Quality Care Child Development Center

10A NCAC 09 .1103 · Violation

Name of Operation: QUALITY CARE CHILD DEVELOPMENT CENTER Facility ID: 18000584 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 33 Completed Date: 3/10/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance with rated license assessment visit. You, Michelle O’Kelley, Administrator, and Kacey Tallent, Assistant Administrator/Teacher, assisted me with today’s visit. I conducted your last annual compliance visit on April 2, 2025. The facility’s compliance history prior to today’s visit was 100% as of 03/09/2026 and was reviewed with you today. You reviewed the facility information found in our system. You stated there have been no changes to your phone number, email address or corporate contact for the facility. I reviewed the facility’s permit today including the restrictions, capacity, and age range and observed these being maintained today. This facility, owned by Angie's KidsFirst CDC Inc., was reviewed and listed as current- active on the NC Secretary of State website prior to today’s visit on 03/09/2026.. This facility currently operates with a five-star license, issued on September 20, 2023, earning five points in staff education, seven points in program standards, and one quality point for the child care administrator having at least ten years of documented child care administrative work experience in a licensed program that can be verified by the Division. The most recent fire inspection was dated July 30, 2025 and received in my office by email on July 30, 2025. The most recent sanitation inspection was dated May 7, 2025 with a Superior classification and zero demerits. I verified that this facility completed the lead water testing required to be completed every three years. The most recent lead water test results were dated July 12, 2023. Today, I verified that those test results indicated that your facilities drinking water source was within the required limits. I verified that this facility completed the lead-based paint test, and those test results dated September 1, 2024 indicated this facility has not lead-based paint hazards. s testing. I verified this facility completed the asbestos test, and those test results indicated that this facility has no asbestos hazards. We completed a walk-through of the indoor and outdoor licensed spaces. One-year-old children were engaged in floor play with the teachers actively and positively interacting with the children. Two through five-year-old children were participating in free play in activity areas and outdoors with teachers actively interacting with the children. You stated you currently have no infant age children enrolled and Space 3B is currently temporarily closed due to no infant enrollment. I verified that your facility currently uses Creative Curriculum, 4th edition as the approved curriculum for a five-star facility serving children four and five years of age. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals were prepared in the kitchen and served in the classrooms. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of thirty-eight degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, outdoor safety inspections, transportation, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan. I reviewed staff record files and children’s records. I monitored health and safety requirements. I reviewed your written operational, administrative, and personnel policies and your parent participation plan at annual compliance visit on April 2, 2025. You stated the facility’s written policies and procedures had not changed. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. RATED LICENSE INFORMATION You initiated the rated license reassessment process by completing and submitting the “Application for Assessment for a Rated License for Centers” on 12/30/2025. RECEIVED, REVIEWED VERIFIED 1. Application for Assessment for a Rated License for Centers The “Application for Assessment for a Rated License for Centers” was received on 12/30/2025 on which you had indicated enhanced staff/child ratios and the names of the chosen curriculum. Today, I requested that you revise the application to meet the five-star requirements and to more accurately capture the name of the curriculum choice. You submitted the revised application document to me during today’s visit. 2. Staff/Child Ratio and Space On the application, you indicated that this facility would maintain “enhanced reduced staff/child ratio”. During today’s visit, I verified that enhanced reduced staff/child ratios were in place and being maintained. 3. QRIS Staff Information and Education Worksheet QRIS Staff Information and Education Worksheets were received on 12/30/2026. On 01/09/2026 and 03/09/2026, lead teacher education standards and other educator standards were verified at the five star level. 4. Family and Community Engagement Standards Child Care Centers On 12/30/2025, I received the Family and Community Engagement Standards Child Care document. During today’s visit, I verified that the five foundational practices were in place and being maintained. In addition to the foundational practices required to meet the family and community engagement standards (CC RULE .3209) at the two-star level, I verified today that this facility had chosen to maintain communication option one (C-1), engagement and leadership option three (EL-3), educational opportunity option one (EO-1) and educational opportunity option six (EO-6) as the four additional practices. Today, I was able to verify that the foundational practices and the additional practices were in place, and the facility was actively working to maintain these family and community engagement standards. 5. Facility Continuous Quality Improvement (CQI) Plan On 12/30/2025, I received the Facility CQI Plan dated 12/30/2025 and was able to verify today that this Facility CQI Plan was completed in 09/2025. During today’s visit, I received the Facility CQI Plan dated 03/10/2026 and was able to verify that this Facility CQI Plan was in place and was actively being implemented. 6. Continuous Quality Improvement (CQI) and Professional Development (PD) Plan Individual Today, I reviewed the Individual CQI/PD Plans for each of the nine staff members. I verified that each staff member had an Individual CQI/PD Plan in place and that the administrator and lead teachers had documented the training related to the chosen approved curriculums and formative assessment on their Individual CQI/PD Plan documents. 7. Approved Curriculum Today, I verified the facility currently uses Creative Curriculum for Infant, Toddlers, and Twos, 2nd Edition, and Creative Curriculum for Preschool, 4th Edition as the approved curriculum for the children birth to five years of age served at the facility. 8. Formative Assessment Review with Parents During today’s visit, you committed and I verified your plan to sharing the completed formative assessment with parents during scheduled parent/teacher conferences twice annually in September and again in March. 9. Coaching/training options for administrators Per child care rule .3205(f)(10) pertaining to coaching, mentoring, and training options for the administrator, the administrator should plan to participate in one of the following activities regarding classroom and instructional quality practices: (A) annual completion of five hours of coaching or mentoring by an administrator of another licensed child care center with a star-rating of five stars, or a community resource partner; (B) annual completion of five on-going training hours, in additional to applicable requirements in child care rule .1103 and child care rules .3211, .3212, .3213, .3214, .3215, .3216 and .3218; or (C) annual completion of 0.5 continuing education unit, in addition to applicable requirements in child care rule .1103 and child care rules .3211, .3212, .3213, .3214, .3215, .3216 and .3218. During today’s visit, I verified your plan to complete five additional on-going training hours annually as the administrator. Please be reminded that the administrator will have one year from the effective date of the new star rated license to complete the additional five on-going training hours. Please keep the certificates and documentation log for the five additional on-going training hours meant to satisfy child care rule 10A NCAC .3205(f)(10) separate from the on-going training hours meant to satisfy child care rule 10A NCAC 09 .1103. 