Rising Stars OF Greenville

10A NCAC 09 .0601 · Violation

Name of Operation: RISING STARS OF GREENVILLE Facility ID: 74000919 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 7/9/2025 Number Present: 59 Completed Date: 7/9/2025 Age: From 0 To 11 Total Minutes: 254 Time In: 09:41 AM Time Out: 01:55 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. Your program currently operates with a three-star license, issued 11/2/22, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety six as of 7/3/25. The NC Secretary of State website was reviewed on 7/3/25 and Rising Stars of North Carolina, LLC was listed as current- active. The license was posted, and the restrictions were in compliance. Today, I completed a walk-through of the facility, monitoring all indoor and outdoor areas. Six groups of children were observed in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children enrolled in space #1, napped as soft music play. Safe sleep checks were completed and documented as required. Children enrolled in spaces #2, #3, #4, #5, and #6 had free play in the outdoor learning environment. Staff moved about the spaces, talking with the children and assisting them with the materials. Handwashing and diapering procedures were observed. The classrooms are arranged in learning centers with materials on low lying shelves for easy access. Spaces #2, #4, and #6 have new room arrangements since my last visit. Files for new staff were reviewed. Fire and sanitation inspections remain current. The following violations were observed. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Grass was growing in the fall zone under the stationary structures on outdoor spaces #2 and #4. 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. One canister of Disinfectant Wipes was stored on a shelf, above five feet, over the hand sink, and one canister of Disinfectant Wipes was stored in an unlocked closet in space #4. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One tube of prescription Nystatin cream was stored on a shelf, above five feet, in space #1. 15A NCAC 18A .2820(d) 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 7/23/25, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Surfacing-Resilience surfacing in the fall zone of the outdoor spaces helps to absorb the impact when children fall. Today, I observed grass growing in the containment area under the stationary structures in outdoor spaces #2 and #4. You shared with me that you had spoken with the landscaper about addressing the grass in the mulch, but he did not come at the designated date and you do not have a sure date of when he will return. As discussed, fall zones should be weeded regularly and loose parts including an pine cones, gumballs, and sticks should be collected daily to ensure fall zones are kept free of hazards. For the safety of the children, you must ensure weeds and debris are removed and the mulch tilled or added to the appropriate depth to avoid potential injuries to children. I also urged you again to create a regular weeding and tilling schedule for the mulch. To verify compliance, please submit photos and a copy of a July playground inspection showing these hazards have been addressed. Medication Storage- Medicines can be crucial to the health and wellness of children. All prescription medication must be stored behind lock and key. Today, prescription Nystatin cream was stored on a shelf above five feet in space #1. Locked storage was available in the room. Thank you for relocating the medication during the visit. Counsel staff on medication storage. You may provide them with a visual reminder as well. Consultation: Staff Training/Orientation- When bringing on new staff, it is very important to thoroughly train them on your programs policies, procedures, and daily practices. Today, we discussed recent staff changes and the steps you are taking to ensure they have strong foundational skills. Continue to complete classroom observations and coaching with the staff. Completing hands on activities and having one-on-one demonstrations may be beneficial to their learning style. Make sure to provide the staff with opportunities to ask questions and provide feedback. Staff/Child Interactions- Providing positive guidance through nurturing and responsive relationships and supportive environments to promote children's self-control, teach responsibility and help children make thoughtful choices. Today we discussed having staff to use positive, encouraging language. You shared this was something you have been addressing in staff training. The more effective caregivers are at encouraging appropriate behavior, the less time and effort caregivers have to spend correcting children's behavior. Additional information: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. 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). NCRLAP Outreach Assessment- An Outreach Assessment offered by NCRLAP is a fantastic opportunity for programs to get a head start on understanding the Environment Rating Scales (ECERS-3, ITERS-3, SACERS-U, and FCCERS-3) without the stress of it impacting their Star Rated License. Think of it as a friendly, no-pressure practice run that helps you pinpoint your program’s strengths and areas for improvement. Here’s how it works: 1. Initial Phone Call: We kick things off with a conversation to understand your program’s needs and set up the assessment(s). 2. The Assessment: Our assessors will complete assessments during the scheduled window using the new rating scales. 