent to complete the forms. Reminders: Clean Classrooms for Carolina Kids – Due to the devastation caused by Hurricane Helene, the deadline for enrolling in the Clean Classrooms for Carolina Kids testing for lead in water, lead paint, and asbestos has been extended to May 31, 2025. If you have not completed the online enrollment, online training, and initial survey, complete this for your facility as soon as possible. Funding is available for licensed facilities that need lead paint or asbestos mitigation. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. Annual License Fees – Annual license fees for any facility licensed on October 1, 2024 have been emailed to the facility email address. If you have not received an invoice, check your junk or spam folder. License fees need to be paid on-line by December 31, 2024 to avoid a late payment penalty and possible administrative action. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. License fees are not assessed for programs operated by public schools or programs operating with a religious notice of compliance. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 .3009 · Violation

Name of Operation: CHILDREN'S WORLD LEARNING CENTER Facility ID: 74000281 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 117 Completed Date: 12/11/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 10:45 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit including compliance with requirements located in Child Care Rule Section .3000 in spaces PK1, PK2, PK3, and PK4 where children participating in the NC Pre-K program are cared for. M. Cabacar, administrator assisted me with the visit. Your program currently operates with a Five star license, issued 9/29/2017, earning 6 points in the education component, 6 points in the program standards component(meeting enhanced ratios and space) and 1 quality point for having enhanced policies, staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/20/2024. The sanitation inspection was completed 6/27/24 with a “Superior” classification. The last fire inspection was conducted 10/1/24 and your facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-five percent as of 12/9/24. The NC Secretary of State website was reviewed on 1/2/2024 and Children’s World Learning Center, INC. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. Children were observed in the indoor classroom spaces. Throughout the preschool building children were observed sitting at child sized tables eating lunch and transitioning to rest time. Children under age one received care according to their individual needs. Lunch was observed and included chicken patty with cheese, whole grain bun, mixed fruit, mixed vegetables and milk. Children enrolled in the NCPrek classroom spaces were observed transitioning to rest time and resting on linen covered cots. In the outdoor space children were observed playing on stationary climbing structures, with push toys and in portable play houses. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Student portfolios, assessment materials, NC PreK notebooks, and parent activities were reviewed. The following 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. A fire inspection was on file dated 10/1/2024 the previous inspection was conducted on 9/14/23. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. A child enrolled in classroom space #9 was in the hallway bathroom. Staff assigned to classroom space #9 were in the classroom space and unaware the child was in the bathroom. .1801(a)(1-5) 853 Incident logs were not completed and maintained as required. An incident log was on file, the last recorded incident was on 8/6/24. Incident reports from 8/12/24-12/5/24 were not documented on the incident log. .0802(g)(1-6) 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. One child being transported did not have emergency information or photograph on file. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Permission to transport forms were not on file for two children being transported. .1003(i)(j) 1314 Emergency information did not name childs health care professional. Two of seventeen children's records reviewed did not include the child's hospital preference. .0802(c)(2) 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. On of seventeen children's records did not have a immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Three of seventeen children's records reviewed discipline policy did not include the date of enrollment. .1804(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff, P. Elbeck hired on 6/24/24 completed the training on 12/2/24, not within 90 days of employment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 25,2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. A child enrolled in classroom space #9 was in the hallway bathroom unattended. Staff were inside the classroom space and were unaware the child walked out of the classroom to the bathroom. You instructed one staff member to step into the hallway to monitor the child in the bathroom. You informed me that you spoke with the staff member and have instructed staff to keep the door closed outside of bathroom routines. Fire Inspection: Facility safeguarding is not achieved by one agency carrying out a single regulatory program. Total safeguarding is achieved through a multiplicity of regulatory programs and agencies including sanitation and fire inspectors. Fire inspections should be completed annually and within 12 months of the previous inspection. The current inspection was completed on 10/1/24 and the previous inspection was completed on 9/14/23. You stated that you had the inspection scheduled before the required date and the fire marshal forgot the appointment. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. Recognizing & Responding to Suspicions of Child Maltreatment: Caregivers/teachers are mandatory reporters of child abuse and neglect. Education is important in identifying manifestations of child maltreatment that can increase the likelihood of appropriate reports to child protection and law enforcement agencies. A training certificate was on file for P. Elbeck hired 6/24/24 was dated 12/2/24. All staff must complete training within 90 days of employment. Incident Reports and Log - You must now document every injury incurred while a child is in your care, including cuts, scrapes, bumps, and bitemarks. These incidents must be recorded on the incident report form supplied by the Division. The report must include all required information and be signed by the parent. The incident must then be logged on the facility incident report log. Incidents completed between 8/12/24-12/5/24 were not logged on the facilities incident log. The incident log should be used to track patterns of injuries and adjust routines or the learning environment to prevent further injuries. It must be kept with other program records for review during monitoring and complaint visits. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Prior to being transported, permission must be granted by each child’s parent stating when and where the child will be transported to and from. Today two children did not have a signed permission to transport form on file. Each child transported must have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. One school age child did not have a photograph attached to their emergency information. You stated that the child recently begin care and you have to get the parent to complete the forms. Reminders: Clean Classrooms for Carolina Kids – Due to the devastation caused by Hurricane Helene, the deadline for enrolling in the Clean Classrooms for Carolina Kids testing for lead in water, lead paint, and asbestos has been extended to May 31, 2025. If you have not completed the online enrollment, online training, and initial survey, complete this for your facility as soon as possible. Funding is available for licensed facilities that need lead paint or asbestos mitigation. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. Annual License Fees – Annual license fees for any facility licensed on October 1, 2024 have been emailed to the facility email address. If you have not received an invoice, check your junk or spam folder. License fees need to be paid on-line by December 31, 2024 to avoid a late payment penalty and possible administrative action. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. License fees are not assessed for programs operated by public schools or programs operating with a religious notice of compliance. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: CHILDREN'S WORLD LEARNING CENTER Facility ID: 74000281 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 12/11/2024 Number Present: 117 Completed Date: 12/11/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 10:45 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit including compliance with requirements located in Child Care Rule Section .3000 in spaces PK1, PK2, PK3, and PK4 where children participating in the NC Pre-K program are cared for. M. Cabacar, administrator assisted me with the visit. Your program currently operates with a Five star license, issued 9/29/2017, earning 6 points in the education component, 6 points in the program standards component(meeting enhanced ratios and space) and 1 quality point for having enhanced policies, staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 1/20/2024. The sanitation inspection was completed 6/27/24 with a “Superior” classification. The last fire inspection was conducted 10/1/24 and your facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-five percent as of 12/9/24. The NC Secretary of State website was reviewed on 1/2/2024 and Children’s World Learning Center, INC. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. Children were observed in the indoor classroom spaces. Throughout the preschool building children were observed sitting at child sized tables eating lunch and transitioning to rest time. Children under age one received care according to their individual needs. Lunch was observed and included chicken patty with cheese, whole grain bun, mixed fruit, mixed vegetables and milk. Children enrolled in the NCPrek classroom spaces were observed transitioning to rest time and resting on linen covered cots. In the outdoor space children were observed playing on stationary climbing structures, with push toys and in portable play houses. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Student portfolios, assessment materials, NC PreK notebooks, and parent activities were reviewed. The following 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. A fire inspection was on file dated 10/1/2024 the previous inspection was conducted on 9/14/23. 10A NCAC 09 .0304(a) 303 Children were not adequately supervised at all times. A child enrolled in classroom space #9 was in the hallway bathroom. Staff assigned to classroom space #9 were in the classroom space and unaware the child was in the bathroom. .1801(a)(1-5) 853 Incident logs were not completed and maintained as required. An incident log was on file, the last recorded incident was on 8/6/24. Incident reports from 8/12/24-12/5/24 were not documented on the incident log. .0802(g)(1-6) 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. One child being transported did not have emergency information or photograph on file. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Permission to transport forms were not on file for two children being transported. .1003(i)(j) 1314 Emergency information did not name childs health care professional. Two of seventeen children's records reviewed did not include the child's hospital preference. .0802(c)(2) 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. On of seventeen children's records did not have a immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Three of seventeen children's records reviewed discipline policy did not include the date of enrollment. .1804(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff, P. Elbeck hired on 6/24/24 completed the training on 12/2/24, not within 90 days of employment. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 25,2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Supervision: Adequate supervision of children is essential to keep children safe from accidents and injuries. Staff must remain with the children assigned to them at all times. Leaving a child or a group of children alone is unacceptable. A child enrolled in classroom space #9 was in the hallway bathroom unattended. Staff were inside the classroom space and were unaware the child walked out of the classroom to the bathroom. You instructed one staff member to step into the hallway to monitor the child in the bathroom. You informed me that you spoke with the staff member and have instructed staff to keep the door closed outside of bathroom routines. Fire Inspection: Facility safeguarding is not achieved by one agency carrying out a single regulatory program. Total safeguarding is achieved through a multiplicity of regulatory programs and agencies including sanitation and fire inspectors. Fire inspections should be completed annually and within 12 months of the previous inspection. The current inspection was completed on 10/1/24 and the previous inspection was completed on 9/14/23. You stated that you had the inspection scheduled before the required date and the fire marshal forgot the appointment. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. Recognizing & Responding to Suspicions of Child Maltreatment: Caregivers/teachers are mandatory reporters of child abuse and neglect. Education is important in identifying manifestations of child maltreatment that can increase the likelihood of appropriate reports to child protection and law enforcement agencies. A training certificate was on file for P. Elbeck hired 6/24/24 was dated 12/2/24. All staff must complete training within 90 days of employment. Incident Reports and Log - You must now document every injury incurred while a child is in your care, including cuts, scrapes, bumps, and bitemarks. These incidents must be recorded on the incident report form supplied by the Division. The report must include all required information and be signed by the parent. The incident must then be logged on the facility incident report log. Incidents completed between 8/12/24-12/5/24 were not logged on the facilities incident log. The incident log should be used to track patterns of injuries and adjust routines or the learning environment to prevent further injuries. It must be kept with other program records for review during monitoring and complaint visits. Transportation: Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children to require that the caregiver/teacher comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Prior to being transported, permission must be granted by each child’s parent stating when and where the child will be transported to and from. Today two children did not have a signed permission to transport form on file. Each child transported must have on file emergency contact information along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. One school age child did not have a photograph attached to their emergency information. You stated that the child recently begin care and you have to get the parent to complete the forms. Reminders: Clean Classrooms for Carolina Kids – Due to the devastation caused by Hurricane Helene, the deadline for enrolling in the Clean Classrooms for Carolina Kids testing for lead in water, lead paint, and asbestos has been extended to May 31, 2025. If you have not completed the online enrollment, online training, and initial survey, complete this for your facility as soon as possible. Funding is available for licensed facilities that need lead paint or asbestos mitigation. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. Annual License Fees – Annual license fees for any facility licensed on October 1, 2024 have been emailed to the facility email address. If you have not received an invoice, check your junk or spam folder. License fees need to be paid on-line by December 31, 2024 to avoid a late payment penalty and possible administrative action. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. License fees are not assessed for programs operated by public schools or programs operating with a religious notice of compliance. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: CHILDREN'S WORLD LEARNING CENTER Facility ID: 74000281 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 140 Completed Date: 5/16/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 08:50 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Tamaria Williams, Child Care Consultant accompanied me during today’s visit. M. Cabacar, director assisted me with today’s visit. Your program currently operates with a five-star license, issued 9/29/2017 earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for using a having enhanced policies, staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent as of 5/16/2024. The NC Secretary of State website was reviewed on 5/16/2024 and Children’s World Learning Center, Inc. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Infants were resting in approved cribs and participating in morning group. The caregivers were interacting and meeting the developmental needs for each of the children. Today’s lunch included cheeseburgers, mangos, green beans and milk. The last annual compliance visit was conducted 1/3/2024. Sanitation and fire inspections remain current. The following violations were observed today. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the school age playground the guard for the double slide was missing. There was standing water in two sand tables and a wagon on the infant outdoor spaces. 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. In the PK1 & PK2 building the staff lounge and bathroom were unlocked, stored under the sink was 6 cans of paint, and in the bathroom was a can of Lysol Disinfectant Spray and a container of ZEP Wipes. In the PK1 and Pk2 cabinets in the lobby there was 3 bottles of hand sanitizer stored below five feet. In PK3 and PK4 cabinet in the lobby there was a small bottle of Goo Gone and a container of ZEP Wipes stored below five feet. In classroom space PK4 there was small back pack stored on top of the children's cubbies with an inhale and lotion inside, in the storage closet a purse was stored on top of the children's cots below five feet with a prescription bottle inside. A bottle of hand sanitizer was stored in the window seal in classroom space 11C. On the van used to transport children there was two bottles of hand sanitizer and a bottle of Great Value disinfectant spray stored in the door handles. .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 classroom space #8 an authorization form was not on file for a Ventolin HFA inhaler and in PK4 authorization for a Ventolin HFA inhaler expired on 11/23/23. 10A NCAC 09 .0803(1)(a & b) 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. An emergency information form was not on file for therapist E. Chappell who was providing services to a child during the visit. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file for therapist E. Chappell who was providing services to a child during the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch at the base of slide and fall zones on the stationary climbers on the afterschool and preschool playground measured less than an inch. .0605(k)(1-4) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. A CBC is required for therapist when providing therapy services for children alone or unaccompanied by facility staff. E. Chappell, a therapist was on site providing for services for a child alone in the staff lounge are in the PK3 and PK4 building. You stated that you had her information but were unable to locate it during the visit. We reviewed requirements for therapist who provides services at your facility. Emergency Information: The Emergency Information form must be completed for all therapists who provide services at your facility. We discussed that any therapist providing care at your facility will need to complete the emergency information form and it must remain on file and available for review. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use but are not required to be in locked storage. Staff pursed and personal items should be inaccessible to children. Review hazardous storage with staff and designate storage areas in the classroom. Parental Permission to Administer Medication: Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give the provider written authorization to administer any medication to the child. All medications, forms, and medical action plans should be reviewed monthly to ensure they are current and correct. We discussed medication authorization for prescription medications and expiration dates of medication. A safe indoor and outdoor environment was not provided for the children with damaged items and equipment that were accessible to the children. We discussed replacing the container for the manipulatives. On the playground, restrict use of the double slide until a new guard is received. The surfacing used underneath two stationary pieces of equipment was a light covering of mulch material that measured less than an inch. You emptied the sand tables and the wagon of the standing water during the visit. Additional Comments: Today we discussed your facility is in cohort 1, your reassessment year begins July 1, 2024. During you next visit a rated license assessment will be conducted. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: CHILDREN'S WORLD LEARNING CENTER Facility ID: 74000281 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 140 Completed Date: 5/16/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 08:50 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Tamaria Williams, Child Care Consultant accompanied me during today’s visit. M. Cabacar, director assisted me with today’s visit. Your program currently operates with a five-star license, issued 9/29/2017 earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for using a having enhanced policies, staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent as of 5/16/2024. The NC Secretary of State website was reviewed on 5/16/2024 and Children’s World Learning Center, Inc. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Infants were resting in approved cribs and participating in morning group. The caregivers were interacting and meeting the developmental needs for each of the children. Today’s lunch included cheeseburgers, mangos, green beans and milk. The last annual compliance visit was conducted 1/3/2024. Sanitation and fire inspections remain current. The following violations were observed today. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the school age playground the guard for the double slide was missing. There was standing water in two sand tables and a wagon on the infant outdoor spaces. 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. In the PK1 & PK2 building the staff lounge and bathroom were unlocked, stored under the sink was 6 cans of paint, and in the bathroom was a can of Lysol Disinfectant Spray and a container of ZEP Wipes. In the PK1 and Pk2 cabinets in the lobby there was 3 bottles of hand sanitizer stored below five feet. In PK3 and PK4 cabinet in the lobby there was a small bottle of Goo Gone and a container of ZEP Wipes stored below five feet. In classroom space PK4 there was small back pack stored on top of the children's cubbies with an inhale and lotion inside, in the storage closet a purse was stored on top of the children's cots below five feet with a prescription bottle inside. A bottle of hand sanitizer was stored in the window seal in classroom space 11C. On the van used to transport children there was two bottles of hand sanitizer and a bottle of Great Value disinfectant spray stored in the door handles. .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 classroom space #8 an authorization form was not on file for a Ventolin HFA inhaler and in PK4 authorization for a Ventolin HFA inhaler expired on 11/23/23. 10A NCAC 09 .0803(1)(a & b) 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. An emergency information form was not on file for therapist E. Chappell who was providing services to a child during the visit. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file for therapist E. Chappell who was providing services to a child during the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch at the base of slide and fall zones on the stationary climbers on the afterschool and preschool playground measured less than an inch. .0605(k)(1-4) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. A CBC is required for therapist when providing therapy services for children alone or unaccompanied by facility staff. E. Chappell, a therapist was on site providing for services for a child alone in the staff lounge are in the PK3 and PK4 building. You stated that you had her information but were unable to locate it during the visit. We reviewed requirements for therapist who provides services at your facility. Emergency Information: The Emergency Information form must be completed for all therapists who provide services at your facility. We discussed that any therapist providing care at your facility will need to complete the emergency information form and it must remain on file and available for review. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use but are not required to be in locked storage. Staff pursed and personal items should be inaccessible to children. Review hazardous storage with staff and designate storage areas in the classroom. Parental Permission to Administer Medication: Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give the provider written authorization to administer any medication to the child. All medications, forms, and medical action plans should be reviewed monthly to ensure they are current and correct. We discussed medication authorization for prescription medications and expiration dates of medication. A safe indoor and outdoor environment was not provided for the children with damaged items and equipment that were accessible to the children. We discussed replacing the container for the manipulatives. On the playground, restrict use of the double slide until a new guard is received. The surfacing used underneath two stationary pieces of equipment was a light covering of mulch material that measured less than an inch. You emptied the sand tables and the wagon of the standing water during the visit. Additional Comments: Today we discussed your facility is in cohort 1, your reassessment year begins July 1, 2024. During you next visit a rated license assessment will be conducted. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: CHILDREN'S WORLD LEARNING CENTER Facility ID: 74000281 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 140 Completed Date: 5/16/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 08:50 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Tamaria Williams, Child Care Consultant accompanied me during today’s visit. M. Cabacar, director assisted me with today’s visit. Your program currently operates with a five-star license, issued 9/29/2017 earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for using a having enhanced policies, staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent as of 5/16/2024. The NC Secretary of State website was reviewed on 5/16/2024 and Children’s World Learning Center, Inc. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Infants were resting in approved cribs and participating in morning group. The caregivers were interacting and meeting the developmental needs for each of the children. Today’s lunch included cheeseburgers, mangos, green beans and milk. The last annual compliance visit was conducted 1/3/2024. Sanitation and fire inspections remain current. The following violations were observed today. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the school age playground the guard for the double slide was missing. There was standing water in two sand tables and a wagon on the infant outdoor spaces. 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. In the PK1 & PK2 building the staff lounge and bathroom were unlocked, stored under the sink was 6 cans of paint, and in the bathroom was a can of Lysol Disinfectant Spray and a container of ZEP Wipes. In the PK1 and Pk2 cabinets in the lobby there was 3 bottles of hand sanitizer stored below five feet. In PK3 and PK4 cabinet in the lobby there was a small bottle of Goo Gone and a container of ZEP Wipes stored below five feet. In classroom space PK4 there was small back pack stored on top of the children's cubbies with an inhale and lotion inside, in the storage closet a purse was stored on top of the children's cots below five feet with a prescription bottle inside. A bottle of hand sanitizer was stored in the window seal in classroom space 11C. On the van used to transport children there was two bottles of hand sanitizer and a bottle of Great Value disinfectant spray stored in the door handles. .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 classroom space #8 an authorization form was not on file for a Ventolin HFA inhaler and in PK4 authorization for a Ventolin HFA inhaler expired on 11/23/23. 10A NCAC 09 .0803(1)(a & b) 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. An emergency information form was not on file for therapist E. Chappell who was providing services to a child during the visit. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file for therapist E. Chappell who was providing services to a child during the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch at the base of slide and fall zones on the stationary climbers on the afterschool and preschool playground measured less than an inch. .0605(k)(1-4) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. A CBC is required for therapist when providing therapy services for children alone or unaccompanied by facility staff. E. Chappell, a therapist was on site providing for services for a child alone in the staff lounge are in the PK3 and PK4 building. You stated that you had her information but were unable to locate it during the visit. We reviewed requirements for therapist who provides services at your facility. Emergency Information: The Emergency Information form must be completed for all therapists who provide services at your facility. We discussed that any therapist providing care at your facility will need to complete the emergency information form and it must remain on file and available for review. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use but are not required to be in locked storage. Staff pursed and personal items should be inaccessible to children. Review hazardous storage with staff and designate storage areas in the classroom. Parental Permission to Administer Medication: Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give the provider written authorization to administer any medication to the child. All medications, forms, and medical action plans should be reviewed monthly to ensure they are current and correct. We discussed medication authorization for prescription medications and expiration dates of medication. A safe indoor and outdoor environment was not provided for the children with damaged items and equipment that were accessible to the children. We discussed replacing the container for the manipulatives. On the playground, restrict use of the double slide until a new guard is received. The surfacing used underneath two stationary pieces of equipment was a light covering of mulch material that measured less than an inch. You emptied the sand tables and the wagon of the standing water during the visit. Additional Comments: Today we discussed your facility is in cohort 1, your reassessment year begins July 1, 2024. During you next visit a rated license assessment will be conducted. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: CHILDREN'S WORLD LEARNING CENTER Facility ID: 74000281 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 140 Completed Date: 5/16/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 08:50 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Tamaria Williams, Child Care Consultant accompanied me during today’s visit. M. Cabacar, director assisted me with today’s visit. Your program currently operates with a five-star license, issued 9/29/2017 earning 6 points in the education component, 6 points in the program standards component (meeting enhanced ratio and space) and 1 quality point for using a having enhanced policies, staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty four percent as of 5/16/2024. The NC Secretary of State website was reviewed on 5/16/2024 and Children’s World Learning Center, Inc. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Infants were resting in approved cribs and participating in morning group. The caregivers were interacting and meeting the developmental needs for each of the children. Today’s lunch included cheeseburgers, mangos, green beans and milk. The last annual compliance visit was conducted 1/3/2024. Sanitation and fire inspections remain current. The following violations were observed today. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the school age playground the guard for the double slide was missing. There was standing water in two sand tables and a wagon on the infant outdoor spaces. 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. In the PK1 & PK2 building the staff lounge and bathroom were unlocked, stored under the sink was 6 cans of paint, and in the bathroom was a can of Lysol Disinfectant Spray and a container of ZEP Wipes. In the PK1 and Pk2 cabinets in the lobby there was 3 bottles of hand sanitizer stored below five feet. In PK3 and PK4 cabinet in the lobby there was a small bottle of Goo Gone and a container of ZEP Wipes stored below five feet. In classroom space PK4 there was small back pack stored on top of the children's cubbies with an inhale and lotion inside, in the storage closet a purse was stored on top of the children's cots below five feet with a prescription bottle inside. A bottle of hand sanitizer was stored in the window seal in classroom space 11C. On the van used to transport children there was two bottles of hand sanitizer and a bottle of Great Value disinfectant spray stored in the door handles. .