10. Coaching/training options for lead teachers Per child care rule .3205(f)(11) pertaining to coaching, mentoring, and training options for the lead teacher, all lead teachers should plan to participate in one of the following activities regarding classroom and instructional quality practices: (A) annual completion of five hours of coaching or mentoring by the administrator, another lead teacher in the center, a lead teacher in another licensed child care center with a star-rating of five stars, an administrator of another licensed child care center with a star-rating of five stars, or a community resource partner; (B) annual completion of five on-going training hours, in addition to applicable requirements in child care rule .1103 and child care rules .3211, .3212, .3213, .3214, .3215, .3216 and .3218; or (C) annual completion of 0.5 continuing education unit, in addition to applicable requirements in child care rule .1103 and child care rules .3211, .3212, .3213, .3214, .3215, .3216 and .3218. During today’s visit, I verified your plan to have all the lead teachers complete five additional on-going hours annually. Please be reminded that the lead teachers will have one year from the effective date of the new star rated license to complete the additional five on-going training hours. Please keep the certificates and documentation log for the five additional on-going training hours meant to satisfy child care rule 10A NCAC .3205(f)(11) separate from the on-going training hours meant to satisfy child care rule 10A NCAC 09 .1103. OUTSTANDING RATED LICENSE DOCUMENTATION 1. Continuous Quality Improvement (CQI) and Professional Development (PD) Plan Individual Please add the required additional training option for administrators and lead teachers to the Individual CQI/PD Plan documents for each administrator and lead teacher. Please be reminded that administrators and lead teachers will have one year from the effective date on the new star rated license to complete the additional training requirement. 2. Approved Curriculum Please select an approved curriculum for the children ages kindergarten five years through twelve years of age. After you’ve selected the approved school-age curriculum, please send me documentation that I can use to verify that the school-age curriculum has been purchased, received, and is being used. 3. Training Related to the Approved Curriculum of choice Please have the administrator and lead teachers complete the training related to the chosen approved curriculum and submit the training certificates to me as soon as possible but no later than 09/01/2026. Once completed, the training completion certificates should be placed in each staff members staff record file to be verified at each monitoring visit. 4. Approved Formative Assessment Please select an approved formative assessment to be used with ages infant through five years. Once selected, please send me documentation that I can use to verify the approved formative assessment has been purchased, received, and is being used. 5. Training Related to the Approved Formative Assessment of choice Please have the administrator and lead teachers complete the training related to the chosen approved formative assessment and submit the training certificates to me as soon as possible but no later than 09/01/2026. Once completed, the training completion certificates should be placed in each staff members staff record file to be verified at each monitoring visit. The star rating of this facility will be determined once I receive the outstanding documentation mentioned above and am able to verify the remaining requirements for the “Classroom and Instructional Quality at the Five Star Level (Pathway 2)” have been met. The following violation was observed, cited, and corrected during today's visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted in September 2025 making the next emergency drill due during the month of December 2025. The next emergency drill was conducted in January 2026. .0604(u);.0302(d)(8) TECHNICAL ASSISTANCE 1. Per child care rules 10A NCAC 09.0604(u) and .0302(d)(8), emergency drills (shelter-in-place or lockdown drills) should be practiced every three months and recorded on the drill log. During today’s visit, I observed that an emergency drill was conducted in September 2025 making the next emergency drill due in three months during the month of December 2025. However, the next emergency drill was conducted in January 2026 resulting in a violation. Because the emergency drill was conducted prior to today’s visit, the violation is considered corrected during today’s visit. To maintain compliance with this child care requirement, I suggest you set a reminder on your phone to conduct a shelter-in-place or lockdown drill every three months and continue to record the drill on the emergency drill log. RATED LICENSE CONSULTATION: We encourage you to continue to visit the QRIS Modernization page on the DCDEE website at this link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. CONSULTATION: 1. Per NC General Statute 110-102, the current version of Summary of North Carolina Child Care Law should be posted in a prominent place in the facility and included in the enrollment packet to be given to parents prior to the child’s first day of attendance. The most current Summary of North Carolina Child Care Law was published in November 2025. Today, I observed the date of the posted Summary of North Carolina Child Care Law was dated February 2025. Please print the updated version, post it in your lobby, and add it to your new enrollment packets. I also suggest you regularly check the DCDEE website for updated versions and especially when you receive notification of child care or sanitation rule updates. 2. When and if you update your fire evacuation route, shelter-in-place, and/or lock-down drill plan, you need to have the fire department approve the your plan first BEFORE you put it in your EPR plan as an update. 3. If you purchase or change vehicles for transporting children, please request for the vehicle to be approved prior to using the new vehicle. A monitoring visit will be scheduled, and I’ll need to approve transportation and/or the new vehicle before you can use the vehicle. 4. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 5. Here are some important links on the DCEEE website that may be helpful: Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development QRIS Modernization Plan resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings Healthy Social Behaviors: https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/. Healthy Social Behaviors Helpline: Call at 1-704-376-6697 or toll free at 1-888-600-1685 Option 1 or email at sbrawley@childcareresourcesinc.org or jbyrd@childcareresources.org. Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New 6. Here is the link to the training calendar from the Children’s Resource Center: https://childrensresourcecenter.org/training-calendar/. 7. If you would like an electronic link to any of the links shared above, please send me an email requesting the links that you wish to receive, and I will be glad to send the hyperlinks to you by email. COMPLIANCE PLAN: Since violation item number 1811 was corrected during today’s visit and I documented in today’s visit summary the actions taken to make the correction, no compliance letter documentation is due after today’s visit. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. We appreciate all you and your staff do to serve the children and families in your community. Thank you for your time today. 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: QUALITY CARE CHILD DEVELOPMENT CENTER Facility ID: 18000584 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 33 Completed Date: 3/10/2026 Age: From 0 To 5 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance with rated license assessment visit. You, Michelle O’Kelley, Administrator, and Kacey Tallent, Assistant Administrator/Teacher, assisted me with today’s visit. I conducted your last annual compliance visit on April 2, 2025. The facility’s compliance history prior to today’s visit was 100% as of 03/09/2026 and was reviewed with you today. You reviewed the facility information found in our system. You stated there have been no changes to your phone number, email address or corporate contact for the facility. I reviewed the facility’s permit today including the restrictions, capacity, and age range and observed these being maintained today. This facility, owned by Angie's KidsFirst CDC Inc., was reviewed and listed as current- active on the NC Secretary of State website prior to today’s visit on 03/09/2026.. This facility currently operates with a five-star license, issued on September 20, 2023, earning five points in staff education, seven points in program standards, and one quality point for the child care administrator having at least ten years of documented child care administrative work experience in a licensed program that can be verified by the Division. The most recent fire inspection was dated July 30, 2025 and received in my office by email on July 30, 2025. The most recent sanitation inspection was dated May 7, 2025 with a Superior classification and zero demerits. I verified that this facility completed the lead water testing required to be completed every three years. The most recent lead water test results were dated July 12, 2023. Today, I verified that those test results indicated that your facilities drinking water source was within the required limits. I verified that this facility completed the lead-based paint test, and those test results dated September 1, 2024 indicated this facility has not lead-based paint hazards. s testing. I verified this facility completed the asbestos test, and those test results indicated that this facility has no asbestos hazards. We completed a walk-through of the indoor and outdoor licensed spaces. One-year-old children were engaged in floor play with the teachers actively and positively interacting with the children. Two through five-year-old children were participating in free play in activity areas and outdoors with teachers actively interacting with the children. You stated you currently have no infant age children enrolled and Space 3B is currently temporarily closed due to no infant enrollment. I verified that your facility currently uses Creative Curriculum, 4th edition as the approved curriculum for a five-star facility serving children four and five years of age. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals were prepared in the kitchen and served in the classrooms. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of thirty-eight degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, outdoor safety inspections, transportation, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan. I reviewed staff record files and children’s records. I monitored health and safety requirements. I reviewed your written operational, administrative, and personnel policies and your parent participation plan at annual compliance visit on April 2, 2025. You stated the facility’s written policies and procedures had not changed. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. RATED LICENSE INFORMATION You initiated the rated license reassessment process by completing and submitting the “Application for Assessment for a Rated License for Centers” on 12/30/2025. RECEIVED, REVIEWED VERIFIED 1. Application for Assessment for a Rated License for Centers The “Application for Assessment for a Rated License for Centers” was received on 12/30/2025 on which you had indicated enhanced staff/child ratios and the names of the chosen curriculum. Today, I requested that you revise the application to meet the five-star requirements and to more accurately capture the name of the curriculum choice. You submitted the revised application document to me during today’s visit. 2. Staff/Child Ratio and Space On the application, you indicated that this facility would maintain “enhanced reduced staff/child ratio”. During today’s visit, I verified that enhanced reduced staff/child ratios were in place and being maintained. 3. QRIS Staff Information and Education Worksheet QRIS Staff Information and Education Worksheets were received on 12/30/2026. On 01/09/2026 and 03/09/2026, lead teacher education standards and other educator standards were verified at the five star level. 4. Family and Community Engagement Standards Child Care Centers On 12/30/2025, I received the Family and Community Engagement Standards Child Care document. During today’s visit, I verified that the five foundational practices were in place and being maintained. In addition to the foundational practices required to meet the family and community engagement standards (CC RULE .3209) at the two-star level, I verified today that this facility had chosen to maintain communication option one (C-1), engagement and leadership option three (EL-3), educational opportunity option one (EO-1) and educational opportunity option six (EO-6) as the four additional practices. Today, I was able to verify that the foundational practices and the additional practices were in place, and the facility was actively working to maintain these family and community engagement standards. 5. Facility Continuous Quality Improvement (CQI) Plan On 12/30/2025, I received the Facility CQI Plan dated 12/30/2025 and was able to verify today that this Facility CQI Plan was completed in 09/2025. During today’s visit, I received the Facility CQI Plan dated 03/10/2026 and was able to verify that this Facility CQI Plan was in place and was actively being implemented. 6. Continuous Quality Improvement (CQI) and Professional Development (PD) Plan Individual Today, I reviewed the Individual CQI/PD Plans for each of the nine staff members. I verified that each staff member had an Individual CQI/PD Plan in place and that the administrator and lead teachers had documented the training related to the chosen approved curriculums and formative assessment on their Individual CQI/PD Plan documents. 7. Approved Curriculum Today, I verified the facility currently uses Creative Curriculum for Infant, Toddlers, and Twos, 2nd Edition, and Creative Curriculum for Preschool, 4th Edition as the approved curriculum for the children birth to five years of age served at the facility. 8. Formative Assessment Review with Parents During today’s visit, you committed and I verified your plan to sharing the completed formative assessment with parents during scheduled parent/teacher conferences twice annually in September and again in March. 9. Coaching/training options for administrators Per child care rule .3205(f)(10) pertaining to coaching, mentoring, and training options for the administrator, the administrator should plan to participate in one of the following activities regarding classroom and instructional quality practices: (A) annual completion of five hours of coaching or mentoring by an administrator of another licensed child care center with a star-rating of five stars, or a community resource partner; (B) annual completion of five on-going training hours, in additional to applicable requirements in child care rule .1103 and child care rules .3211, .3212, .3213, .3214, .3215, .3216 and .3218; or (C) annual completion of 0.5 continuing education unit, in addition to applicable requirements in child care rule .1103 and child care rules .3211, .3212, .3213, .3214, .3215, .3216 and .3218. During today’s visit, I verified your plan to complete five additional on-going training hours annually as the administrator. Please be reminded that the administrator will have one year from the effective date of the new star rated license to complete the additional five on-going training hours. Please keep the certificates and documentation log for the five additional on-going training hours meant to satisfy child care rule 10A NCAC .3205(f)(10) separate from the on-going training hours meant to satisfy child care rule 10A NCAC 09 .1103. 10. Coaching/training options for lead teachers Per child care rule .3205(f)(11) pertaining to coaching, mentoring, and training options for the lead teacher, all lead teachers should plan to participate in one of the following activities regarding classroom and instructional quality practices: (A) annual completion of five hours of coaching or mentoring by the administrator, another lead teacher in the center, a lead teacher in another licensed child care center with a star-rating of five stars, an administrator of another licensed child care center with a star-rating of five stars, or a community resource partner; (B) annual completion of five on-going training hours, in addition to applicable requirements in child care rule .1103 and child care rules .3211, .3212, .3213, .3214, .3215, .3216 and .3218; or (C) annual completion of 0.5 continuing education unit, in addition to applicable requirements in child care rule .1103 and child care rules .3211, .3212, .3213, .3214, .3215, .3216 and .3218. During today’s visit, I verified your plan to have all the lead teachers complete five additional on-going hours annually. Please be reminded that the lead teachers will have one year from the effective date of the new star rated license to complete the additional five on-going training hours. Please keep the certificates and documentation log for the five additional on-going training hours meant to satisfy child care rule 10A NCAC .3205(f)(11) separate from the on-going training hours meant to satisfy child care rule 10A NCAC 09 .1103. OUTSTANDING RATED LICENSE DOCUMENTATION 1. Continuous Quality Improvement (CQI) and Professional Development (PD) Plan Individual Please add the required additional training option for administrators and lead teachers to the Individual CQI/PD Plan documents for each administrator and lead teacher. Please be reminded that administrators and lead teachers will have one year from the effective date on the new star rated license to complete the additional training requirement. 2. Approved Curriculum Please select an approved curriculum for the children ages kindergarten five years through twelve years of age. After you’ve selected the approved school-age curriculum, please send me documentation that I can use to verify that the school-age curriculum has been purchased, received, and is being used. 3. Training Related to the Approved Curriculum of choice Please have the administrator and lead teachers complete the training related to the chosen approved curriculum and submit the training certificates to me as soon as possible but no later than 09/01/2026. Once completed, the training completion certificates should be placed in each staff members staff record file to be verified at each monitoring visit. 