Start Rite Preschool

10A NCAC 09 .0604 · Violation

Name of Operation: START RITE PRESCHOOL Facility ID: 91000205 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 4/28/2025 Number Present: 46 Completed Date: 4/28/2025 Age: From 0 To 5 Total Minutes: 110 Time In: 09:25 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. G. Hunter, Administrator assisted with the visit. Forty-seven (47) children were observed in care today ranging from zero to five years old. Children were engaged in morning activities, free choice play with developmentally age-appropriate materials, interacting with the caregivers, outdoor play, and completing toileting, diapering, and hand washing routines. Interactions with caregivers were positive and nurturing. Currently this program operates with a Four-Star License earning five points in education, five points in program standards and one quality point for having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher, and group leader over the last 12 months. The last sanitation inspection was completed on March 18, 2025, earning a superior classification. The last fire inspection was completed on December 27, 2024 and the center was approved for daytime care. The last annual compliance visit was completed on September 27, 2024. The following violations were documented today: 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. Operator did not submit to DCDEE within one week of the inspection visit. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #3, a electrical outlet was not covered with safety plug while not in use located behind cubbies. 10A NCAC 09 .0604(c) Violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by May 12, 2025 describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Emily Hargrove, PO Box 1974, Henderson, NC 27536. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-214-8454 or emily.hargrove@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always if they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 97%. TECHNICAL ASSISTANCE/CONSULTATION PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. FIRE INSPECTION: I encouraged you to send the fire inspection form within one week of the inspection date. You submitted the fire inspection during the visit. Electrical Outlet: We discussed making sure all electrical outlets are covered with safety plugs at all times of the day. I suggested that teachers make sure they do a visual check before children arrive and at the end of the day to ensure all outlets are covered. You corrected this immediately during the visit. DCDEE WORKS: All staff should ensure they have an education qualification letter on file. Each staff member should create an account, apply for DPI teacher or DPI teacher assistant, and submit transcripts and licensure if not already done so. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective July 1, 2023, and January 1, 2024. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • NC Child Care Health & Safety Resource Center for posters www.healthychildcare.unc.edu • NCRLAP: NCRLAP.org QRIS: Since February 2023, the NC Child Care Commission has been working toward revising the Quality Rating Improvement System (QRIS) as required by Session Law 2023-40. Listening to and communicating with early childhood professionals, families, communities and businesses is a critical component to ensure a successful QRIS modernization. In 2023, the Commission conducted 8 in-person listening sessions and 2 webinars; provided a QR code survey and offered a QRIS email account to collect feedback. Thus, informed by national research, trends and outcomes, and input from more than 1800 NC early childhood education professionals, the Commission formed recommendations for change, such as: Offering a choice of three pathways to demonstrate quality and earn a 2-5 Star Rated License. Updates to education standards for early childhood educators to expand options; and Adds standards for both educators and facilities that support continuous quality improvement and family/community engagement practices that promote communication and collaboration. In addition, on July 8, 2024, Governor Roy Cooper signed Session Law 2024-34, which includes Quality Rating Improvement System (QRIS) Modernization. This law established three pathways to earn star ratings, directed the Commission to continue with rulemaking to support the pathways and allowed the following while rulemaking occurs: Extension of Hold Harmless provisions - star rated license assessments and reassessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. Star rated license assessments continue to be required for new child care programs. Accreditation Licensure - Child care programs currently accredited through the approved accrediting bodies may move to a 3- or 5-star license if they are not already at this star level. Providers will need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Updated Program Assessment Tool – Beginning on February 1, 2025, child care facilities will use the Environment Rating Scale – Third Edition for family child care homes, infant/toddler classrooms and preschool classrooms, if requesting a program assessment or reassessment. This updated edition includes language and interaction measures, a need consistently identified by early childhood professionals during listening sessions. Now, the Commission is deeply engaged in the rulemaking process to spell out and implement the changes it recommended in the QRIS Legislative Report. Program Assessment (ERS-3) Update The North Carolina Rated License Assessment Project (NCRLAP) is scheduling requested program assessments using: • Infant/Toddler Environment Rating Scale, Third Edition (ITERS-3) • Early Childhood Environment Rating Scale, Third Edition (ECERS-3) • Family Child Care Environment Rating Scale, Third Edition (FCCERS-3) • School-Age Care Environment Rating Scale, Updated Edition (SACERS-U) If you are interested in continuing to earn your Star Rated License using program assessment, you can begin preparing by reviewing NCRLAP’s many resources. “Hold Harmless” remains in place until all new QRIS rules are effective. However, you may choose to go ahead with program assessment now, knowing that if you are satisfied with your scores and star rating, it will be valid for three years. If you have participated in an outreach assessment, thank you! Be sure to schedule your follow-up call with NCRLAP staff to discuss the results and receive valuable feedback and actionable insights. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-214-8454 or emily.hargrove@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809 or susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: START RITE PRESCHOOL Facility ID: 91000205 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 4/28/2025 Number Present: 46 Completed Date: 4/28/2025 Age: From 0 To 5 Total Minutes: 110 Time In: 09:25 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. G. Hunter, Administrator assisted with the visit. Forty-seven (47) children were observed in care today ranging from zero to five years old. Children were engaged in morning activities, free choice play with developmentally age-appropriate materials, interacting with the caregivers, outdoor play, and completing toileting, diapering, and hand washing routines. Interactions with caregivers were positive and nurturing. Currently this program operates with a Four-Star License earning five points in education, five points in program standards and one quality point for having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher, and group leader over the last 12 months. The last sanitation inspection was completed on March 18, 2025, earning a superior classification. The last fire inspection was completed on December 27, 2024 and the center was approved for daytime care. The last annual compliance visit was completed on September 27, 2024. The following violations were documented today: 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. Operator did not submit to DCDEE within one week of the inspection visit. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #3, a electrical outlet was not covered with safety plug while not in use located behind cubbies. 10A NCAC 09 .0604(c) Violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by May 12, 2025 describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Emily Hargrove, PO Box 1974, Henderson, NC 27536. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-214-8454 or emily.hargrove@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always if they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 97%. TECHNICAL ASSISTANCE/CONSULTATION PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. FIRE INSPECTION: I encouraged you to send the fire inspection form within one week of the inspection date. You submitted the fire inspection during the visit. Electrical Outlet: We discussed making sure all electrical outlets are covered with safety plugs at all times of the day. I suggested that teachers make sure they do a visual check before children arrive and at the end of the day to ensure all outlets are covered. You corrected this immediately during the visit. DCDEE WORKS: All staff should ensure they have an education qualification letter on file. Each staff member should create an account, apply for DPI teacher or DPI teacher assistant, and submit transcripts and licensure if not already done so. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective July 1, 2023, and January 1, 2024. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • NC Child Care Health & Safety Resource Center for posters www.healthychildcare.unc.edu • NCRLAP: NCRLAP.org QRIS: Since February 2023, the NC Child Care Commission has been working toward revising the Quality Rating Improvement System (QRIS) as required by Session Law 2023-40. Listening to and communicating with early childhood professionals, families, communities and businesses is a critical component to ensure a successful QRIS modernization. In 2023, the Commission conducted 8 in-person listening sessions and 2 webinars; provided a QR code survey and offered a QRIS email account to collect feedback. Thus, informed by national research, trends and outcomes, and input from more than 1800 NC early childhood education professionals, the Commission formed recommendations for change, such as: Offering a choice of three pathways to demonstrate quality and earn a 2-5 Star Rated License. Updates to education standards for early childhood educators to expand options; and Adds standards for both educators and facilities that support continuous quality improvement and family/community engagement practices that promote communication and collaboration. In addition, on July 8, 2024, Governor Roy Cooper signed Session Law 2024-34, which includes Quality Rating Improvement System (QRIS) Modernization. This law established three pathways to earn star ratings, directed the Commission to continue with rulemaking to support the pathways and allowed the following while rulemaking occurs: Extension of Hold Harmless provisions - star rated license assessments and reassessments for licensed child care providers will be conducted by provider request only, until the QRIS rulemaking process has been completed. Star rated license assessments continue to be required for new child care programs. Accreditation Licensure - Child care programs currently accredited through the approved accrediting bodies may move to a 3- or 5-star license if they are not already at this star level. Providers will need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Updated Program Assessment Tool – Beginning on February 1, 2025, child care facilities will use the Environment Rating Scale – Third Edition for family child care homes, infant/toddler classrooms and preschool classrooms, if requesting a program assessment or reassessment. This updated edition includes language and interaction measures, a need consistently identified by early childhood professionals during listening sessions. Now, the Commission is deeply engaged in the rulemaking process to spell out and implement the changes it recommended in the QRIS Legislative Report. Program Assessment (ERS-3) Update The North Carolina Rated License Assessment Project (NCRLAP) is scheduling requested program assessments using: • Infant/Toddler Environment Rating Scale, Third Edition (ITERS-3) • Early Childhood Environment Rating Scale, Third Edition (ECERS-3) • Family Child Care Environment Rating Scale, Third Edition (FCCERS-3) • School-Age Care Environment Rating Scale, Updated Edition (SACERS-U) If you are interested in continuing to earn your Star Rated License using program assessment, you can begin preparing by reviewing NCRLAP’s many resources. “Hold Harmless” remains in place until all new QRIS rules are effective. However, you may choose to go ahead with program assessment now, knowing that if you are satisfied with your scores and star rating, it will be valid for three years. If you have participated in an outreach assessment, thank you! Be sure to schedule your follow-up call with NCRLAP staff to discuss the results and receive valuable feedback and actionable insights. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-214-8454 or emily.hargrove@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809 or susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: START RITE PRESCHOOL Facility ID: 91000205 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 41 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 159 Time In: 11:06 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 this program for compliance with applicable child care requirements for an annual compliance visit. G. Hunter, Administrator assisted with the visit. This center currently operates with a four-star license, earning five points in the education component, five points in the program standard component and 1 quality point for having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher, and group leader over the past twelve months. The last annual compliance visit was completed on October 4, 2023. The last sanitation inspection was completed on April 30, 2024, with a “Superior” classification. The last fire inspection was completed on January 4, 2024, and the center was approved for daytime time care only. Forty-one children were in care today. Children were engaged in free choice play with developmentally age-appropriate materials/toys, group time/teacher directed activity, completing toileting and hand washing routines, interacting with caregivers, and eating lunch. Lunch consisted of baked chicken, corn, apple sauce, bread, and milk. The following violations were documented today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4 electrical outlet was not covered with safety plug located near manipulative center. 