Knee High Preschool

10A NCAC 09 .0701 · Violation

Name of Operation: Knee High Preschool Facility ID: 68000586 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 5/20/2026 Number Present: 97 Completed Date: 5/20/2026 Age: From 0 To 5 Total Minutes: 278 Time In: 09:37 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced annual compliance with rated license visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Rebecca Kelley, Office Assistant and Simone Jeffers, Director. Your program currently operates with a Three Star license. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on May 19, 2026, and Knee High Preschool LLC was listed as current and active. The program’s compliance history was 94% prior to today’s visit. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children during free play, group time, and lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on June 19, 2025. A sanitation inspection was completed April 21, 2026, with a Superior classification. The last fire inspection was conducted on July 10, 2025. Program records and required postings were monitored. A fire drill was conducted on April 8, 2026. A shelter in place drill was documented on March 18, 2026. An outdoor inspection was documented on May 15, 2026. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. During today’s visit, I observed first aid kits and fire extinguishers on the vehicle. I monitored two vehicles today. I observed a 2013 Chevrolet Express Van, Tag #KNEEHI1 and a 2019 Thomas Built Bus, Tag#KNEEHIGH. These vehicles were clean, and in good repair, the vehicles had adequate tire tread and were current on inspection and insurance. Your next inspection date on this van is due June 30, 2026, and the bus is due November 30, 2026 and the insurance is valid through May 1, 2027. The following violations were cited during today’s visit: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member's medical was older than one year prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's tb test was older than 1 year prior to employment. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Four staff members first aid expired. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Four staff members cpr has expired. .1102(d) You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before June 3, 2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to turkessha.casterlow@dhhs.nc.gov. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • Having up-to-date CPR and first aid training is critical in childcare because it equips providers to respond instantly to life-threatening emergencies like choking, drowning, or cardiac arrest. Quick, specialized action bridges the gap until professional medical help arrives, ultimately increasing survival rates and preventing long-term complications. • Updated medical and tuberculosis (TB) clearances are required prior to a child care employee's first day to ensure they are physically and emotionally fit to care for children and to mitigate the risk of spreading severe, airborne communicable diseases in high-density, close-contact environments. Medical and tb test must not be older than one year from the first day of employment. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • We also discussed QRIS requirements for Pathway 2. The administrative team has determined that Pathway 2 is the most appropriate option for the center. Within the next 30 days, please notify me with: • Your Continuous Quality Improvement (CQI) plans progress • Family and community engagement practices progress and implementation Additionally, please email a list of all staff, including their positions and dates of birth. The following topics were discussed: • Enhanced ratios, which the center is currently meeting • Education requirements in staff education • Family and community engagement, including a review of available options • Development of a facility-wide CQI plan • Development of individual staff CQI plans • Continued use of the Creative Curriculum for all classrooms At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: Knee High Preschool Facility ID: 68000586 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 11/18/2025 Number Present: 88 Completed Date: 11/18/2025 Age: From 0 To 5 Total Minutes: 255 Time In: 10:45 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced A routine unannounced visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Simone Jeffers, Director. Your program currently operates with a Three Star license. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on November 18, 2025, and Knee High Preschool, LLC was listed as current and active. The program’s compliance history was 91% prior to today’s visit. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health Administering Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation A walk-through of the facility was completed today. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children during personal care routines, lunch, and rest time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on June 19, 2025. A sanitation inspection was completed on November 5, 2025, with a Superior classification. The last fire inspection was conducted on July 10, 2025. Program records and required postings were monitored. A fire drill was conducted on October 31, 2025. A shelter in place drill was documented on October 3, 2025. An outdoor inspection was documented on October 1, 2025. Four new staff member was reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do provide transportation when necessary. There is a 2019 Thomas Built Bus, Tag #KNEEHIGH. The vehicle is current on inspection and insurance. Your next inspection date on this vehicle is due November 2026, and the insurance is valid through May 1, 2026. The following violations were cited during today’s visit: Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. Two children were on table food and their feeding schedules had not been updated. 