4. Approved Formative Assessment Please select an approved formative assessment to be used with ages infant through five years. Once selected, please send me documentation that I can use to verify the approved formative assessment has been purchased, received, and is being used. 5. Training Related to the Approved Formative Assessment of choice Please have the administrator and lead teachers complete the training related to the chosen approved formative assessment and submit the training certificates to me as soon as possible but no later than 09/01/2026. Once completed, the training completion certificates should be placed in each staff members staff record file to be verified at each monitoring visit. The star rating of this facility will be determined once I receive the outstanding documentation mentioned above and am able to verify the remaining requirements for the “Classroom and Instructional Quality at the Five Star Level (Pathway 2)” have been met. The following violation was observed, cited, and corrected during today's visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted in September 2025 making the next emergency drill due during the month of December 2025. The next emergency drill was conducted in January 2026. .0604(u);.0302(d)(8) TECHNICAL ASSISTANCE 1. Per child care rules 10A NCAC 09.0604(u) and .0302(d)(8), emergency drills (shelter-in-place or lockdown drills) should be practiced every three months and recorded on the drill log. During today’s visit, I observed that an emergency drill was conducted in September 2025 making the next emergency drill due in three months during the month of December 2025. However, the next emergency drill was conducted in January 2026 resulting in a violation. Because the emergency drill was conducted prior to today’s visit, the violation is considered corrected during today’s visit. To maintain compliance with this child care requirement, I suggest you set a reminder on your phone to conduct a shelter-in-place or lockdown drill every three months and continue to record the drill on the emergency drill log. RATED LICENSE CONSULTATION: We encourage you to continue to visit the QRIS Modernization page on the DCDEE website at this link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. CONSULTATION: 1. Per NC General Statute 110-102, the current version of Summary of North Carolina Child Care Law should be posted in a prominent place in the facility and included in the enrollment packet to be given to parents prior to the child’s first day of attendance. The most current Summary of North Carolina Child Care Law was published in November 2025. Today, I observed the date of the posted Summary of North Carolina Child Care Law was dated February 2025. Please print the updated version, post it in your lobby, and add it to your new enrollment packets. I also suggest you regularly check the DCDEE website for updated versions and especially when you receive notification of child care or sanitation rule updates. 2. When and if you update your fire evacuation route, shelter-in-place, and/or lock-down drill plan, you need to have the fire department approve the your plan first BEFORE you put it in your EPR plan as an update. 3. If you purchase or change vehicles for transporting children, please request for the vehicle to be approved prior to using the new vehicle. A monitoring visit will be scheduled, and I’ll need to approve transportation and/or the new vehicle before you can use the vehicle. 4. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 5. Here are some important links on the DCEEE website that may be helpful: Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development QRIS Modernization Plan resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings Healthy Social Behaviors: https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/. Healthy Social Behaviors Helpline: Call at 1-704-376-6697 or toll free at 1-888-600-1685 Option 1 or email at sbrawley@childcareresourcesinc.org or jbyrd@childcareresources.org. Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New 6. Here is the link to the training calendar from the Children’s Resource Center: https://childrensresourcecenter.org/training-calendar/. 7. If you would like an electronic link to any of the links shared above, please send me an email requesting the links that you wish to receive, and I will be glad to send the hyperlinks to you by email. COMPLIANCE PLAN: Since violation item number 1811 was corrected during today’s visit and I documented in today’s visit summary the actions taken to make the correction, no compliance letter documentation is due after today’s visit. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. We appreciate all you and your staff do to serve the children and families in your community. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: QUALITY CARE CHILD DEVELOPMENT CENTER Facility ID: 18000584 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 37 Completed Date: 4/2/2025 Age: From 0 To 5 Total Minutes: 337 Time In: 09:05 AM Time Out: 12:00 PM Time In: 12:48 PM Time Out: 03:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Michelle O’Kelley, Administrator, assisted me with today’s visit. I conducted your last annual compliance visit on April 30, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to the facility phone number, email address, or mailing address. I reviewed your permit and the restrictions, capacity, and age range and observed these being maintained today. Angie's Kidsfirst CDC Inc., the corporation that owns your facility, was reviewed and listed as current-active on the NC Secretary of State website today. Your program’s compliance history was 93% as of today and was reviewed with you today. Your program currently operates with a five-star license, issued on September 20, 2023, earning five points in education, seven points in program standards, and one quality point for the child care administrator who has at least ten years of documented child care administrative work experience in a licensed program that can be verified by the Division. These rated license standards were monitored today and observed being maintained. Your last sanitation inspection was dated October 7, 2024 with a Superior classification and four demerits. I verified that the lead water testing required to be completed every three years was completed on July 12, 2023. Today, I verified that those test results indicated that your facilities drinking water source were within the required limits. I verified that your facility has no lead-based paint or asbestos hazards. Your last fire inspection was dated July 24, 2024 and was received in my office on July 25, 2024. You and I visited each licensed indoor space today. I observed children playing in activity areas and napping. Due to the rainy weather, I did not monitor the outdoor spaces today but will monitor them at the next monitoring visit. You stated and I verified that your facility uses Creative Curriculum as the approved curriculum for a 4-Star facility serving children who are four and five years of age. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Lunch was prepared in the kitchen and served in the classrooms. Today’s lunch included fish sticks, sweet peas, pears, wheat bread, and unflavored milk. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 38 degrees Fahrenheit. Infant bottles and infant food were stored in a small compact refrigerator in Space 3B (Infant Room) at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored program records, child record files, staff record files. I monitored health and safety requirements. I monitored the required written administrative, personnel, and operational policies and your parent participation plan during a routine unannounced visits on January 24, 2023 and December 3, 2024 and your last annual compliance visit on April 30, 2024. You stated no changes had been made to your written policies. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. The following violation was observed, cited, and corrected during today's visit: Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The emergency information form for one child who had been transported on a regular basis did not have a photograph attached. 10A NCAC 09 .1003(d) TECHNICAL ASSISTANCE: 1. Per child care rule. 10A NCAC 09 .1003(d), for each child transported, a photograph of the child should be attached to the child’s emergency information form. During today’s visit, the emergency information form for one child who had been transported on a regular basis did not have a photograph attached. The administrator printed a photograph of the child and stapled it to the emergency information form which corrected this violation today. To maintain compliance with this child care requirement, I suggested you review your transportation notebook at least weekly to be sure all information is kept up to date. CONSULTATION: 1. As discussed today, per child care rule .1003(I & j), when transporting children to off-premises activities, each parent should give written permission for the child to be transported and the written permission should include when and where the child is to be transported, the time of departure and arrival, and the transportation provider. While you have written permission to transport each school-age child, the permission form you are using does not include all the information as required by the child care rules. I suggested you use the transportation permission form found on the DCDEE website under Provider Documents which you printed during the visit and stated you would begin to gather from parents today. 