10A NCAC 09 .0604(c) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson NC 27536, or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before October 2, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: Start Rite Pre-School, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Start-Rite Preschool Inc. remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, mailing address and email address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-8454 or email emily.hargroved@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always if they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 87%. TECHNICAL ASSISTANCE/CONSULTATION CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. Children records reviewed, were in compliance. Ten percent (10%) or more of existent staff files were monitored. Staff records reviewed were in compliance. You submitted staff and training worksheet. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. TRANSPORATION REQUIRMENTS: You stated the program does not transport children and field trips are not completed. MEDICATION AUTHORIZATION: You and the staff stated the program does not administer medication including diaper creams and ointment to children. SAFE INDOOR: An electrical outlet were uncovered without plug in Space #4. We discussed making sure all electrical outlets are plugged at all times. Please refer to this section of the child care rules to review rule on Safe indoor environment. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS We discussed using the provider forms and documents. I reviewed with you how to access provider forms and documents. I encourage you to use the sign in/sign out sheet provided on the Division website. EARLY CHILDHOOD EQUIVALENCY EXAM: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam. DCDEE WORKS: New staff that has not had their education evaluated will need to create a WORKS account by accessing our website under the provider tab, then click DCDEE WORKS. Once account is created, staff should upload or submit original transcripts or certificates to the division for evaluation of their education. Existing staff who has completed additional college course work should also upload and or submit new transcripts. Staff should also apply for what position they want to be evaluated for. (teacher, lead teacher, group leader, etc.) If you need assistance or have any questions, you should contact our workforce education unit. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective July 1, 2023. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • NCRLAP: https://NCRLAP.org for cohort models • NC Child Care Health & Safety Resource Center www.healthychildcare.unc.edu If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-214-8454 or emily.hargrove@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809 or susan.fuller@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: START RITE PRESCHOOL Facility ID: 91000205 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 9/19/2024 Number Present: 41 Completed Date: 9/19/2024 Age: From 0 To 4 Total Minutes: 159 Time In: 11:06 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 this program for compliance with applicable child care requirements for an annual compliance visit. G. Hunter, Administrator assisted with the visit. This center currently operates with a four-star license, earning five points in the education component, five points in the program standard component and 1 quality point for having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher, and group leader over the past twelve months. The last annual compliance visit was completed on October 4, 2023. The last sanitation inspection was completed on April 30, 2024, with a “Superior” classification. The last fire inspection was completed on January 4, 2024, and the center was approved for daytime time care only. Forty-one children were in care today. Children were engaged in free choice play with developmentally age-appropriate materials/toys, group time/teacher directed activity, completing toileting and hand washing routines, interacting with caregivers, and eating lunch. Lunch consisted of baked chicken, corn, apple sauce, bread, and milk. The following violations were documented today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4 electrical outlet was not covered with safety plug located near manipulative center. 10A NCAC 09 .0604(c) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Emily Hargrove, PO Box 1974 Henderson NC 27536, or email emily.hargrove@dhhs.nc.gov. The compliance verification letter must be received on or before October 2, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: Start Rite Pre-School, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Start-Rite Preschool Inc. remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, mailing address and email address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-8454 or email emily.hargroved@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always if they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 87%. TECHNICAL ASSISTANCE/CONSULTATION CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. Children records reviewed, were in compliance. Ten percent (10%) or more of existent staff files were monitored. Staff records reviewed were in compliance. You submitted staff and training worksheet. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. TRANSPORATION REQUIRMENTS: You stated the program does not transport children and field trips are not completed. MEDICATION AUTHORIZATION: You and the staff stated the program does not administer medication including diaper creams and ointment to children. SAFE INDOOR: An electrical outlet were uncovered without plug in Space #4. We discussed making sure all electrical outlets are plugged at all times. Please refer to this section of the child care rules to review rule on Safe indoor environment. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS We discussed using the provider forms and documents. I reviewed with you how to access provider forms and documents. I encourage you to use the sign in/sign out sheet provided on the Division website. EARLY CHILDHOOD EQUIVALENCY EXAM: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam. DCDEE WORKS: New staff that has not had their education evaluated will need to create a WORKS account by accessing our website under the provider tab, then click DCDEE WORKS. Once account is created, staff should upload or submit original transcripts or certificates to the division for evaluation of their education. Existing staff who has completed additional college course work should also upload and or submit new transcripts. Staff should also apply for what position they want to be evaluated for. (teacher, lead teacher, group leader, etc.) If you need assistance or have any questions, you should contact our workforce education unit. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective July 1, 2023. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • NCRLAP: https://NCRLAP.org for cohort models • NC Child Care Health & Safety Resource Center www.healthychildcare.unc.edu If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-214-8454 or emily.hargrove@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809 or susan.fuller@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: START RITE PRESCHOOL Facility ID: 91000205 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 41 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 135 Time In: 09:10 AM Time Out: 11:25 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. G. Hunter, Administrator assisted with the visit. Forty-three (43) children were observed in care today ranging from zero to five years old. Children were engaged in morning activities, free choice play with developmentally age-appropriate materials, interacting with the caregivers, eating lunch, and completing toileting, diapering, and hand washing routines. Lunch consisted of chicken, broccoli mandarin oranges, and milk. Currently this program operates with a Four-Star License earning five points in education, five points in program standards and one quality point for having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher, and group leader over the last 12 months. The last sanitation inspection was completed on April 30, 2024, earning a superior classification. The last fire inspection was completed on January 4, 2024, and the center was approved for daytime care. The last annual compliance visit was completed on October 4, 2023. The following violations were documented today. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Bottles of hand sanitizer labeled keep out of reach of children was on cubby in Space #1 and a shelf in Space #2 both below 5ft. from the finished floor. A storage container on playground #3 was cracked exposing sharp points. A bag of charcoal and cans of paint were inside an unlocked storage shed on playground #3. 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. Three cans of air freshener in aerosol dispensed containers were in an unlocked bathroom with the door open. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An EpiPen onsite for one child enrolled expired in June 2023. 10A NCAC 09 .0803(1)(a & b) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before May 21, 2024. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 92% percent as of May 6, 2024. CORPORATION STATUS: START RITE PRE-SCHOOL, INC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, START RITE PRE-SCHOOL, INC remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. STAFF/CHILD INTERACTIONS: Staff and children actively engaged in conversations. Staff used positive words when speaking with children. Children actively participated in singing songs, morning activity reviews and eating lunch. During diaper changing staff talked to children about the process. Staff guided children as they made choices about the area to visit for free play. Younger children were assisted with cleaning toys prior to starting morning activities. Infants participated in floor play and tummy time. SAFE ENVIRONMENT: Safety checks should be conducted periodically to identify any potential hazards in the environment used by children. If found potential hazards should be removed or repaired immediately. You are responsible for ensuring a safe environment is always provided for children. I reminded you items in aerosol dispensed containers should always be locked when not in use. MEDICATION REQUIRMENTS: Medications kept onsite for children should have a current date on it. Expired medication should be returned to the parents. It was suggested having staff track expiration dates of medications being kept at the center to ensure they are not administered to children. Tracking can be done by notating the expiration date on the medication for visual awareness. It should also be added to the permission to administer medication form and highlighted as well. PROVIDER ACCESS to the BACKGROUND CHECK MANAGEMENT SYSTEM: DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to: •See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. CHILD CARE RULE CHANGE UPDATES AND TRAINING MODULES AVAILABLE in DCDEE MOODLE: Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). 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, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. EQUIVALENCY EXAM OFFLINE for MAINTENANCE: The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. Better yet, take advantage of DCDEE’s offer of a No-Cost Professional Development Teacher Membership and earn your CDA! The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: START RITE PRESCHOOL Facility ID: 91000205 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 41 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 135 Time In: 09:10 AM Time Out: 11:25 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. G. Hunter, Administrator assisted with the visit. Forty-three (43) children were observed in care today ranging from zero to five years old. Children were engaged in morning activities, free choice play with developmentally age-appropriate materials, interacting with the caregivers, eating lunch, and completing toileting, diapering, and hand washing routines. Lunch consisted of chicken, broccoli mandarin oranges, and milk. Currently this program operates with a Four-Star License earning five points in education, five points in program standards and one quality point for having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher, and group leader over the last 12 months. The last sanitation inspection was completed on April 30, 2024, earning a superior classification. The last fire inspection was completed on January 4, 2024, and the center was approved for daytime care. The last annual compliance visit was completed on October 4, 2023. The following violations were documented today. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Bottles of hand sanitizer labeled keep out of reach of children was on cubby in Space #1 and a shelf in Space #2 both below 5ft. from the finished floor. A storage container on playground #3 was cracked exposing sharp points. A bag of charcoal and cans of paint were inside an unlocked storage shed on playground #3. 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. Three cans of air freshener in aerosol dispensed containers were in an unlocked bathroom with the door open. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. An EpiPen onsite for one child enrolled expired in June 2023. 10A NCAC 09 .0803(1)(a & b) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before May 21, 2024. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 92% percent as of May 6, 2024. CORPORATION STATUS: START RITE PRE-SCHOOL, INC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, START RITE PRE-SCHOOL, INC remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. STAFF/CHILD INTERACTIONS: Staff and children actively engaged in conversations. Staff used positive words when speaking with children. Children actively participated in singing songs, morning activity reviews and eating lunch. During diaper changing staff talked to children about the process. Staff guided children as they made choices about the area to visit for free play. Younger children were assisted with cleaning toys prior to starting morning activities. Infants participated in floor play and tummy time. SAFE ENVIRONMENT: Safety checks should be conducted periodically to identify any potential hazards in the environment used by children. If found potential hazards should be removed or repaired immediately. You are responsible for ensuring a safe environment is always provided for children. I reminded you items in aerosol dispensed containers should always be locked when not in use. MEDICATION REQUIRMENTS: Medications kept onsite for children should have a current date on it. Expired medication should be returned to the parents. It was suggested having staff track expiration dates of medications being kept at the center to ensure they are not administered to children. Tracking can be done by notating the expiration date on the medication for visual awareness. It should also be added to the permission to administer medication form and highlighted as well. PROVIDER ACCESS to the BACKGROUND CHECK MANAGEMENT SYSTEM: DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to: •See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. CHILD CARE RULE CHANGE UPDATES AND TRAINING MODULES AVAILABLE in DCDEE MOODLE: Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). 