10 NCAC 09 .0902(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff members did not have medical reports prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff members tb was expired prior to employment. Two staff members did not have a tb test for review. .0701(a) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 2, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. You may email the letter to turkessha.casterlow@dhhs.nc.gov. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Keeping infant feeding schedules up-to-date in childcare is crucial for healthy development, ensuring individualized nourishment, building trust with parents, and supporting cognitive growth. Centers must align with parent-established routines, which are developed with pediatricians, to meet each baby's specific needs for growth and energy, especially since infants have unique feeding rhythms and may show hunger cues at different times. • Staff should have a TB and medical clearance before working in child care to prevent the spread of infectious diseases to vulnerable children. TB testing is crucial because children are at higher risk of infection and severe illness, and close contact in daycares creates a perfect environment for transmission. Medical clearance ensures staff are physically and emotionally fit for the job and are up to date on other essential immunizations, as required by state law or facility policy. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Preparing for North Carolina’s New QRIS System North Carolina’s Quality Rating Improvement System (QRIS) is being modernized to provide more flexible and equitable ways for programs to demonstrate quality. Beginning later this year, providers will be able to choose from three star-rating pathways: Program Assessment, Classroom & Instructional Quality Accreditation. This new approach allows programs to align their strengths with the pathway that best fits their operations. Now is the time to prepare. Programs should begin evaluating staff qualifications including updating staff education in NC Works, curriculum, and classroom interactions to determine the most suitable pathway. Updates to staff qualification standards and assessment tools are expected, and while current star ratings remain valid for now, all new ratings will be issued under the revised QRIS system. Your program’s quality should reflect not only compliance, but also a strong commitment to best practices, child development, and continuous improvement. Providers are encouraged to take advantage of available technical assistance and training opportunities. Please visit the DCDEE website at https://ncchildcare.ncdhhs.gov/, click on What’s New then select QRIS Modernization from the drop-down list. Review the Pathways and start thinking about which pathway you would like to choose to earn your 2-5 Star license. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Knee High Preschool Facility ID: 68000586 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 11/18/2025 Number Present: 88 Completed Date: 11/18/2025 Age: From 0 To 5 Total Minutes: 255 Time In: 10:45 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced A routine unannounced visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Simone Jeffers, Director. Your program currently operates with a Three Star license. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on November 18, 2025, and Knee High Preschool, LLC was listed as current and active. The program’s compliance history was 91% prior to today’s visit. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health Administering Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation A walk-through of the facility was completed today. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children during personal care routines, lunch, and rest time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on June 19, 2025. A sanitation inspection was completed on November 5, 2025, with a Superior classification. The last fire inspection was conducted on July 10, 2025. Program records and required postings were monitored. A fire drill was conducted on October 31, 2025. A shelter in place drill was documented on October 3, 2025. An outdoor inspection was documented on October 1, 2025. Four new staff member was reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do provide transportation when necessary. There is a 2019 Thomas Built Bus, Tag #KNEEHIGH. The vehicle is current on inspection and insurance. Your next inspection date on this vehicle is due November 2026, and the insurance is valid through May 1, 2026. The following violations were cited during today’s visit: Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. Two children were on table food and their feeding schedules had not been updated. 10 NCAC 09 .0902(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff members did not have medical reports prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff members tb was expired prior to employment. Two staff members did not have a tb test for review. .0701(a) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 2, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. You may email the letter to turkessha.casterlow@dhhs.nc.gov. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • Keeping infant feeding schedules up-to-date in childcare is crucial for healthy development, ensuring individualized nourishment, building trust with parents, and supporting cognitive growth. Centers must align with parent-established routines, which are developed with pediatricians, to meet each baby's specific needs for growth and energy, especially since infants have unique feeding rhythms and may show hunger cues at different times. • Staff should have a TB and medical clearance before working in child care to prevent the spread of infectious diseases to vulnerable children. TB testing is crucial because children are at higher risk of infection and severe illness, and close contact in daycares creates a perfect environment for transmission. Medical clearance ensures staff are physically and emotionally fit for the job and are up to date on other essential immunizations, as required by state law or facility policy. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Preparing for North Carolina’s New QRIS System North Carolina’s Quality Rating Improvement System (QRIS) is being modernized to provide more flexible and equitable ways for programs to demonstrate quality. Beginning later this year, providers will be able to choose from three star-rating pathways: Program Assessment, Classroom & Instructional Quality Accreditation. This new approach allows programs to align their strengths with the pathway that best fits their operations. Now is the time to prepare. Programs should begin evaluating staff qualifications including updating staff education in NC Works, curriculum, and classroom interactions to determine the most suitable pathway. Updates to staff qualification standards and assessment tools are expected, and while current star ratings remain valid for now, all new ratings will be issued under the revised QRIS system. Your program’s quality should reflect not only compliance, but also a strong commitment to best practices, child development, and continuous improvement. Providers are encouraged to take advantage of available technical assistance and training opportunities. Please visit the DCDEE website at https://ncchildcare.ncdhhs.gov/, click on What’s New then select QRIS Modernization from the drop-down list. Review the Pathways and start thinking about which pathway you would like to choose to earn your 2-5 Star license. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: Knee High Preschool Facility ID: 68000586 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 6/19/2025 Number Present: 73 Completed Date: 6/19/2025 Age: From 0 To 5 Total Minutes: 340 Time In: 09:35 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Jennifer Gomez, Director. Your program currently operates with a Three Star license. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on June 16, 2025, and Knee High Preschool LLC was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing in their outdoor learning environment, group time and free play. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on July 11, 2024. A sanitation inspection was completed June 11, 2025, with a Superior classification. The last fire inspection was conducted on November 6, 2024. Program records and required postings were monitored. A fire drill was conducted on June 10, 2025. A shelter in place drill was documented on April 29, 2025. An outdoor inspection was documented on June 13, 2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do not currently provide transportation. You did state that you have no trips scheduled during the summer as of now. I did monitor the vehicles just in case this changes. During today’s visit, I observed first aid kits and fire extinguishers on the vehicle. I monitored two vehicles today. I observed a 2013 Chevrolet Express Van, Tag #KNEEHI1 and a 2019 Thomas Built Bus, Tag#KNEEHIGH. These vehicles were clean, and in good repair, the vehicles had adequate tire tread and were current on inspection and insurance. Your next inspection date on this van is due June 30, 2025, and the bus is due November 30, 2025. and the insurance is valid through May 1, 2026. The following violations were cited during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Outlet in Space 2 did not have an outlet cover. Administrator brought a cover from the office to correct. 10A NCAC 09 .0604(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Aquaphor stick medication administration form expired on June 6, 2025. The medicine was still in the classroom. The administrator removed the medicine from the classroom. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic bags were within reach of the children in Space 2. .0604(q) 1314 Emergency information did not name child's health care professional. Seven files were missing completed health professional information. .0802(c)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The last updated EPR Plan was dated November 2, 2023. There have been changes to the plan since that date. .0607(e) You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before July 3, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to turkessha.casterlow@dhhs.nc.gov. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • It is important to make sure your Emergency Preparedness Plan is updated. These plans provide clear evacuation routes and safety protocols, empowering teams to respond swiftly and efficiently. Regular updates ensure that everyone is prepared, minimizing damage and safeguarding lives. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Please check for the upcoming CPR/First Aid expirations for the following staff: S. Burns, M. Lopez, A. Blackwell, and R. Kelley. • L. King’s CBC will expire on July 6, 2025. You can begin this process up to six months before the expiration date. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: Knee High Preschool Facility ID: 68000586 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 4/14/2025 Number Present: 96 Completed Date: 4/14/2025 Age: From 0 To 5 Total Minutes: 218 Time In: 10:15 AM Time Out: 01:53 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Jennifer Gomez, Director. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children participating in free play, infant care routines, and lunch. Nine new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items were monitored today. A playground inspection was recorded on March 13, 2025. A fire drill was recorded March 13, 2025. A lock down drill for the facility was recorded January 1, 2025. The most recent fire inspection was on November 6, 2024. I observed a sanitation inspection was last conducted on November 26, 2024 earning a Superior classification. You stated that you do provide transportation for scheduled field trips. During today’s visit, I observed first aid kits and fire extinguishers on the vehicle. All vehicles were in good repair, had accurate tire thread, and working seatbelts. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu was not changed prior to lunch service. The fruit on the menu was listed as pears. The children received apricots. 10A NCAC 09 .0901(b) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before April 28, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. You may email the letter to turkessha.casterlow@dhhs.nc.gov or mail two copies of the letter to: Turkessha Casterlow P.O. Box 16141 Greensboro, NC 27416 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Knee High Preschool Facility ID: 68000586 Consultant: TURKESSHA CASTERLOW Operation Type: Center Case Number: Visit Date: 4/14/2025 Number Present: 96 Completed Date: 4/14/2025 Age: From 0 To 5 Total Minutes: 218 Time In: 10:15 AM Time Out: 01:53 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Turkessha Casterlow, Childcare Consultant with Jennifer Gomez, Director. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children participating in free play, infant care routines, and lunch. Nine new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items were monitored today. A playground inspection was recorded on March 13, 2025. A fire drill was recorded March 13, 2025. A lock down drill for the facility was recorded January 1, 2025. The most recent fire inspection was on November 6, 2024. I observed a sanitation inspection was last conducted on November 26, 2024 earning a Superior classification. You stated that you do provide transportation for scheduled field trips. During today’s visit, I observed first aid kits and fire extinguishers on the vehicle. All vehicles were in good repair, had accurate tire thread, and working seatbelts. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu was not changed prior to lunch service. The fruit on the menu was listed as pears. The children received apricots. 10A NCAC 09 .0901(b) Child Care programs are expected to always achieve and maintain compliance and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before April 28, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. You may email the letter to turkessha.casterlow@dhhs.nc.gov or mail two copies of the letter to: Turkessha Casterlow P.O. Box 16141 Greensboro, NC 27416 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336) 268-0089 turkessha.casterlow@dhhs.nc.gov Kaye Adkins, Supervisor kaye.adkins@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Knee High Preschool Facility ID: 68000586 Consultant: BOON TROTT Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 76 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during an Annual Compliance Visit. This program is operating with a three-star rated license issued on 1/22/2024, meeting enhanced ratios and space. The program operated with a Notice of Compliance until 7/21/2023. Upon arrival, I was invited in by the assistant director, Janet Lopez. She informed me the director, Jennifer Gomez, was on a maternity leave. The operator completed the last fire inspection on 8/11/2023 and the last sanitation inspection on 4/22/2024 with superior rating. Ms. Lopez escorted me as I completed a walkthrough of the indoor and outdoor learning environment. I observed the children having a group time, playing with the toys and materials accessible to them, coming inside from the playground, making an art project, eating lunch, and resting. Ms. Lopez stated that the program is not transporting any children at this time but plans to take them on field trips in the near future. I monitored transportation requirements and found them to be in compliance. I observed the following violations today. I reviewed the item with Ms. Lopez and provided technical assistance. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There were some woodchips but not enough to provide resilient surfacing of 6 inches in depth, extending 6 feet around the play equipment that's over 18 inches high. Most areas were very compacted with some loose woodchips at the top. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. There was no written authorization for Butt Paste for one child. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. A child's written authorization for Zofran and Electrolyte have expired in 2023. 