2. As discussed today, since your facility requested and completed a voluntary rated license reassessment in September 2023, your facility is no longer under the rated license hold harmless provision. During a routine unannounced visit on December 3, 2024, I noticed some staff changes that could influence the five points required for the staff education component of your rated license. During that visit, I informed you that you had 120 days from the date a staff member was last employed to address and correct these staff qualification issues. I informed you that the 120-day deadline to address these staff qualification issues would be February 21, 2024. On December 3, 2024, you stated that your school-age group leader had resigned, and the last day of employment was November 22, 2024. You stated you had hired a new group leader for your school-age group. The new group leader had a high school diploma, no training, no further education, and no experience. You stated you planned to get this new group leader enrolled in BSAC training and have them complete the training within the required three months of assuming school-age care responsibilities. We also discussed that for your new group leader to earn five points in staff education, they would need to complete BSAC training and log at least 300 hours of experience caring for school-age children in a licensed program by February 21, 2024. Today, you shared documentation that the new group leader had completed BSAC training on February 4, 2025, and had logged at least 300 hours of experience caring for school-age children in your licensed program. Today, I observed this group leader had been evaluated by the Workforce Education Unit and approved as a Group Leader. On December 3, 2024, you stated that you had assigned the lead teacher from the two-year-old classroom to the lead teacher of the infant classroom, the lead teacher from the one-year-old classroom to the lead teacher of the two-year-old classroom, the teacher from the four-year and five-year-old classroom to the lead teacher of a the three-year-old classroom, and the lead teacher of the three-year-old classroom to the teacher of the infant classroom. At that time, these staff changes affected the required five points in staff education needed for the four teachers required to maintain the highest enhanced ratios in the infant, two-year-old, three-year-old, and four-year and five-year-old classrooms. After reviewing the education standards for these four teachers, I determined that to meet the 50% requirement at the five-point level, you needed one teacher to agree to take three semester hours credit in early childhood education to be completed by February 21, 2025, if possible. Today, I observed a teacher was required in addition to a lead teacher to maintain the highest enhanced ratios in the classroom for infants and one-year-old children and the classroom for four-year and five-year-old children. To meet the 50% requirement at the five-point level, you needed one teacher to complete three semester hours of credit in early childhood education by February 21, 2025. Today, you shared that the teacher assigned to the classroom for infants and one-year-old children had completed three semester hours of credit and the official transcript needed to be sent to WORKS for evaluation. After reviewing the education qualifications, I determined the administrator continues to earn five points, the lead teachers continue to earn seven points, the teachers continue to earn five points, and the group leader continues to earn seven points. The facility continues to maintain five points in staff education. 3. As stated in G.S. 110-90.2 & .2703(r), child care operators have five business days to notify the Division of any new child care providers working who were hired or moved into the child care facility. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. The compliance of this rule will be monitored during your next visit. No action is needed on your part if you have already completed the ABCMS Provider Portal training and are currently using the ABCMS Provider Portal to update information regarding new hires or FCCH residents. Be sure this information is updated in ABCMS on an ongoing basis as staff members are hired and terminated and as FCCH residents move in or reach sixteen years of age. If you are not already using the ABCMS Provider Portal to update information regarding new hires or FCCH residents, you will need both an Individual NCID and a Business NCID. You will need an email address for your Individual NCID and a different email address for your Business NCID account. Once you have created your Business NCID, complete the ABCMS Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given to you, you must verify your facility roster to ensure current staff or current FCCH residents are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated and as FCCH residents change or reach sixteen years of age. These actions satisfy the requirement to notify the Division within five business days of new child care providers working who were hired or moved into the child care facility. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 4. The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. 5. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 6. Here are some important links on the DCEEE website that may be helpful: Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New COMPLIANCE PLAN: Since the violation observed and cited during today’s visit was corrected during the visit, no letter of compliance documentation is required after this visit. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: QUALITY CARE CHILD DEVELOPMENT CENTER Facility ID: 18000584 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 37 Completed Date: 4/2/2025 Age: From 0 To 5 Total Minutes: 337 Time In: 09:05 AM Time Out: 12:00 PM Time In: 12:48 PM Time Out: 03:30 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Michelle O’Kelley, Administrator, assisted me with today’s visit. I conducted your last annual compliance visit on April 30, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to the facility phone number, email address, or mailing address. I reviewed your permit and the restrictions, capacity, and age range and observed these being maintained today. Angie's Kidsfirst CDC Inc., the corporation that owns your facility, was reviewed and listed as current-active on the NC Secretary of State website today. Your program’s compliance history was 93% as of today and was reviewed with you today. Your program currently operates with a five-star license, issued on September 20, 2023, earning five points in education, seven points in program standards, and one quality point for the child care administrator who has at least ten years of documented child care administrative work experience in a licensed program that can be verified by the Division. These rated license standards were monitored today and observed being maintained. Your last sanitation inspection was dated October 7, 2024 with a Superior classification and four demerits. I verified that the lead water testing required to be completed every three years was completed on July 12, 2023. Today, I verified that those test results indicated that your facilities drinking water source were within the required limits. I verified that your facility has no lead-based paint or asbestos hazards. Your last fire inspection was dated July 24, 2024 and was received in my office on July 25, 2024. You and I visited each licensed indoor space today. I observed children playing in activity areas and napping. Due to the rainy weather, I did not monitor the outdoor spaces today but will monitor them at the next monitoring visit. You stated and I verified that your facility uses Creative Curriculum as the approved curriculum for a 4-Star facility serving children who are four and five years of age. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Lunch was prepared in the kitchen and served in the classrooms. Today’s lunch included fish sticks, sweet peas, pears, wheat bread, and unflavored milk. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 38 degrees Fahrenheit. Infant bottles and infant food were stored in a small compact refrigerator in Space 3B (Infant Room) at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored program records, child record files, staff record files. I monitored health and safety requirements. I monitored the required written administrative, personnel, and operational policies and your parent participation plan during a routine unannounced visits on January 24, 2023 and December 3, 2024 and your last annual compliance visit on April 30, 2024. You stated no changes had been made to your written policies. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. The following violation was observed, cited, and corrected during today's visit: Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The emergency information form for one child who had been transported on a regular basis did not have a photograph attached. 10A NCAC 09 .1003(d) TECHNICAL ASSISTANCE: 1. Per child care rule. 10A NCAC 09 .1003(d), for each child transported, a photograph of the child should be attached to the child’s emergency information form. During today’s visit, the emergency information form for one child who had been transported on a regular basis did not have a photograph attached. The administrator printed a photograph of the child and stapled it to the emergency information form which corrected this violation today. To maintain compliance with this child care requirement, I suggested you review your transportation notebook at least weekly to be sure all information is kept up to date. CONSULTATION: 1. As discussed today, per child care rule .1003(I & j), when transporting children to off-premises activities, each parent should give written permission for the child to be transported and the written permission should include when and where the child is to be transported, the time of departure and arrival, and the transportation provider. While you have written permission to transport each school-age child, the permission form you are using does not include all the information as required by the child care rules. I suggested you use the transportation permission form found on the DCDEE website under Provider Documents which you printed during the visit and stated you would begin to gather from parents today. 2. As discussed today, since your facility requested and completed a voluntary rated license reassessment in September 2023, your facility is no longer under the rated license hold harmless provision. During a routine unannounced visit on December 3, 2024, I noticed some staff changes that could influence the five points required for the staff education component of your rated license. During that visit, I informed you that you had 120 days from the date a staff member was last employed to address and correct these staff qualification issues. I informed you that the 120-day deadline to address these staff qualification issues would be February 21, 2024. On December 3, 2024, you stated that your school-age group leader had resigned, and the last day of employment was November 22, 2024. You stated you had hired a new group leader for your school-age group. The new group leader had a high school diploma, no training, no further education, and no experience. You stated you planned to get this new group leader enrolled in BSAC training and have them complete the training within the required three months of assuming school-age care responsibilities. We also discussed that for your new group leader to earn five points in staff education, they would need to complete BSAC training and log at least 300 hours of experience caring for school-age children in a licensed program by February 21, 2024. Today, you shared documentation that the new group leader had completed BSAC training on February 4, 2025, and had logged at least 300 hours of experience caring for school-age children in your licensed program. Today, I observed this group leader had been evaluated by the Workforce Education Unit and approved as a Group Leader. On December 3, 2024, you stated that you had assigned the lead teacher from the two-year-old classroom to the lead teacher of the infant classroom, the lead teacher from the one-year-old classroom to the lead teacher of the two-year-old classroom, the teacher from the four-year and five-year-old classroom to the lead teacher of a the three-year-old classroom, and the lead teacher of the three-year-old classroom to the teacher of the infant classroom. At that time, these staff changes affected the required five points in staff education needed for the four teachers required to maintain the highest enhanced ratios in the infant, two-year-old, three-year-old, and four-year and five-year-old classrooms. After reviewing the education standards for these four teachers, I determined that to meet the 50% requirement at the five-point level, you needed one teacher to agree to take three semester hours credit in early childhood education to be completed by February 21, 2025, if possible. Today, I observed a teacher was required in addition to a lead teacher to maintain the highest enhanced ratios in the classroom for infants and one-year-old children and the classroom for four-year and five-year-old children. To meet the 50% requirement at the five-point level, you needed one teacher to complete three semester hours of credit in early childhood education by February 21, 2025. Today, you shared that the teacher assigned to the classroom for infants and one-year-old children had completed three semester hours of credit and the official transcript needed to be sent to WORKS for evaluation. After reviewing the education qualifications, I determined the administrator continues to earn five points, the lead teachers continue to earn seven points, the teachers continue to earn five points, and the group leader continues to earn seven points. The facility continues to maintain five points in staff education. 3. As stated in G.S. 110-90.2 & .2703(r), child care operators have five business days to notify the Division of any new child care providers working who were hired or moved into the child care facility. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. The compliance of this rule will be monitored during your next visit. No action is needed on your part if you have already completed the ABCMS Provider Portal training and are currently using the ABCMS Provider Portal to update information regarding new hires or FCCH residents. Be sure this information is updated in ABCMS on an ongoing basis as staff members are hired and terminated and as FCCH residents move in or reach sixteen years of age. If you are not already using the ABCMS Provider Portal to update information regarding new hires or FCCH residents, you will need both an Individual NCID and a Business NCID. You will need an email address for your Individual NCID and a different email address for your Business NCID account. Once you have created your Business NCID, complete the ABCMS Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given to you, you must verify your facility roster to ensure current staff or current FCCH residents are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated and as FCCH residents change or reach sixteen years of age. These actions satisfy the requirement to notify the Division within five business days of new child care providers working who were hired or moved into the child care facility. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 4. The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025 and after will be assessed using the ERS-3 versions. 5. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. 6. Here are some important links on the DCEEE website that may be helpful: Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New COMPLIANCE PLAN: Since the violation observed and cited during today’s visit was corrected during the visit, no letter of compliance documentation is required after this visit. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .0606 · Violation

Name of Operation: QUALITY CARE CHILD DEVELOPMENT CENTER Facility ID: 18000584 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 4/30/2024 Number Present: 47 Completed Date: 4/30/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 08:56 AM Time Out: 11:36 AM Time In: 12:25 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Michelle O’Kelley, Administrator, assisted me with today’s visit. I conducted your last annual compliance visit on June 7, 2023. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. You stated there has been no change with the corporation, Angie's KidsFirst CDC, Inc., that owns your facility. I reviewed the restrictions, capacity, and age range on your permit and observed these being maintained today. Your facility, owned by Angie's KidsFirst CDC, Inc., was reviewed and listed as current- active on the NC Secretary of State website on April 26, 2024. Your program’s compliance history was 94% as of April 26, 2024 and was reviewed with you today. Your program currently operates with a five-star license, issued on September 20, 2023, earning five points in staff education, seven points in program standards, and one quality point for the child care administrator having at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. These rated license standards were monitored today and observed being maintained. Your last sanitation inspection was dated January 16, 2024 with a Superior classification and zero demerits. Your last fire inspection was dated July 24, 2023 and was received in my office on July 24, 2023. You and I visited each licensed indoor space and outdoor space today. I observed students playing in activity areas and eating lunch. You stated and I verified that your facility uses Creative Curriculum, Fourth Edition as the approved curriculum for a 5-Star facility serving children who are four and five years of age. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Lunch was prepared in the kitchen and served in the classrooms. Today’s lunch included tuna salad, green peas, mandarin orange slices, whole wheat bread, and unflavored milk. Cold food and milk was stored in a commercial refrigerator in the kitchen at a temperature of 38 degrees Fahrenheit. Infant bottles were stored in a small compact refrigerator in Space 3B (Infant Room) at a temperature of 40 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored program records, child record files, staff record files. I monitored health and safety requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. The following violations were observed and cited during today's visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Multiple gaps exist between the fence and the ground and at the gates on Playgrounds 2, 3, and 4. These gaps are large enough (greater than 3 ½ inches and smaller than 9 inches) to create an entrapment issue for the children and/or allow small animals to enter your outdoor play area. Multiple broken fence links exist at the bottom of the exterior fence on Playground 2 designated for infant and toddler. G.S. 110-91(6); .0601(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 4, one emergency prescription medication was stored in a locked cabinet rather than unlocked and above five feet. 15A NCAC 18A .2820(d) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. The Safe Sleep policy parent acknowledgement statement for one child was missing the date of the parent signature. 10A NCAC 09 .0606(c) 1329 Application for enrollment did not include all required information. The child enrollment appllication for one child was missing information in the Health Care Needs section. .0801(a)(1-7) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Prevention of Shaken Baby and Abusive Head Trauma policy parent acknowledgement statement for one child was missing the date the policy was given and explained to the parent and the date of enrollment for the child. .0608(b)(1-6) TECHNICAL ASSISTANCE: 1. All equipment and materials in both the indoor and outdoor learning environments should be kept in good repair which includes the fence. During today’s visit, I observed multiple gaps between the fence and the ground and at the gates on Playgrounds 2, 3, and 4. These gaps are large enough (greater than 3 ½ inches and smaller than 9 inches) to create an entrapment issue for the children or allow small animals to enter your outdoor play area. You stated and I observed evidence that cats and other small woodland animals had entered your playground when children were not present. When gaps occur between the fence and the ground, the gap should be repaired as soon as possible. As a temporary solution to remain in compliance until the fence gaps can be repaired, you can close the playground with the gap issue and use the other playgrounds if applicable to your facility. To maintain compliance with this child care requirement, I suggested you plan to correct this issue along your entire exterior fence line around all four of your playground spaces. During today’s visit, I observed multiple broken fence links at the bottom of the exterior fence on Playground 2 designated for infant and toddler. These broken fence links were protruding to the inside of the playground. As a temporary solution to remain in compliance until the broken fence links can be repaired, you can close the playground and use the other playgrounds if applicable to your facility. To maintain compliance with this child care requirement, I suggested you have these areas with broken fence links repaired. If you choose to close a playground(s) until repairs can be made, you may need to create a playground schedule to ensure that age groupings are maintained as required while allowing each group their required amount of outdoor play time. 2. Emergency medications for chronic illnesses such as inhalers for asthma and epi-pens for allergies should be stored above five feet in an unlocked cabinet or location that’s easy for the staff member to get to quickly and not in locked storage. During today’s visit, you moved the emergency medication in Space 4 from the locked cabinet to the “Ready-to-Go” bag which was already stored above five feet on a shelf in the classroom making them inaccessible to the children but easily reached by staff. To maintain compliance with this sanitation requirement, I suggest you review this sanitation rule with your staff. 3. Each Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the parent should include the date the policy was given and explained to the parent and the child’s enrollment date. During today’s visit, you had added the date of the policy was given and explained to the parent and the date of the child’s enrollment. To maintain compliance with this child care requirement, I suggested you review the child enrollment forms carefully when receiving them from the parent and have the parent add any missing information before the child’s first day of attendance. 4. Each child’s application for enrollment should include a completed health care needs section with information provided by the parent. To maintain compliance this child care requirement, I suggest you have the parent write “NA” or “NONE” to indicate that no information needs to be shared. 5. Each Safe Sleep policy acknowledgement statement should be signed and dated by the parent. During today’s visit, you had the parent date their signature when they picked up their child. To maintain compliance with this child care requirement, I suggested you review the child enrollment forms carefully when receiving them from the parent and have the parent add any missing information before the child’s first day of attendance. CONSULTATION: 1. A health physical exam and copy of the immunization record are required to be in each child’s record file within 30 days of the child’s enrollment date. Acceptable forms of documentation for the health exam include the Children’s Medical Report form located on the DCDEE website or the kindergarten health assessment form. The information shared on a medical visit summary printed from a child’s wellness visit does not include all the information included on the Children’s Medical Report form found on DCDEE’s website and therefore, should no longer be accepted as documentation of the health physical exam. In addition, we have noticed that some doctor offices are using an outdated Children’s Medical Report from DCDEE. Be sure to include the current Children’s Medical Report document in your application packets. 2. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 3. Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. 4. The Change of Information form for CBC is listed in law. When a new staff member starts working at a facility and gives the administrator a CBC qualification letter that was previously completed while working at another facility, but is still current, the administrator must send a Change of Information form for that new staff member to the CBC unit. The Change of Information form can be found on DCDEE’s website under Provider Documents and Forms. 5. The Staff Health Assessment/Medical Report form should include the date of the assessment as the date the health exam was completed as well as the health care professional’s signature and date of signature. To maintain compliance with this child care requirement, I suggest you highlight the “date of the assessment” on the document so remind health care professionals that information is required in addition to their signature and date of signature. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than May 14, 2024. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Kimberly Crane Post Office Box 6217 Hickory, NC 28603 For your convenience, your compliance letter may be sent by email to: kimberly.crane@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: QUALITY CARE CHILD DEVELOPMENT CENTER Facility ID: 18000584 Consultant: KIMBERLY CRANE Operation Type: Center Case Number: Visit Date: 4/30/2024 Number Present: 47 Completed Date: 4/30/2024 Age: From 0 To 5 Total Minutes: 375 Time In: 08:56 AM Time Out: 11:36 AM Time In: 12:25 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Michelle O’Kelley, Administrator, assisted me with today’s visit. I conducted your last annual compliance visit on June 7, 2023. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. You stated there has been no change with the corporation, Angie's KidsFirst CDC, Inc., that owns your facility. I reviewed the restrictions, capacity, and age range on your permit and observed these being maintained today. Your facility, owned by Angie's KidsFirst CDC, Inc., was reviewed and listed as current- active on the NC Secretary of State website on April 26, 2024. Your program’s compliance history was 94% as of April 26, 2024 and was reviewed with you today. Your program currently operates with a five-star license, issued on September 20, 2023, earning five points in staff education, seven points in program standards, and one quality point for the child care administrator having at least 10 years of documented child care administrative work experience in a licensed program that can be verified by the Division. These rated license standards were monitored today and observed being maintained. Your last sanitation inspection was dated January 16, 2024 with a Superior classification and zero demerits. Your last fire inspection was dated July 24, 2023 and was received in my office on July 24, 2023. You and I visited each licensed indoor space and outdoor space today. I observed students playing in activity areas and eating lunch. You stated and I verified that your facility uses Creative Curriculum, Fourth Edition as the approved curriculum for a 5-Star facility serving children who are four and five years of age. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Lunch was prepared in the kitchen and served in the classrooms. Today’s lunch included tuna salad, green peas, mandarin orange slices, whole wheat bread, and unflavored milk. Cold food and milk was stored in a commercial refrigerator in the kitchen at a temperature of 38 degrees Fahrenheit. Infant bottles were stored in a small compact refrigerator in Space 3B (Infant Room) at a temperature of 40 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored program records, child record files, staff record files. I monitored health and safety requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. The following violations were observed and cited during today's visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Multiple gaps exist between the fence and the ground and at the gates on Playgrounds 2, 3, and 4. These gaps are large enough (greater than 3 ½ inches and smaller than 9 inches) to create an entrapment issue for the children and/or allow small animals to enter your outdoor play area. Multiple broken fence links exist at the bottom of the exterior fence on Playground 2 designated for infant and toddler. G.S. 110-91(6); .0601(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 4, one emergency prescription medication was stored in a locked cabinet rather than unlocked and above five feet. 15A NCAC 18A .2820(d) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. The Safe Sleep policy parent acknowledgement statement for one child was missing the date of the parent signature. 10A NCAC 09 .0606(c) 1329 Application for enrollment did not include all required information. The child enrollment appllication for one child was missing information in the Health Care Needs section. .0801(a)(1-7) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The Prevention of Shaken Baby and Abusive Head Trauma policy parent acknowledgement statement for one child was missing the date the policy was given and explained to the parent and the date of enrollment for the child. .0608(b)(1-6) TECHNICAL ASSISTANCE: 1. All equipment and materials in both the indoor and outdoor learning environments should be kept in good repair which includes the fence. During today’s visit, I observed multiple gaps between the fence and the ground and at the gates on Playgrounds 2, 3, and 4. These gaps are large enough (greater than 3 ½ inches and smaller than 9 inches) to create an entrapment issue for the children or allow small animals to enter your outdoor play area. You stated and I observed evidence that cats and other small woodland animals had entered your playground when children were not present. When gaps occur between the fence and the ground, the gap should be repaired as soon as possible. As a temporary solution to remain in compliance until the fence gaps can be repaired, you can close the playground with the gap issue and use the other playgrounds if applicable to your facility. To maintain compliance with this child care requirement, I suggested you plan to correct this issue along your entire exterior fence line around all four of your playground spaces. During today’s visit, I observed multiple broken fence links at the bottom of the exterior fence on Playground 2 designated for infant and toddler. These broken fence links were protruding to the inside of the playground. As a temporary solution to remain in compliance until the broken fence links can be repaired, you can close the playground and use the other playgrounds if applicable to your facility. To maintain compliance with this child care requirement, I suggested you have these areas with broken fence links repaired. If you choose to close a playground(s) until repairs can be made, you may need to create a playground schedule to ensure that age groupings are maintained as required while allowing each group their required amount of outdoor play time. 2. Emergency medications for chronic illnesses such as inhalers for asthma and epi-pens for allergies should be stored above five feet in an unlocked cabinet or location that’s easy for the staff member to get to quickly and not in locked storage. During today’s visit, you moved the emergency medication in Space 4 from the locked cabinet to the “Ready-to-Go” bag which was already stored above five feet on a shelf in the classroom making them inaccessible to the children but easily reached by staff. To maintain compliance with this sanitation requirement, I suggest you review this sanitation rule with your staff. 3. Each Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the parent should include the date the policy was given and explained to the parent and the child’s enrollment date. During today’s visit, you had added the date of the policy was given and explained to the parent and the date of the child’s enrollment. To maintain compliance with this child care requirement, I suggested you review the child enrollment forms carefully when receiving them from the parent and have the parent add any missing information before the child’s first day of attendance. 4. Each child’s application for enrollment should include a completed health care needs section with information provided by the parent. To maintain compliance this child care requirement, I suggest you have the parent write “NA” or “NONE” to indicate that no information needs to be shared. 5. Each Safe Sleep policy acknowledgement statement should be signed and dated by the parent. During today’s visit, you had the parent date their signature when they picked up their child. To maintain compliance with this child care requirement, I suggested you review the child enrollment forms carefully when receiving them from the parent and have the parent add any missing information before the child’s first day of attendance. CONSULTATION: 1. A health physical exam and copy of the immunization record are required to be in each child’s record file within 30 days of the child’s enrollment date. Acceptable forms of documentation for the health exam include the Children’s Medical Report form located on the DCDEE website or the kindergarten health assessment form. The information shared on a medical visit summary printed from a child’s wellness visit does not include all the information included on the Children’s Medical Report form found on DCDEE’s website and therefore, should no longer be accepted as documentation of the health physical exam. In addition, we have noticed that some doctor offices are using an outdated Children’s Medical Report from DCDEE. Be sure to include the current Children’s Medical Report document in your application packets. 2. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 3. Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. 4. The Change of Information form for CBC is listed in law. When a new staff member starts working at a facility and gives the administrator a CBC qualification letter that was previously completed while working at another facility, but is still current, the administrator must send a Change of Information form for that new staff member to the CBC unit. The Change of Information form can be found on DCDEE’s website under Provider Documents and Forms. 5. The Staff Health Assessment/Medical Report form should include the date of the assessment as the date the health exam was completed as well as the health care professional’s signature and date of signature. To maintain compliance with this child care requirement, I suggest you highlight the “date of the assessment” on the document so remind health care professionals that information is required in addition to their signature and date of signature. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than May 14, 2024. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Kimberly Crane Post Office Box 6217 Hickory, NC 28603 For your convenience, your compliance letter may be sent by email to: kimberly.crane@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (828) 493-6390 or by email at kimberly.crane@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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