3. Follow-Up Call: After all assessments are completed, an assessor will call you to set up a convenient time for the follow up conversation to discuss the results with you, providing valuable feedback and actionable insights. These assessments are a great way to familiarize your staff with the rating scales, ensuring everyone knows what to expect during an official assessment. An FAQ about Outreach Assessments was provided for you during the visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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: RISING STARS OF GREENVILLE Facility ID: 74000919 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 7/9/2025 Number Present: 59 Completed Date: 7/9/2025 Age: From 0 To 11 Total Minutes: 254 Time In: 09:41 AM Time Out: 01:55 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. Your program currently operates with a three-star license, issued 11/2/22, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety six as of 7/3/25. The NC Secretary of State website was reviewed on 7/3/25 and Rising Stars of North Carolina, LLC was listed as current- active. The license was posted, and the restrictions were in compliance. Today, I completed a walk-through of the facility, monitoring all indoor and outdoor areas. Six groups of children were observed in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children enrolled in space #1, napped as soft music play. Safe sleep checks were completed and documented as required. Children enrolled in spaces #2, #3, #4, #5, and #6 had free play in the outdoor learning environment. Staff moved about the spaces, talking with the children and assisting them with the materials. Handwashing and diapering procedures were observed. The classrooms are arranged in learning centers with materials on low lying shelves for easy access. Spaces #2, #4, and #6 have new room arrangements since my last visit. Files for new staff were reviewed. Fire and sanitation inspections remain current. The following violations were observed. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Grass was growing in the fall zone under the stationary structures on outdoor spaces #2 and #4. 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. One canister of Disinfectant Wipes was stored on a shelf, above five feet, over the hand sink, and one canister of Disinfectant Wipes was stored in an unlocked closet in space #4. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One tube of prescription Nystatin cream was stored on a shelf, above five feet, in space #1. 15A NCAC 18A .2820(d) 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 7/23/25, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Surfacing-Resilience surfacing in the fall zone of the outdoor spaces helps to absorb the impact when children fall. Today, I observed grass growing in the containment area under the stationary structures in outdoor spaces #2 and #4. You shared with me that you had spoken with the landscaper about addressing the grass in the mulch, but he did not come at the designated date and you do not have a sure date of when he will return. As discussed, fall zones should be weeded regularly and loose parts including an pine cones, gumballs, and sticks should be collected daily to ensure fall zones are kept free of hazards. For the safety of the children, you must ensure weeds and debris are removed and the mulch tilled or added to the appropriate depth to avoid potential injuries to children. I also urged you again to create a regular weeding and tilling schedule for the mulch. To verify compliance, please submit photos and a copy of a July playground inspection showing these hazards have been addressed. Medication Storage- Medicines can be crucial to the health and wellness of children. All prescription medication must be stored behind lock and key. Today, prescription Nystatin cream was stored on a shelf above five feet in space #1. Locked storage was available in the room. Thank you for relocating the medication during the visit. Counsel staff on medication storage. You may provide them with a visual reminder as well. Consultation: Staff Training/Orientation- When bringing on new staff, it is very important to thoroughly train them on your programs policies, procedures, and daily practices. Today, we discussed recent staff changes and the steps you are taking to ensure they have strong foundational skills. Continue to complete classroom observations and coaching with the staff. Completing hands on activities and having one-on-one demonstrations may be beneficial to their learning style. Make sure to provide the staff with opportunities to ask questions and provide feedback. Staff/Child Interactions- Providing positive guidance through nurturing and responsive relationships and supportive environments to promote children's self-control, teach responsibility and help children make thoughtful choices. Today we discussed having staff to use positive, encouraging language. You shared this was something you have been addressing in staff training. The more effective caregivers are at encouraging appropriate behavior, the less time and effort caregivers have to spend correcting children's behavior. Additional information: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. 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). NCRLAP Outreach Assessment- An Outreach Assessment offered by NCRLAP is a fantastic opportunity for programs to get a head start on understanding the Environment Rating Scales (ECERS-3, ITERS-3, SACERS-U, and FCCERS-3) without the stress of it impacting their Star Rated License. Think of it as a friendly, no-pressure practice run that helps you pinpoint your program’s strengths and areas for improvement. Here’s how it works: 1. Initial Phone Call: We kick things off with a conversation to understand your program’s needs and set up the assessment(s). 2. The Assessment: Our assessors will complete assessments during the scheduled window using the new rating scales. 3. Follow-Up Call: After all assessments are completed, an assessor will call you to set up a convenient time for the follow up conversation to discuss the results with you, providing valuable feedback and actionable insights. These assessments are a great way to familiarize your staff with the rating scales, ensuring everyone knows what to expect during an official assessment. An FAQ about Outreach Assessments was provided for you during the visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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: RISING STARS OF GREENVILLE Facility ID: 74000919 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 11/4/2024 Number Present: 61 Completed Date: 11/4/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:45 AM Time Out: 01:15 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. Your program currently operates with a three-star license, issued 11/2/22, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of 11/1/24. The NC Secretary of State website was reviewed on 11/1/24 and Rising Stars of North Carolina, LLC was listed as current- active. 