10A NCAC 09 .0803(1)(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The center's safe sleep policy was not posted in the infant room. This was corrected when I brought it to the administrator's attention. .0606(b) The above violations must be corrected immediately. I must receive a compliance statement/ letter by email or mail by 7/25/2024. In the letter, include the following information: 1. Your facility ID# and Name 2. Visit date 3. Violation item number(s) 4. How and when the violation was corrected (Be specific) 5. Your signature/name and position My email address is boon.trott@dhhs.nc.gov, and the mailing address is PO Box 1374, Mebane, NC 27302. Technical Assistance >Medication: When a parent brings medication without written permission, send it back until she/he brings the permission form. Review the permission form and track the expiration date and the rest of the information. Review Child Care Rule #803. >Transportation: Before you begin transporting any children, review Child Care Rule #1002- 1005. The authorization form to transport is available on the Division’s website, https://ncchildcare.ncdhhs.gov/. >Activities for children: Since there are different child care requirements for a rated license facility, I talked to Ms. Lopez regarding the activity areas and the activities and materials for children, especially for infants. Review Child Care Rule #510 for details. >Outdoor safety: For equipment 18 inches tall or higher, 6 inches of resilient surfacing material should be maintained. Till or fluff the surfacing material regularly to prevent from compacting. Review Child Care Rule 605, Outdoor Play Areas and Equipment. Reminder >Infant care: Reach out to fire, building, and sanitation inspectors to start the process to have a room approved for infant care. I’d need a document showing the room meets the requirements from each inspectors. >One of the new employees, C.W. has until 8/7/2024 to complete the First Aid and CPR Training successfully. >K.T. needs to register and complete the remaining 5 hours of on-going training immediately. Other Information Weighted blankets or vests: 1.Blankets of any type are prohibited for children aged 0 to 12 months, per .0606(a)(2) Safe Sleep Policy. The current child care rules specifically state no blankets or other items can be used/placed with a sleeping infant aged 12 months or younger. 2.Weighted blankets or vests can potentially restrict a child’s movement; therefore, they are prohibited for use unless a therapist requests and approves the use. A therapist can only approve the use for children 13 months or older. 3.If the use of a weighted blanket or vest is something a facility wants to consider using, you’d need to contact me prior to use to ensure compliance with applicable requirements. I provided Ms. Lopez with an opportunity to ask questions regarding today’s visit and interpretation and the implementation of childcare requirements applicable to the facility. If you have any questions or concerns, you may reach me at 336-706-2871 or email me at boon.trott@dhhs.nc.gov. My mailing address is P.O. Box 1374, Mebane, NC 27302. The contact information for my supervisor, Kaye Adkins, is 336-580-2527 or kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Knee High Preschool Facility ID: 68000586 Consultant: BOON TROTT Operation Type: Center Case Number: Visit Date: 7/11/2024 Number Present: 76 Completed Date: 7/11/2024 Age: From 0 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during an Annual Compliance Visit. This program is operating with a three-star rated license issued on 1/22/2024, meeting enhanced ratios and space. The program operated with a Notice of Compliance until 7/21/2023. Upon arrival, I was invited in by the assistant director, Janet Lopez. She informed me the director, Jennifer Gomez, was on a maternity leave. The operator completed the last fire inspection on 8/11/2023 and the last sanitation inspection on 4/22/2024 with superior rating. Ms. Lopez escorted me as I completed a walkthrough of the indoor and outdoor learning environment. I observed the children having a group time, playing with the toys and materials accessible to them, coming inside from the playground, making an art project, eating lunch, and resting. Ms. Lopez stated that the program is not transporting any children at this time but plans to take them on field trips in the near future. I monitored transportation requirements and found them to be in compliance. I observed the following violations today. I reviewed the item with Ms. Lopez and provided technical assistance. Violation Number Comment Rule 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. There were some woodchips but not enough to provide resilient surfacing of 6 inches in depth, extending 6 feet around the play equipment that's over 18 inches high. Most areas were very compacted with some loose woodchips at the top. .0605(j) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. There was no written authorization for Butt Paste for one child. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. A child's written authorization for Zofran and Electrolyte have expired in 2023. 10A NCAC 09 .0803(1)(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The center's safe sleep policy was not posted in the infant room. This was corrected when I brought it to the administrator's attention. .0606(b) The above violations must be corrected immediately. I must receive a compliance statement/ letter by email or mail by 7/25/2024. In the letter, include the following information: 1. Your facility ID# and Name 2. Visit date 3. Violation item number(s) 4. How and when the violation was corrected (Be specific) 5. Your signature/name and position My email address is boon.trott@dhhs.nc.gov, and the mailing address is PO Box 1374, Mebane, NC 27302. Technical Assistance >Medication: When a parent brings medication without written permission, send it back until she/he brings the permission form. Review the permission form and track the expiration date and the rest of the information. Review Child Care Rule #803. >Transportation: Before you begin transporting any children, review Child Care Rule #1002- 1005. The authorization form to transport is available on the