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 classroom space #8 an authorization form was not on file for a Ventolin HFA inhaler and in PK4 authorization for a Ventolin HFA inhaler expired on 11/23/23. 10A NCAC 09 .0803(1)(a & b) 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. An emergency information form was not on file for therapist E. Chappell who was providing services to a child during the visit. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file for therapist E. Chappell who was providing services to a child during the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch at the base of slide and fall zones on the stationary climbers on the afterschool and preschool playground measured less than an inch. .0605(k)(1-4) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Megan Brown, Child Care Consultant PO Box 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. A CBC is required for therapist when providing therapy services for children alone or unaccompanied by facility staff. E. Chappell, a therapist was on site providing for services for a child alone in the staff lounge are in the PK3 and PK4 building. You stated that you had her information but were unable to locate it during the visit. We reviewed requirements for therapist who provides services at your facility. Emergency Information: The Emergency Information form must be completed for all therapists who provide services at your facility. We discussed that any therapist providing care at your facility will need to complete the emergency information form and it must remain on file and available for review. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Non-aerosol sanitizing, disinfecting, and detergent solutions, hand sanitizers, and hand lotions shall be kept out of reach of children when not in use but are not required to be in locked storage. Staff pursed and personal items should be inaccessible to children. Review hazardous storage with staff and designate storage areas in the classroom. Parental Permission to Administer Medication: Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give the provider written authorization to administer any medication to the child. All medications, forms, and medical action plans should be reviewed monthly to ensure they are current and correct. We discussed medication authorization for prescription medications and expiration dates of medication. A safe indoor and outdoor environment was not provided for the children with damaged items and equipment that were accessible to the children. We discussed replacing the container for the manipulatives. On the playground, restrict use of the double slide until a new guard is received. The surfacing used underneath two stationary pieces of equipment was a light covering of mulch material that measured less than an inch. You emptied the sand tables and the wagon of the standing water during the visit. Additional Comments: Today we discussed your facility is in cohort 1, your reassessment year begins July 1, 2024. During you next visit a rated license assessment will be conducted. The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 .3009 · Violation

Name of Operation: CHILDREN'S WORLD LEARNING CENTER Facility ID: 74000281 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 1/3/2024 Number Present: 101 Completed Date: 1/3/2024 Age: From 0 To 11 Total Minutes: 402 Time In: 08:33 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit including compliance with requirements located in Child Care Rule Section .3000 in spaces PK1, PK2, PK3, and PK4 where children participating in the NC Pre-K program are cared for. LeShaunda McCotter, Child Care Consultant assisted me with todays visit. M. Cabacar, administrator assisted me with the visit. Your program currently operates with a Five star license, issued 9/29/2017, earning 6 points in the education component, 6 points in the program standards component(meeting enhanced ratios and space) and 1 quality point for having enhanced policies, staff benefits package and an infrastructure of parent involvement. The last annual compliance visit was conducted 1/20/2023. The sanitation inspection was completed 12/20/23 with a “Superior” classification. The last fire inspection was conducted 9/14/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety percent as of 1/2/24. The NC Secretary of State website was reviewed on 1/2/2024 and Children’s World Learning Center, INC. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited indoor and outdoor spaces with me. Children enrolled in space #2&3 were sitting on the carpet with the teacher for morning group time. Children under twelve months old received care according to individual needs including feeding. School Age children enrolled in space #PK3 were observed transitioning to the outdoor space. In the outdoor space children were observed playing on stationary climbing structures, with push toys and in portable play houses. Lunch was observed and consisted of broccoli, bananas, pears, mini turkey corn dogs, and milk. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Student portfolios and assessment materials were reviewed. NCPreK students enrolled in wrap around care were present during todays visit. The following violations were documented. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Mildew was observed on the tunnel of the stationary climber on the preschool playground and rust was observed on the sink handle in the hallway bathroom outside of space #8. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In classroom space #9 authorization for a bottle of Cutter Sensations Insect Repellent expired on 9/30/23 and authorization for Albuterol HFA inhaler expired on 2/26/23. .0803(12) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In classroom space #4, a sleep chart was not available for the current week for one child under age one. .0606(g) 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. First Aid certification was not of file for T. Williams. .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. CPR certification, including infants and children, was not on file for T. Williams. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff D. Bryant employed on 9/9/22 did not complete the six hour of orientation within the first two weeks of employment. .1101(a)(b) 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 medical report was not on file for one child enrolled on 1/9/2023. GS 110-91(1);.0302(d)(2); .0304(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place drill was conducted on 7/11/23 and a lockdown drill was conducted on 11/7/23. Shelter in place or lock down drills were not practiced every three months. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch under the slides of the stationary climbing structures measured less than an inch. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff T. Williams employed on 9/28/23 did not have a Recognizing and Responding to Suspicions of Child Maltreatment training certificate on file for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff: C. Proctor, O. Roughton, C. Rodriquez, and D. Bryant, did not complete all heath and safety training within one year of employment. .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. Staff: D. Blount, K. Hines, F. Peele, R. Reel, and T. Staton, did not complete the required five year recertification of health and safety trainings by the required date. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 17, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Mildew: High humidity can promote growth of mold, mildew, and other biological agents that can cause eye, nose, and throat irritation and may trigger asthma episodes in people with asthma. Mildew was observed on the tunnel of the stationary climber on the preschool playground. Use your outdoor safety checklist to document areas of non-compliance, such as mildew, and schedule maintenance of the equipment. In the hallway bathroom outside of space #8 the sink handle was rusted. It is important to remove rust on child toys and other metal objects, as children can get a skin infection from or tetanus if they have a small break in the skin and touch rust. These precautions are essential to the health and well-being of both the staff and the children. Medication Authorization: Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/teacher written authorization to administer medication to the child. In classroom space #9 authorization for Cutter Sensations Insect Repellent expired on 9/30/23 and authorization for an Albuterol HFA inhaler expired on 2/26/23. You had staff remove the insect repellent from the classroom space. Review medications monthly to ensure all authorization and medications are current. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is so important that all staff working directly with children have current CPR and First Aid Certification. Staff have 90 days from the day of hire to complete the required trainings. CPR certification that includes infants and children and First Aid certification was not on file for staff member T. Williams. Please send a copy of staff cards upon completion as proof of correction. Surfacing: Proper maintenance is a key factor when trying to ensure a safe play environment for children. The number one cause of injury on playgrounds is falls to the surface. Maintaining the correct depth of protective surfacing material is crucial for safety. Surfacing at the base of the slides of the stationary climber measured less than an inch. We discussed having excess mulch under the stationary climbers distributed and adding additional mulch to meet the depth requirements. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Within in 30 days of enrollment a child must have a health assessment on file and each child must also have an immunization record on file. One child enrolled on 1/9/23 did not have a health assessment on file. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. Emergency Drills: You must conduct either a shelter-in-place or a lockdown drill every three months. Consider marking your calendar as a reminder of when drills are due. A shelter in place drill was conducted on 7/11/23 and a lockdown drill was conducted on 11/7/23 based on the emergency documentation log. Safe Sleep: Documenting the supervision that is provided for sleeping infants is one way to reduce the risk of Sudden Infant Death Syndrome (SIDS). The use of sleep charts is identified in your center’s ITS-SIDS policy. Sleep charts are part of the center’s program records and must be kept on file and available for review. A sleep chart for the current week was not available for an infant enrolled in classroom space #4. Check sleep charts weekly to ensure they are completed daily for infants in care. Health and Safety Trainings: Child care providers who have direct responsibility for the care and oversight of children, including center administrators must complete health and safety trainings to comply with the NC Child Care Rules. Trainings can be taken in-person by contacting your local partnership or on-line through the DCDEE Moodle Portal. Child care administrators and staff members must complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Additionally, health and safety training must be completed as part of on-going training so that every five years, all required topic areas will have been covered. Staff: C. Proctor, O. Roughton, C. Rodriquez, and D. Bryant did not complete heath and safety within one year of employment. Staff: D. Blount, K. Hines, F. Peel, R. Reel, and T. Staton, did not complete recertification of Health and Safety Trainings within five years of the previous certification. We discussed your timeline for completion. Consider shortening the deadline for staff to turn in certification. Audit your files regularly to help you track trainings and approaching deadlines. Recognizing & Responding to Suspicions of Child Maltreatment: Caregivers/teachers are mandatory reporters of child abuse and neglect. Education is important in identifying manifestations of child maltreatment that can increase the likelihood of appropriate reports to child protection and law enforcement agencies. All staff must complete training within 90 days of employment. A training certificate was not of file for T. Williams. You stated the deadline was missed at the end of last month and you typically include the online training during orientation. Develop a tracking method such as a written or digital calendar or spreadsheet to help you track trainings and approaching deadlines. Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. Documentation of orientation for staff D. Bryant shows orientation on the required topics being completed on 10/1/22. You stated you had completed orientation with this staff member but believed it to have been earlier than documented. We discussed documenting the training as it occurs to ensure records are current and accurate. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: CHILDREN'S WORLD LEARNING CENTER Facility ID: 74000281 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 1/3/2024 Number Present: 101 Completed Date: 1/3/2024 Age: From 0 To 11 Total Minutes: 402 Time In: 08:33 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit including compliance with requirements located in Child Care Rule Section .3000 in spaces PK1, PK2, PK3, and PK4 where children participating in the NC Pre-K program are cared for. LeShaunda McCotter, Child Care Consultant assisted me with todays visit. M. Cabacar, administrator assisted me with the visit. Your program currently operates with a Five star license, issued 9/29/2017, earning 6 points in the education component, 6 points in the program standards component(meeting enhanced ratios and space) and 1 quality point for having enhanced policies, staff benefits package and an infrastructure of parent involvement. The last annual compliance visit was conducted 1/20/2023. The sanitation inspection was completed 12/20/23 with a “Superior” classification. The last fire inspection was conducted 9/14/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety percent as of 1/2/24. The NC Secretary of State website was reviewed on 1/2/2024 and Children’s World Learning Center, INC. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited indoor and outdoor spaces with me. Children enrolled in space #2&3 were sitting on the carpet with the teacher for morning group time. Children under twelve months old received care according to individual needs including feeding. School Age children enrolled in space #PK3 were observed transitioning to the outdoor space. In the outdoor space children were observed playing on stationary climbing structures, with push toys and in portable play houses. Lunch was observed and consisted of broccoli, bananas, pears, mini turkey corn dogs, and milk. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Student portfolios and assessment materials were reviewed. NCPreK students enrolled in wrap around care were present during todays visit. The following violations were documented. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Mildew was observed on the tunnel of the stationary climber on the preschool playground and rust was observed on the sink handle in the hallway bathroom outside of space #8. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In classroom space #9 authorization for a bottle of Cutter Sensations Insect Repellent expired on 9/30/23 and authorization for Albuterol HFA inhaler expired on 2/26/23. .0803(12) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In classroom space #4, a sleep chart was not available for the current week for one child under age one. .0606(g) 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. First Aid certification was not of file for T. Williams. .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. CPR certification, including infants and children, was not on file for T. Williams. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff D. Bryant employed on 9/9/22 did not complete the six hour of orientation within the first two weeks of employment. .1101(a)(b) 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 medical report was not on file for one child enrolled on 1/9/2023. GS 110-91(1);.0302(d)(2); .0304(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place drill was conducted on 7/11/23 and a lockdown drill was conducted on 11/7/23. Shelter in place or lock down drills were not practiced every three months. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch under the slides of the stationary climbing structures measured less than an inch. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff T. Williams employed on 9/28/23 did not have a Recognizing and Responding to Suspicions of Child Maltreatment training certificate on file for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff: C. Proctor, O. Roughton, C. Rodriquez, and D. Bryant, did not complete all heath and safety training within one year of employment. .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. Staff: D. Blount, K. Hines, F. Peele, R. Reel, and T. Staton, did not complete the required five year recertification of health and safety trainings by the required date. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 17, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Mildew: High humidity can promote growth of mold, mildew, and other biological agents that can cause eye, nose, and throat irritation and may trigger asthma episodes in people with asthma. Mildew was observed on the tunnel of the stationary climber on the preschool playground. Use your outdoor safety checklist to document areas of non-compliance, such as mildew, and schedule maintenance of the equipment. In the hallway bathroom outside of space #8 the sink handle was rusted. It is important to remove rust on child toys and other metal objects, as children can get a skin infection from or tetanus if they have a small break in the skin and touch rust. These precautions are essential to the health and well-being of both the staff and the children. Medication Authorization: Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/teacher written authorization to administer medication to the child. In classroom space #9 authorization for Cutter Sensations Insect Repellent expired on 9/30/23 and authorization for an Albuterol HFA inhaler expired on 2/26/23. You had staff remove the insect repellent from the classroom space. Review medications monthly to ensure all authorization and medications are current. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is so important that all staff working directly with children have current CPR and First Aid Certification. Staff have 90 days from the day of hire to complete the required trainings. CPR certification that includes infants and children and First Aid certification was not on file for staff member T. Williams. Please send a copy of staff cards upon completion as proof of correction. Surfacing: Proper maintenance is a key factor when trying to ensure a safe play environment for children. The number one cause of injury on playgrounds is falls to the surface. Maintaining the correct depth of protective surfacing material is crucial for safety. Surfacing at the base of the slides of the stationary climber measured less than an inch. We discussed having excess mulch under the stationary climbers distributed and adding additional mulch to meet the depth requirements. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Within in 30 days of enrollment a child must have a health assessment on file and each child must also have an immunization record on file. One child enrolled on 1/9/23 did not have a health assessment on file. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. Emergency Drills: You must conduct either a shelter-in-place or a lockdown drill every three months. Consider marking your calendar as a reminder of when drills are due. A shelter in place drill was conducted on 7/11/23 and a lockdown drill was conducted on 11/7/23 based on the emergency documentation log. Safe Sleep: Documenting the supervision that is provided for sleeping infants is one way to reduce the risk of Sudden Infant Death Syndrome (SIDS). The use of sleep charts is identified in your center’s ITS-SIDS policy. Sleep charts are part of the center’s program records and must be kept on file and available for review. A sleep chart for the current week was not available for an infant enrolled in classroom space #4. Check sleep charts weekly to ensure they are completed daily for infants in care. Health and Safety Trainings: Child care providers who have direct responsibility for the care and oversight of children, including center administrators must complete health and safety trainings to comply with the NC Child Care Rules. Trainings can be taken in-person by contacting your local partnership or on-line through the DCDEE Moodle Portal. Child care administrators and staff members must complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Additionally, health and safety training must be completed as part of on-going training so that every five years, all required topic areas will have been covered. Staff: C. Proctor, O. Roughton, C. Rodriquez, and D. Bryant did not complete heath and safety within one year of employment. Staff: D. Blount, K. Hines, F. Peel, R. Reel, and T. Staton, did not complete recertification of Health and Safety Trainings within five years of the previous certification. We discussed your timeline for completion. Consider shortening the deadline for staff to turn in certification. Audit your files regularly to help you track trainings and approaching deadlines. Recognizing & Responding to Suspicions of Child Maltreatment: Caregivers/teachers are mandatory reporters of child abuse and neglect. Education is important in identifying manifestations of child maltreatment that can increase the likelihood of appropriate reports to child protection and law enforcement agencies. All staff must complete training within 90 days of employment. A training certificate was not of file for T. Williams. You stated the deadline was missed at the end of last month and you typically include the online training during orientation. Develop a tracking method such as a written or digital calendar or spreadsheet to help you track trainings and approaching deadlines. Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. Documentation of orientation for staff D. Bryant shows orientation on the required topics being completed on 10/1/22. You stated you had completed orientation with this staff member but believed it to have been earlier than documented. We discussed documenting the training as it occurs to ensure records are current and accurate. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: CHILDREN'S WORLD LEARNING CENTER Facility ID: 74000281 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 1/3/2024 Number Present: 101 Completed Date: 1/3/2024 Age: From 0 To 11 Total Minutes: 402 Time In: 08:33 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit including compliance with requirements located in Child Care Rule Section .3000 in spaces PK1, PK2, PK3, and PK4 where children participating in the NC Pre-K program are cared for. LeShaunda McCotter, Child Care Consultant assisted me with todays visit. M. Cabacar, administrator assisted me with the visit. Your program currently operates with a Five star license, issued 9/29/2017, earning 6 points in the education component, 6 points in the program standards component(meeting enhanced ratios and space) and 1 quality point for having enhanced policies, staff benefits package and an infrastructure of parent involvement. The last annual compliance visit was conducted 1/20/2023. The sanitation inspection was completed 12/20/23 with a “Superior” classification. The last fire inspection was conducted 9/14/23 and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety percent as of 1/2/24. The NC Secretary of State website was reviewed on 1/2/2024 and Children’s World Learning Center, INC. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. You visited indoor and outdoor spaces with me. Children enrolled in space #2&3 were sitting on the carpet with the teacher for morning group time. Children under twelve months old received care according to individual needs including feeding. School Age children enrolled in space #PK3 were observed transitioning to the outdoor space. In the outdoor space children were observed playing on stationary climbing structures, with push toys and in portable play houses. Lunch was observed and consisted of broccoli, bananas, pears, mini turkey corn dogs, and milk. The NC Pre-K requirements in section .3000 of the child care rules were monitored for compliance. Maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Student portfolios and assessment materials were reviewed. NCPreK students enrolled in wrap around care were present during todays visit. The following violations were documented. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Mildew was observed on the tunnel of the stationary climber on the preschool playground and rust was observed on the sink handle in the hallway bathroom outside of space #8. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In classroom space #9 authorization for a bottle of Cutter Sensations Insect Repellent expired on 9/30/23 and authorization for Albuterol HFA inhaler expired on 2/26/23. .0803(12) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In classroom space #4, a sleep chart was not available for the current week for one child under age one. .0606(g) 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. First Aid certification was not of file for T. Williams. .