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, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. EQUIVALENCY EXAM OFFLINE for MAINTENANCE: The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. Better yet, take advantage of DCDEE’s offer of a No-Cost Professional Development Teacher Membership and earn your CDA! The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: START RITE PRESCHOOL Facility ID: 91000205 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/4/2023 Number Present: 39 Completed Date: 10/4/2023 Age: From 0 To 5 Total Minutes: 305 Time In: 09:25 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements for an annual compliance visit. G. Hunter, Administrator assisted with the visit. This center currently operates with a four-star license, earning five points in the education component, five points in the program standard component and 1 quality point for having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher, and group leader over the past twelve months. The last annual compliance visit was completed on October 19, 2022. The last sanitation inspection was completed on May 2, 2023, with a “Superior” classification. The last fire inspection was completed on January 5, 2023, and the center was approved for daytime time care only. Thirty-nine children were in care today. Children were engaged in free choice play with developmentally age-appropriate materials/toys, outdoor play, completing toileting and hand washing routines, interacting with caregivers, and eating lunch. Lunch consisted of baked chicken, mashed potatoes, peas, mandarin oranges, and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (94%) as of October 3, 2023. The following violations of the child care requirements were documented today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for eight children between August 18, 2023, and August 30, 2023. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. A bottle of hand sanitizer and Clorox water was observed on a cubby below 5ft. from the finished floor in Space #1. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were observed inside cubbies below 5ft. from the finished floor in Space 4, where a two-year-old child was present. .0604(q) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The center’s EPR plan was not reviewed annually as required. The last review date was documented March 26, 2019. .0607(e) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. The CPR/First Aid Training certificate on file for one employee hired on March 8, 2023 was a distant learning course from an unapproved agency. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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. Recognizing and Responding to Suspicions of Child Maltreatment was not completed for one employee hired on March 8, 2023. .1102(g) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 18, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: Start Rite Pre-School, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Start-Rite Preschool Inc. remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, mailing address and email address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. FIRE INSPECTION REPORTS: Fire inspection reports should be submitted to the Division within one week of the date the inspection was completed. The fire inspection report given to me today was dated January 5, 2023. I suggested setting an alert on a calendar (electronic or desktop) to remind you to submit the fire inspection when completed. ARRIVAL/DEPARTURE: Be reminded arrival and departure times must be documented for all children each day. It was recommended you or staff check the arrival and departure logs periodically throughout the day to ensure the arrival and departure times have been documented. This will ensure accurate times recorded and this requirement is met. SAFE INDOOR ENVIRONMENT: The environments used by children should always remain safe and healthy. Potentially hazardous items should be stored appropriately. Items labeled keep out of reach of children with no other warning labels should be stored at least 5ft. from the finished floor and inaccessible to children in care. Items with additional warning added should be stored in a locked space using an approved locking device. The caregiver removed the sanitizer and Clorox bottle and placed it on a shelf higher than 5ft. PLASTIC BAGS: Plastic bags were observed in children cubbies below 5ft. from the floor. The caregiver removed the plastic bags from the bubby and placed them in the bathroom on a shelf higher than 5ft. I reminded you plastic bags and small choking items cannot be in spaces with children under the age of three. RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT TRAINNG: One employee hired on March 8, 2023, did not complete Recognizing and Responding to Suspicions of Child Maltreatment Training within ninety days of employment. The training certificate on file was dated November 15, 2021. I informed you the training was older than twelve months; therefore, the employee should have retaken it within ninety days of employment. I reviewed the child care requirements regarding health and safety which includes Recognizing and Responding to Suspicions of Child Maltreatment and verified it must be retaken as a new employment. EMERGENCY PREPAREDNESS AND RESPONSE (EPR) The EPR plan was not reviewed annually as required. the last documented date of review was in 2019. I reminded you the EPR plan must be reviewed annually and documentation presented verifying review. You completed the annual review during the visit and updated the review date in the Risk Management portal. FIRST AID & CPR TRAINING: The First Aid and CPR card on file for one employee was from an online course. When verified the agency was not on the approved organization list. I explained, for the course to be valid, meeting NC Child Care Requirements, a completion card/certificate is required that reflects successful completion of the course, following the approved organization’s standards for the specific course. I further shared while distance learning (pre-recorded training) is not permitted for CPR or First Aid, a blended learning course (including face-to-face and virtual instruction) is permitted; so long as the course received is from an approved training organization and the student’s competency has been evaluated by the instructor. To determine if an organization is approved, visit the Division’s website under the “Providers” tab. Then click training and professional development, health and safety and the link in the blue box that states be a smart consumer of first aid and CPR training. TRANSPORATION REQUIRMENTS: You stated the program does not transport children and field trips are not completed. MEDICATION AUTHORIZATION: You and the staff stated the program does not administer medication including diaper creams and ointment to children. UPDATED CHILD CARE RULEBOOK: I informed you an updated child care rulebook dated July 1, 2023 is located on the Division of Child Development and Early Education website. You can obtain training regarding clarification of the updated child care rules in MOODLE on the Division’s website. STAR RATED LICENSE: I informed you information regarding the preparation for the star rated license assessment process is located on the Division of Child Development & Early Education and North Carolina Rated License Project websites. I recommended you and staff visit ncrlap.org to obtain detailed information about how the process will be implemented and review prep year activities and ideas offered. More information will be provided regarding your programs rated license assessment timeframe. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: START RITE PRESCHOOL Facility ID: 91000205 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/4/2023 Number Present: 39 Completed Date: 10/4/2023 Age: From 0 To 5 Total Minutes: 305 Time In: 09:25 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements for an annual compliance visit. G. Hunter, Administrator assisted with the visit. This center currently operates with a four-star license, earning five points in the education component, five points in the program standard component and 1 quality point for having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher, and group leader over the past twelve months. The last annual compliance visit was completed on October 19, 2022. The last sanitation inspection was completed on May 2, 2023, with a “Superior” classification. The last fire inspection was completed on January 5, 2023, and the center was approved for daytime time care only. Thirty-nine children were in care today. Children were engaged in free choice play with developmentally age-appropriate materials/toys, outdoor play, completing toileting and hand washing routines, interacting with caregivers, and eating lunch. Lunch consisted of baked chicken, mashed potatoes, peas, mandarin oranges, and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (94%) as of October 3, 2023. The following violations of the child care requirements were documented today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for eight children between August 18, 2023, and August 30, 2023. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. A bottle of hand sanitizer and Clorox water was observed on a cubby below 5ft. from the finished floor in Space #1. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were observed inside cubbies below 5ft. from the finished floor in Space 4, where a two-year-old child was present. .0604(q) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The center’s EPR plan was not reviewed annually as required. The last review date was documented March 26, 2019. .0607(e) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. The CPR/First Aid Training certificate on file for one employee hired on March 8, 2023 was a distant learning course from an unapproved agency. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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. Recognizing and Responding to Suspicions of Child Maltreatment was not completed for one employee hired on March 8, 2023. .1102(g) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 18, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: Start Rite Pre-School, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Start-Rite Preschool Inc. remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, mailing address and email address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. FIRE INSPECTION REPORTS: Fire inspection reports should be submitted to the Division within one week of the date the inspection was completed. The fire inspection report given to me today was dated January 5, 2023. I suggested setting an alert on a calendar (electronic or desktop) to remind you to submit the fire inspection when completed. ARRIVAL/DEPARTURE: Be reminded arrival and departure times must be documented for all children each day. It was recommended you or staff check the arrival and departure logs periodically throughout the day to ensure the arrival and departure times have been documented. This will ensure accurate times recorded and this requirement is met. SAFE INDOOR ENVIRONMENT: The environments used by children should always remain safe and healthy. Potentially hazardous items should be stored appropriately. Items labeled keep out of reach of children with no other warning labels should be stored at least 5ft. from the finished floor and inaccessible to children in care. Items with additional warning added should be stored in a locked space using an approved locking device. The caregiver removed the sanitizer and Clorox bottle and placed it on a shelf higher than 5ft. PLASTIC BAGS: Plastic bags were observed in children cubbies below 5ft. from the floor. The caregiver removed the plastic bags from the bubby and placed them in the bathroom on a shelf higher than 5ft. I reminded you plastic bags and small choking items cannot be in spaces with children under the age of three. RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT TRAINNG: One employee hired on March 8, 2023, did not complete Recognizing and Responding to Suspicions of Child Maltreatment Training within ninety days of employment. The training certificate on file was dated November 15, 2021. I informed you the training was older than twelve months; therefore, the employee should have retaken it within ninety days of employment. I reviewed the child care requirements regarding health and safety which includes Recognizing and Responding to Suspicions of Child Maltreatment and verified it must be retaken as a new employment. EMERGENCY PREPAREDNESS AND RESPONSE (EPR) The EPR plan was not reviewed annually as required. the last documented date of review was in 2019. I reminded you the EPR plan must be reviewed annually and documentation presented verifying review. You completed the annual review during the visit and updated the review date in the Risk Management portal. FIRST AID & CPR TRAINING: The First Aid and CPR card on file for one employee was from an online course. When verified the agency was not on the approved organization list. I explained, for the course to be valid, meeting NC Child Care Requirements, a completion card/certificate is required that reflects successful completion of the course, following the approved organization’s standards for the specific course. I further shared while distance learning (pre-recorded training) is not permitted for CPR or First Aid, a blended learning course (including face-to-face and virtual instruction) is permitted; so long as the course received is from an approved training organization and the student’s competency has been evaluated by the instructor. To determine if an organization is approved, visit the Division’s website under the “Providers” tab. Then click training and professional development, health and safety and the link in the blue box that states be a smart consumer of first aid and CPR training. TRANSPORATION REQUIRMENTS: You stated the program does not transport children and field trips are not completed. MEDICATION AUTHORIZATION: You and the staff stated the program does not administer medication including diaper creams and ointment to children. UPDATED CHILD CARE RULEBOOK: I informed you an updated child care rulebook dated July 1, 2023 is located on the Division of Child Development and Early Education website. You can obtain training regarding clarification of the updated child care rules in MOODLE on the Division’s website. STAR RATED LICENSE: I informed you information regarding the preparation for the star rated license assessment process is located on the Division of Child Development & Early Education and North Carolina Rated License Project websites. I recommended you and staff visit ncrlap.org to obtain detailed information about how the process will be implemented and review prep year activities and ideas offered. More information will be provided regarding your programs rated license assessment timeframe. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: START RITE PRESCHOOL Facility ID: 91000205 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/4/2023 Number Present: 39 Completed Date: 10/4/2023 Age: From 0 To 5 Total Minutes: 305 Time In: 09:25 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements for an annual compliance visit. G. Hunter, Administrator assisted with the visit. This center currently operates with a four-star license, earning five points in the education component, five points in the program standard component and 1 quality point for having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher, and group leader over the past twelve months. The last annual compliance visit was completed on October 19, 2022. The last sanitation inspection was completed on May 2, 2023, with a “Superior” classification. The last fire inspection was completed on January 5, 2023, and the center was approved for daytime time care only. Thirty-nine children were in care today. Children were engaged in free choice play with developmentally age-appropriate materials/toys, outdoor play, completing toileting and hand washing routines, interacting with caregivers, and eating lunch. Lunch consisted of baked chicken, mashed potatoes, peas, mandarin oranges, and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (94%) as of October 3, 2023. The following violations of the child care requirements were documented today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for eight children between August 18, 2023, and August 30, 2023. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. A bottle of hand sanitizer and Clorox water was observed on a cubby below 5ft. from the finished floor in Space #1. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were observed inside cubbies below 5ft. from the finished floor in Space 4, where a two-year-old child was present. .0604(q) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The center’s EPR plan was not reviewed annually as required. The last review date was documented March 26, 2019. .0607(e) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. The CPR/First Aid Training certificate on file for one employee hired on March 8, 2023 was a distant learning course from an unapproved agency. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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. Recognizing and Responding to Suspicions of Child Maltreatment was not completed for one employee hired on March 8, 2023. .1102(g) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 18, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: Start Rite Pre-School, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Start-Rite Preschool Inc. remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, mailing address and email address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. FIRE INSPECTION REPORTS: Fire inspection reports should be submitted to the Division within one week of the date the inspection was completed. The fire inspection report given to me today was dated January 5, 2023. I suggested setting an alert on a calendar (electronic or desktop) to remind you to submit the fire inspection when completed. ARRIVAL/DEPARTURE: Be reminded arrival and departure times must be documented for all children each day. It was recommended you or staff check the arrival and departure logs periodically throughout the day to ensure the arrival and departure times have been documented. This will ensure accurate times recorded and this requirement is met. SAFE INDOOR ENVIRONMENT: The environments used by children should always remain safe and healthy. Potentially hazardous items should be stored appropriately. Items labeled keep out of reach of children with no other warning labels should be stored at least 5ft. from the finished floor and inaccessible to children in care. Items with additional warning added should be stored in a locked space using an approved locking device. The caregiver removed the sanitizer and Clorox bottle and placed it on a shelf higher than 5ft. PLASTIC BAGS: Plastic bags were observed in children cubbies below 5ft. from the floor. The caregiver removed the plastic bags from the bubby and placed them in the bathroom on a shelf higher than 5ft. I reminded you plastic bags and small choking items cannot be in spaces with children under the age of three. RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT TRAINNG: One employee hired on March 8, 2023, did not complete Recognizing and Responding to Suspicions of Child Maltreatment Training within ninety days of employment. The training certificate on file was dated November 15, 2021. I informed you the training was older than twelve months; therefore, the employee should have retaken it within ninety days of employment. I reviewed the child care requirements regarding health and safety which includes Recognizing and Responding to Suspicions of Child Maltreatment and verified it must be retaken as a new employment. EMERGENCY PREPAREDNESS AND RESPONSE (EPR) The EPR plan was not reviewed annually as required. the last documented date of review was in 2019. I reminded you the EPR plan must be reviewed annually and documentation presented verifying review. You completed the annual review during the visit and updated the review date in the Risk Management portal. FIRST AID & CPR TRAINING: The First Aid and CPR card on file for one employee was from an online course. When verified the agency was not on the approved organization list. I explained, for the course to be valid, meeting NC Child Care Requirements, a completion card/certificate is required that reflects successful completion of the course, following the approved organization’s standards for the specific course. I further shared while distance learning (pre-recorded training) is not permitted for CPR or First Aid, a blended learning course (including face-to-face and virtual instruction) is permitted; so long as the course received is from an approved training organization and the student’s competency has been evaluated by the instructor. To determine if an organization is approved, visit the Division’s website under the “Providers” tab. Then click training and professional development, health and safety and the link in the blue box that states be a smart consumer of first aid and CPR training. TRANSPORATION REQUIRMENTS: You stated the program does not transport children and field trips are not completed. MEDICATION AUTHORIZATION: You and the staff stated the program does not administer medication including diaper creams and ointment to children. UPDATED CHILD CARE RULEBOOK: I informed you an updated child care rulebook dated July 1, 2023 is located on the Division of Child Development and Early Education website. You can obtain training regarding clarification of the updated child care rules in MOODLE on the Division’s website. STAR RATED LICENSE: I informed you information regarding the preparation for the star rated license assessment process is located on the Division of Child Development & Early Education and North Carolina Rated License Project websites. I recommended you and staff visit ncrlap.org to obtain detailed information about how the process will be implemented and review prep year activities and ideas offered. More information will be provided regarding your programs rated license assessment timeframe. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1105 · Violation