Division’s website, https://ncchildcare.ncdhhs.gov/. >Activities for children: Since there are different child care requirements for a rated license facility, I talked to Ms. Lopez regarding the activity areas and the activities and materials for children, especially for infants. Review Child Care Rule #510 for details. >Outdoor safety: For equipment 18 inches tall or higher, 6 inches of resilient surfacing material should be maintained. Till or fluff the surfacing material regularly to prevent from compacting. Review Child Care Rule 605, Outdoor Play Areas and Equipment. Reminder >Infant care: Reach out to fire, building, and sanitation inspectors to start the process to have a room approved for infant care. I’d need a document showing the room meets the requirements from each inspectors. >One of the new employees, C.W. has until 8/7/2024 to complete the First Aid and CPR Training successfully. >K.T. needs to register and complete the remaining 5 hours of on-going training immediately. Other Information Weighted blankets or vests: 1.Blankets of any type are prohibited for children aged 0 to 12 months, per .0606(a)(2) Safe Sleep Policy. The current child care rules specifically state no blankets or other items can be used/placed with a sleeping infant aged 12 months or younger. 2.Weighted blankets or vests can potentially restrict a child’s movement; therefore, they are prohibited for use unless a therapist requests and approves the use. A therapist can only approve the use for children 13 months or older. 3.If the use of a weighted blanket or vest is something a facility wants to consider using, you’d need to contact me prior to use to ensure compliance with applicable requirements. I provided Ms. Lopez with an opportunity to ask questions regarding today’s visit and interpretation and the implementation of childcare requirements applicable to the facility. If you have any questions or concerns, you may reach me at 336-706-2871 or email me at boon.trott@dhhs.nc.gov. My mailing address is P.O. Box 1374, Mebane, NC 27302. The contact information for my supervisor, Kaye Adkins, is 336-580-2527 or kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: Knee High Preschool Facility ID: 68000586 Consultant: BOON TROTT Operation Type: Center Case Number: 0324-018L Visit Date: 3/6/2024 Number Present: 0 Completed Date: 3/6/2024 Age: From 0 To 0 Total Minutes: 135 Time In: 08:55 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements pertinent to a complaint visit. Limited monitoring was conducted today. I informed the administrator Jennifer Gomez, of the purpose of my visit. Caroline Sykes child care consultant accompanied me today. The allegation is as follows: There are concerns regarding a developmentally appropriate environment and supervision. I observed a group of children having a group time in the “square” and playing with the toys and materials in the classrooms. The following violations were cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. "A child was left outside the classroom alone unsuppervised until a staff member found the child and took her back to the Chilld's classroom." .1801(a)(1-5) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. "A four year old child was left outside the classroom alone and crying. When a staff member found her, the child was upset and had to be calmed" G.S. 110-91(10) The above violations must be corrected immediately. I must receive a compliance statement/ letter by email or mail by 3/20/2024. In the letter, include the following information: 1. Your facility ID# and Name 2. Visit date 3. Violation item number(s) 4. How and when the violation was corrected (Be specific) 5. Your signature/name and position My email address is boon.trott@dhhs.nc.gov, and the mailing address is PO Box 1374, Mebane, NC 27302. Findings I spoke with 5 staff members and 2 administrators. Four staff members told me they were not aware and did not hear anything regarding the incident. One staff member told me she saw a child, maybe 4, a few months ago sitting outside the classroom near the “square” alone and crying. She stated another staff member happened to walk by, helped her calm the child, and take the child back to the classroom. The day of the incident, the staff member who found the child alone told me there was a floater working in the room. The floater was not present today. The administrators told me they did not see any child being left alone in the child care building and that no one reported such incident to them. There was video monitoring of all child care spaces occurring daily. However, it only records about a week’s recording at a time. Based on my observation and the information gathered: 1.I find the allegation regarding the violation of developmentally appropriate environment substantiated. 2.I find the allegation regarding the violation of supervision substantiated. Technical Assistance 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Part of GS 110-91 (10) states that Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. At the completion of the visit, I reviewed the visit with Ms. Gomez and provided an opportunity to ask questions regarding the interpretation and implementation of child care requirements. If you have any questions or concerns, you may reach me at 336-706-2871 or email me at boon.trott@dhhs.nc.gov. My mailing address is P.O. Box 1374, Mebane, NC 27302. 