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. CPR certification, including infants and children, was not on file for T. Williams. .1102(d) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff D. Bryant employed on 9/9/22 did not complete the six hour of orientation within the first two weeks of employment. .1101(a)(b) 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 medical report was not on file for one child enrolled on 1/9/2023. GS 110-91(1);.0302(d)(2); .0304(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place drill was conducted on 7/11/23 and a lockdown drill was conducted on 11/7/23. Shelter in place or lock down drills were not practiced every three months. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch under the slides of the stationary climbing structures measured less than an inch. .0605(k)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff T. Williams employed on 9/28/23 did not have a Recognizing and Responding to Suspicions of Child Maltreatment training certificate on file for review. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Staff: C. Proctor, O. Roughton, C. Rodriquez, and D. Bryant, did not complete all heath and safety training within one year of employment. .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. Staff: D. Blount, K. Hines, F. Peele, R. Reel, and T. Staton, did not complete the required five year recertification of health and safety trainings by the required date. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 17, 2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: Mildew: High humidity can promote growth of mold, mildew, and other biological agents that can cause eye, nose, and throat irritation and may trigger asthma episodes in people with asthma. Mildew was observed on the tunnel of the stationary climber on the preschool playground. Use your outdoor safety checklist to document areas of non-compliance, such as mildew, and schedule maintenance of the equipment. In the hallway bathroom outside of space #8 the sink handle was rusted. It is important to remove rust on child toys and other metal objects, as children can get a skin infection from or tetanus if they have a small break in the skin and touch rust. These precautions are essential to the health and well-being of both the staff and the children. Medication Authorization: Administering medication requires skill, knowledge and careful attention to detail. Parents/guardians and prescribing health professionals must give a caregiver/teacher written authorization to administer medication to the child. In classroom space #9 authorization for Cutter Sensations Insect Repellent expired on 9/30/23 and authorization for an Albuterol HFA inhaler expired on 2/26/23. You had staff remove the insect repellent from the classroom space. Review medications monthly to ensure all authorization and medications are current. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is so important that all staff working directly with children have current CPR and First Aid Certification. Staff have 90 days from the day of hire to complete the required trainings. CPR certification that includes infants and children and First Aid certification was not on file for staff member T. Williams. Please send a copy of staff cards upon completion as proof of correction. Surfacing: Proper maintenance is a key factor when trying to ensure a safe play environment for children. The number one cause of injury on playgrounds is falls to the surface. Maintaining the correct depth of protective surfacing material is crucial for safety. Surfacing at the base of the slides of the stationary climber measured less than an inch. We discussed having excess mulch under the stationary climbers distributed and adding additional mulch to meet the depth requirements. Children’s Files: Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Organization and completeness of records is important to ensure easy access to information in emergency situations. Within in 30 days of enrollment a child must have a health assessment on file and each child must also have an immunization record on file. One child enrolled on 1/9/23 did not have a health assessment on file. Review children’s files often and use the Center children’s checklist to ensure you have all required documents within the specified timeframe. Emergency Drills: You must conduct either a shelter-in-place or a lockdown drill every three months. Consider marking your calendar as a reminder of when drills are due. A shelter in place drill was conducted on 7/11/23 and a lockdown drill was conducted on 11/7/23 based on the emergency documentation log. Safe Sleep: Documenting the supervision that is provided for sleeping infants is one way to reduce the risk of Sudden Infant Death Syndrome (SIDS). The use of sleep charts is identified in your center’s ITS-SIDS policy. Sleep charts are part of the center’s program records and must be kept on file and available for review. A sleep chart for the current week was not available for an infant enrolled in classroom space #4. Check sleep charts weekly to ensure they are completed daily for infants in care. Health and Safety Trainings: Child care providers who have direct responsibility for the care and oversight of children, including center administrators must complete health and safety trainings to comply with the NC Child Care Rules. Trainings can be taken in-person by contacting your local partnership or on-line through the DCDEE Moodle Portal. Child care administrators and staff members must complete health and safety training within one year of employment unless the staff member has completed the training within the year prior to beginning employment. Additionally, health and safety training must be completed as part of on-going training so that every five years, all required topic areas will have been covered. Staff: C. Proctor, O. Roughton, C. Rodriquez, and D. Bryant did not complete heath and safety within one year of employment. Staff: D. Blount, K. Hines, F. Peel, R. Reel, and T. Staton, did not complete recertification of Health and Safety Trainings within five years of the previous certification. We discussed your timeline for completion. Consider shortening the deadline for staff to turn in certification. Audit your files regularly to help you track trainings and approaching deadlines. Recognizing & Responding to Suspicions of Child Maltreatment: Caregivers/teachers are mandatory reporters of child abuse and neglect. Education is important in identifying manifestations of child maltreatment that can increase the likelihood of appropriate reports to child protection and law enforcement agencies. All staff must complete training within 90 days of employment. A training certificate was not of file for T. Williams. You stated the deadline was missed at the end of last month and you typically include the online training during orientation. Develop a tracking method such as a written or digital calendar or spreadsheet to help you track trainings and approaching deadlines. Orientation: Staff qualifications and training requirements are essential for adults who interact with and teach children. Each staff person shall receive 16 hours of orientation within the first 6 weeks of employment. Six of the hours are required to be completed within the first two weeks of employment. Documentation of orientation for staff D. Bryant shows orientation on the required topics being completed on 10/1/22. You stated you had completed orientation with this staff member but believed it to have been earlier than documented. We discussed documenting the training as it occurs to ensure records are current and accurate. Reminders: A new July 2023 New Rule/Rule Amendments Overview module has been added to the Child Care Rules Training on DCDEE Moodle. If you are unfamiliar with the Child Care Rule Rollout within Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/.To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326 NCDHHS Children’s Environmental Health adopted new Child Care Sanitation Rules, effective July 1, 2023. The rules have been approved but have not yet been updated in the Administrative Code. Once updated, notification will be sent out via listserv. See the training presentation, new rules and other resources at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/children.htm. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1 or to submit a question visit https://docs.google.com/forms/d/e/1FAIpQLSc-4ADUCpoHc9MrxFvD15H12AwsNWbUtWEJRXW38q_41Y3hzA/viewform The Martin-Pitt Partnership for Children is able to provide you with resources and information, training opportunities, technical assistance on child care issues, and assistance with the Environment Rating Scales. Their phone number is (252) 758-8885 or check out their website at mppfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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