Name of Operation: START RITE PRESCHOOL Facility ID: 91000205 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/4/2023 Number Present: 39 Completed Date: 10/4/2023 Age: From 0 To 5 Total Minutes: 305 Time In: 09:25 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements for an annual compliance visit. G. Hunter, Administrator assisted with the visit. This center currently operates with a four-star license, earning five points in the education component, five points in the program standard component and 1 quality point for having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher, and group leader over the past twelve months. The last annual compliance visit was completed on October 19, 2022. The last sanitation inspection was completed on May 2, 2023, with a “Superior” classification. The last fire inspection was completed on January 5, 2023, and the center was approved for daytime time care only. Thirty-nine children were in care today. Children were engaged in free choice play with developmentally age-appropriate materials/toys, outdoor play, completing toileting and hand washing routines, interacting with caregivers, and eating lunch. Lunch consisted of baked chicken, mashed potatoes, peas, mandarin oranges, and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (94%) as of October 3, 2023. The following violations of the child care requirements were documented today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for eight children between August 18, 2023, and August 30, 2023. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. A bottle of hand sanitizer and Clorox water was observed on a cubby below 5ft. from the finished floor in Space #1. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were observed inside cubbies below 5ft. from the finished floor in Space 4, where a two-year-old child was present. .0604(q) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The center’s EPR plan was not reviewed annually as required. The last review date was documented March 26, 2019. .0607(e) 1893 Distance learning was used to complete First Aid, CPR and/or playground safety training. The CPR/First Aid Training certificate on file for one employee hired on March 8, 2023 was a distant learning course from an unapproved agency. 10A NCAC 09 .1102(c-e); 10A NCAC 09 .1105(3) 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. Recognizing and Responding to Suspicions of Child Maltreatment was not completed for one employee hired on March 8, 2023. .1102(g) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 18, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: Start Rite Pre-School, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Start-Rite Preschool Inc. remains Current and Active. Prior to making any changes in the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, mailing address and email address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. FIRE INSPECTION REPORTS: Fire inspection reports should be submitted to the Division within one week of the date the inspection was completed. The fire inspection report given to me today was dated January 5, 2023. I suggested setting an alert on a calendar (electronic or desktop) to remind you to submit the fire inspection when completed. ARRIVAL/DEPARTURE: Be reminded arrival and departure times must be documented for all children each day. It was recommended you or staff check the arrival and departure logs periodically throughout the day to ensure the arrival and departure times have been documented. This will ensure accurate times recorded and this requirement is met. SAFE INDOOR ENVIRONMENT: The environments used by children should always remain safe and healthy. Potentially hazardous items should be stored appropriately. Items labeled keep out of reach of children with no other warning labels should be stored at least 5ft. from the finished floor and inaccessible to children in care. Items with additional warning added should be stored in a locked space using an approved locking device. The caregiver removed the sanitizer and Clorox bottle and placed it on a shelf higher than 5ft. PLASTIC BAGS: Plastic bags were observed in children cubbies below 5ft. from the floor. The caregiver removed the plastic bags from the bubby and placed them in the bathroom on a shelf higher than 5ft. I reminded you plastic bags and small choking items cannot be in spaces with children under the age of three. RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT TRAINNG: One employee hired on March 8, 2023, did not complete Recognizing and Responding to Suspicions of Child Maltreatment Training within ninety days of employment. The training certificate on file was dated November 15, 2021. I informed you the training was older than twelve months; therefore, the employee should have retaken it within ninety days of employment. I reviewed the child care requirements regarding health and safety which includes Recognizing and Responding to Suspicions of Child Maltreatment and verified it must be retaken as a new employment. EMERGENCY PREPAREDNESS AND RESPONSE (EPR) The EPR plan was not reviewed annually as required. the last documented date of review was in 2019. I reminded you the EPR plan must be reviewed annually and documentation presented verifying review. You completed the annual review during the visit and updated the review date in the Risk Management portal. FIRST AID & CPR TRAINING: The First Aid and CPR card on file for one employee was from an online course. When verified the agency was not on the approved organization list. I explained, for the course to be valid, meeting NC Child Care Requirements, a completion card/certificate is required that reflects successful completion of the course, following the approved organization’s standards for the specific course. I further shared while distance learning (pre-recorded training) is not permitted for CPR or First Aid, a blended learning course (including face-to-face and virtual instruction) is permitted; so long as the course received is from an approved training organization and the student’s competency has been evaluated by the instructor. To determine if an organization is approved, visit the Division’s website under the “Providers” tab. Then click training and professional development, health and safety and the link in the blue box that states be a smart consumer of first aid and CPR training. TRANSPORATION REQUIRMENTS: You stated the program does not transport children and field trips are not completed. MEDICATION AUTHORIZATION: You and the staff stated the program does not administer medication including diaper creams and ointment to children. UPDATED CHILD CARE RULEBOOK: I informed you an updated child care rulebook dated July 1, 2023 is located on the Division of Child Development and Early Education website. You can obtain training regarding clarification of the updated child care rules in MOODLE on the Division’s website. STAR RATED LICENSE: I informed you information regarding the preparation for the star rated license assessment process is located on the Division of Child Development & Early Education and North Carolina Rated License Project websites. I recommended you and staff visit ncrlap.org to obtain detailed information about how the process will be implemented and review prep year activities and ideas offered. More information will be provided regarding your programs rated license assessment timeframe. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times