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. Six groups of children were observe in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children enrolled in space #1 received cared based on their individual needs including tummy time, free play, feeding, napping, and personal care routines. Sleep checks were completed, documented, and stored as required. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal outdoor free play. Files for new staff were reviewed. Fire and sanitation inspections remain current. The following violations were observed. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Twelve packets of acetaminophen, two packets of sting relief, and 2 packets of antibiotic ointment were stored in the unlocked first aid kit located in under the passenger seat of the van used to transport children. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. An authorization form for one tube of Baby Love Vitamin A&D Ointment did not contain a parent signature as required. 10A NCAC 09 .0803(4)(6-9) 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 11/18/24, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today we discussed your current practices for ensuring all medications are accompanied by written authorizations from the parent. It was reported the classroom staff review the medications and authorizations weekly. Today we discussed training the staff on how to properly audit medications and authorization forms. Review medication requirements with staff and periodically check behind them to ensure all requirements are met. There was a new prepackaged first aid kit in the van used to transport children. These kits sometime come with medications an ointments in them. When you purchase or received new first aid kits, review the label and content and removed any prohibited items. Consultation: Mulch-When completing outdoor inspections be sure to check that grass is not growing in the mulch under the stationary climbing structures as well as the surfacing has not become compacted. Today, I observed mulch that has been compacted over time under the monkey bars and at the base of the slides and stairs. When fluffed the area measured at 6 inches in depth as required. Have the mulch under and around the stationary structures fluffed and reassess to see if additional mulch needs to be added. Additional information: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. Natural Learning Initiative has created resources, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience and growth of all children. You can explore and use these resources on their website https://naturalearning.org/resources. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Per the Clean Classrooms for Carolina Kids website you have completed all required tests and are waiting for your Lead Based Paint and Asbestos results. Annual License Fee – Annual License Fees will be sent to all child care facilities that are licensed on 10/1/2024. An invoice will be emailed to the facility’s contact email after October 1st and will include the invoice number and total amount due. All payments are due no later than December 31, 2024, and must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their invoice number to complete the payment process. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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: RISING STARS OF GREENVILLE Facility ID: 74000919 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 11/4/2024 Number Present: 61 Completed Date: 11/4/2024 Age: From 0 To 5 Total Minutes: 210 Time In: 09:45 AM Time Out: 01:15 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. Your program currently operates with a three-star license, issued 11/2/22, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety four percent as of 11/1/24. The NC Secretary of State website was reviewed on 11/1/24 and Rising Stars of North Carolina, LLC was listed as current- active. 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. Six groups of children were observe in the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children enrolled in space #1 received cared based on their individual needs including tummy time, free play, feeding, napping, and personal care routines. Sleep checks were completed, documented, and stored as required. Children throughout the facility were participating in group time, free play in activity areas, transitions and personal outdoor free play. Files for new staff were reviewed. Fire and sanitation inspections remain current. The following violations were observed. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Twelve packets of acetaminophen, two packets of sting relief, and 2 packets of antibiotic ointment were stored in the unlocked first aid kit located in under the passenger seat of the van used to transport children. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. An authorization form for one tube of Baby Love Vitamin A&D Ointment did not contain a parent signature as required. 10A NCAC 09 .0803(4)(6-9) 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 11/18/24, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Medication- All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today we discussed your current practices for ensuring all medications are accompanied by written authorizations from the parent. It was reported the classroom staff review the medications and authorizations weekly. Today we discussed training the staff on how to properly audit medications and authorization forms. Review medication requirements with staff and periodically check behind them to ensure all requirements are met. There was a new prepackaged first aid kit in the van used to transport children. These kits sometime come with medications an ointments in them. When you purchase or received new first aid kits, review the label and content and removed any prohibited items. Consultation: Mulch-When completing outdoor inspections be sure to check that grass is not growing in the mulch under the stationary climbing structures as well as the surfacing has not become compacted. Today, I observed mulch that has been compacted over time under the monkey bars and at the base of the slides and stairs. When fluffed the area measured at 6 inches in depth as required. Have the mulch under and around the stationary structures fluffed and reassess to see if additional mulch needs to be added. Additional information: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. Natural Learning Initiative has created resources, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience and growth of all children. You can explore and use these resources on their website https://naturalearning.org/resources. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Per the Clean Classrooms for Carolina Kids website you have completed all required tests and are waiting for your Lead Based Paint and Asbestos results. Annual License Fee – Annual License Fees will be sent to all child care facilities that are licensed on 10/1/2024. An invoice will be emailed to the facility’s contact email after October 1st and will include the invoice number and total amount due. All payments are due no later than December 31, 2024, and must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their invoice number to complete the payment process. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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: RISING STARS OF GREENVILLE Facility ID: 74000919 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 10/5/2023 Number Present: 59 Completed Date: 10/5/2023 Age: From 0 To 4 Total Minutes: 185 Time In: 09:45 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. Your program currently operates with a three-star license, issued 11/2/22, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety one percent as of 10/3/23. The NC Secretary of State website was reviewed on 10/3/23 and Rising Stars of North Carolina, LLC 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. A Preservice Requirements For Administrator of a Child Care Center and Legal Designee form was provided during the visit. The license was posted, and the restrictions were in compliance. Today, I completed a walk-through of the facility, monitoring all indoor and outdoor areas. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor free play, transitions, personal care routines, and lunch. Infants were cared for according to their individual needs including feeding, napping, and diapering routines. Proper diaper changing and handwashing techniques were observed. In the outdoor areas children moved about the spaces playing with stationary and portable climbing structures, push and ride toys, and tricycles. Files for new staff were reviewed. Fire and sanitation inspections have not occurred since the last visit and remain current. Lunch was observed and consisted of cheese quesadilla, beans, mashed potatoes, and milk. The following violations were observed. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two medication authorization forms located in space #3 were expired. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. Two tubes of Desitin, located in space # 4, expired 8/2023. 10A NCAC 09 .0803(1)(d) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. Medication authorization for prescription Nystatin was completed on the wrong form, therefore was missing the required informaiton. 10A NCAC 09 .0803(2)(b)(i-v) 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 10/19/23, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Prescription Medication- 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. Today there was prescription Nystatin cream located in space #4. The authorization was completed on the topical medication form, therefore was missing the required information. Please have the parents complete the correct form. When receiving medication, review the from to ensure you have complete information before administering the medication. Diaper creams- Caregivers/teachers must be diligent in their adherence to the medication administration policy and procedures to prevent any inadvertent medication errors, which may be harmful to the child. Today, in space #3, there were two medication authorization forms that expired on 9/7/23 and 10/3/23. Two tubes of Desitin diaper creams in space #4 had an expiration date of 08/2023. The permission forms were still in date; however, the diaper cream expiration date stamped on the diaper cream had passed. You stated you will have a staff member to check the medications in each classroom at least monthly. When diaper cream forms are filled out by parents, you should check that the correct expiration date is noted on the topical ointment permission form and that it matches the expiration date on the medication. If a parent brings in a diaper cream to replace another diaper cream, a new form must be filled out for that diaper cream. Additional information: 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. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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: RISING STARS OF GREENVILLE Facility ID: 74000919 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 10/5/2023 Number Present: 59 Completed Date: 10/5/2023 Age: From 0 To 4 Total Minutes: 185 Time In: 09:45 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. Your program currently operates with a three-star license, issued 11/2/22, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety one percent as of 10/3/23. The NC Secretary of State website was reviewed on 10/3/23 and Rising Stars of North Carolina, LLC 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. A Preservice Requirements For Administrator of a Child Care Center and Legal Designee form was provided during the visit. The license was posted, and the restrictions were in compliance. Today, I completed a walk-through of the facility, monitoring all indoor and outdoor areas. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor free play, transitions, personal care routines, and lunch. Infants were cared for according to their individual needs including feeding, napping, and diapering routines. Proper diaper changing and handwashing techniques were observed. In the outdoor areas children moved about the spaces playing with stationary and portable climbing structures, push and ride toys, and tricycles. Files for new staff were reviewed. Fire and sanitation inspections have not occurred since the last visit and remain current. Lunch was observed and consisted of cheese quesadilla, beans, mashed potatoes, and milk. The following violations were observed. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two medication authorization forms located in space #3 were expired. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. Two tubes of Desitin, located in space # 4, expired 8/2023. 10A NCAC 09 .0803(1)(d) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. Medication authorization for prescription Nystatin was completed on the wrong form, therefore was missing the required informaiton. 10A NCAC 09 .0803(2)(b)(i-v) 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 10/19/23, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Prescription Medication- 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. Today there was prescription Nystatin cream located in space #4. The authorization was completed on the topical medication form, therefore was missing the required information. Please have the parents complete the correct form. When receiving medication, review the from to ensure you have complete information before administering the medication. Diaper creams- Caregivers/teachers must be diligent in their adherence to the medication administration policy and procedures to prevent any inadvertent medication errors, which may be harmful to the child. Today, in space #3, there were two medication authorization forms that expired on 9/7/23 and 10/3/23. Two tubes of Desitin diaper creams in space #4 had an expiration date of 08/2023. The permission forms were still in date; however, the diaper cream expiration date stamped on the diaper cream had passed. You stated you will have a staff member to check the medications in each classroom at least monthly. When diaper cream forms are filled out by parents, you should check that the correct expiration date is noted on the topical ointment permission form and that it matches the expiration date on the medication. If a parent brings in a diaper cream to replace another diaper cream, a new form must be filled out for that diaper cream. Additional information: 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. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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: RISING STARS OF GREENVILLE Facility ID: 74000919 Consultant: LESHAUNDA MCCOTTER Operation Type: Center Case Number: Visit Date: 10/5/2023 Number Present: 59 Completed Date: 10/5/2023 Age: From 0 To 4 Total Minutes: 185 Time In: 09:45 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. Your program currently operates with a three-star license, issued 11/2/22, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the programmatic option of staff benefits package and infrastructure of parent involvement. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety one percent as of 10/3/23. The NC Secretary of State website was reviewed on 10/3/23 and Rising Stars of North Carolina, LLC 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. A Preservice Requirements For Administrator of a Child Care Center and Legal Designee form was provided during the visit. The license was posted, and the restrictions were in compliance. Today, I completed a walk-through of the facility, monitoring all indoor and outdoor areas. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in outdoor free play, transitions, personal care routines, and lunch. Infants were cared for according to their individual needs including feeding, napping, and diapering routines. Proper diaper changing and handwashing techniques were observed. In the outdoor areas children moved about the spaces playing with stationary and portable climbing structures, push and ride toys, and tricycles. Files for new staff were reviewed. Fire and sanitation inspections have not occurred since the last visit and remain current. Lunch was observed and consisted of cheese quesadilla, beans, mashed potatoes, and milk. The following violations were observed. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two medication authorization forms located in space #3 were expired. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. Two tubes of Desitin, located in space # 4, expired 8/2023. 10A NCAC 09 .0803(1)(d) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. Medication authorization for prescription Nystatin was completed on the wrong form, therefore was missing the required informaiton. 10A NCAC 09 .0803(2)(b)(i-v) 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 10/19/23, 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: LeShaunda McCotter, Child Care Consultant P.O. Box 397 Grifton, NC 28530 LeShaunda.McCotter@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: Prescription Medication- 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. Today there was prescription Nystatin cream located in space #4. The authorization was completed on the topical medication form, therefore was missing the required information. Please have the parents complete the correct form. When receiving medication, review the from to ensure you have complete information before administering the medication. Diaper creams- Caregivers/teachers must be diligent in their adherence to the medication administration policy and procedures to prevent any inadvertent medication errors, which may be harmful to the child. Today, in space #3, there were two medication authorization forms that expired on 9/7/23 and 10/3/23. Two tubes of Desitin diaper creams in space #4 had an expiration date of 08/2023. The permission forms were still in date; however, the diaper cream expiration date stamped on the diaper cream had passed. You stated you will have a staff member to check the medications in each classroom at least monthly. When diaper cream forms are filled out by parents, you should check that the correct expiration date is noted on the topical ointment permission form and that it matches the expiration date on the medication. If a parent brings in a diaper cream to replace another diaper cream, a new form must be filled out for that diaper cream. Additional information: 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. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, LeShaunda McCotter, Child Care Consultant at 252-751-8634, LeShaunda.McCotter@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