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: Knee High Preschool Facility ID: 68000586 Consultant: BOON TROTT Operation Type: Center Case Number: 0324-018L Visit Date: 3/6/2024 Number Present: 0 Completed Date: 3/6/2024 Age: From 0 To 0 Total Minutes: 135 Time In: 08:55 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements pertinent to a complaint visit. Limited monitoring was conducted today. I informed the administrator Jennifer Gomez, of the purpose of my visit. Caroline Sykes child care consultant accompanied me today. The allegation is as follows: There are concerns regarding a developmentally appropriate environment and supervision. I observed a group of children having a group time in the “square” and playing with the toys and materials in the classrooms. The following violations were cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. "A child was left outside the classroom alone unsuppervised until a staff member found the child and took her back to the Chilld's classroom." .1801(a)(1-5) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. "A four year old child was left outside the classroom alone and crying. When a staff member found her, the child was upset and had to be calmed" G.S. 110-91(10) The above violations must be corrected immediately. I must receive a compliance statement/ letter by email or mail by 3/20/2024. In the letter, include the following information: 1. Your facility ID# and Name 2. Visit date 3. Violation item number(s) 4. How and when the violation was corrected (Be specific) 5. Your signature/name and position My email address is boon.trott@dhhs.nc.gov, and the mailing address is PO Box 1374, Mebane, NC 27302. Findings I spoke with 5 staff members and 2 administrators. Four staff members told me they were not aware and did not hear anything regarding the incident. One staff member told me she saw a child, maybe 4, a few months ago sitting outside the classroom near the “square” alone and crying. She stated another staff member happened to walk by, helped her calm the child, and take the child back to the classroom. The day of the incident, the staff member who found the child alone told me there was a floater working in the room. The floater was not present today. The administrators told me they did not see any child being left alone in the child care building and that no one reported such incident to them. There was video monitoring of all child care spaces occurring daily. However, it only records about a week’s recording at a time. Based on my observation and the information gathered: 1.I find the allegation regarding the violation of developmentally appropriate environment substantiated. 2.I find the allegation regarding the violation of supervision substantiated. Technical Assistance 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Part of GS 110-91 (10) states that Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. At the completion of the visit, I reviewed the visit with Ms. Gomez and provided an opportunity to ask questions regarding the interpretation and implementation of child care requirements. If you have any questions or concerns, you may reach me at 336-706-2871 or email me at boon.trott@dhhs.nc.gov. My mailing address is P.O. Box 1374, Mebane, NC 27302. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Knee High Preschool Facility ID: 68000586 Consultant: BOON TROTT Operation Type: Center Case Number: 0324-018L Visit Date: 3/6/2024 Number Present: 0 Completed Date: 3/6/2024 Age: From 0 To 0 Total Minutes: 135 Time In: 08:55 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements pertinent to a complaint visit. Limited monitoring was conducted today. I informed the administrator Jennifer Gomez, of the purpose of my visit. Caroline Sykes child care consultant accompanied me today. The allegation is as follows: There are concerns regarding a developmentally appropriate environment and supervision. I observed a group of children having a group time in the “square” and playing with the toys and materials in the classrooms. The following violations were cited. Violation Number Comment Rule 303 Children were not adequately supervised at all times. "A child was left outside the classroom alone unsuppervised until a staff member found the child and took her back to the Chilld's classroom." .1801(a)(1-5) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. "A four year old child was left outside the classroom alone and crying. When a staff member found her, the child was upset and had to be calmed" G.S. 110-91(10) The above violations must be corrected immediately. I must receive a compliance statement/ letter by email or mail by 3/20/2024. In the letter, include the following information: 1. Your facility ID# and Name 2. Visit date 3. Violation item number(s) 4. How and when the violation was corrected (Be specific) 5. Your signature/name and position My email address is boon.trott@dhhs.nc.gov, and the mailing address is PO Box 1374, Mebane, NC 27302. Findings I spoke with 5 staff members and 2 administrators. Four staff members told me they were not aware and did not hear anything regarding the incident. One staff member told me she saw a child, maybe 4, a few months ago sitting outside the classroom near the “square” alone and crying. She stated another staff member happened to walk by, helped her calm the child, and take the child back to the classroom. The day of the incident, the staff member who found the child alone told me there was a floater working in the room. The floater was not present today. The administrators told me they did not see any child being left alone in the child care building and that no one reported such incident to them. There was video monitoring of all child care spaces occurring daily. However, it only records about a week’s recording at a time. Based on my observation and the information gathered: 1.I find the allegation regarding the violation of developmentally appropriate environment substantiated. 2.I find the allegation regarding the violation of supervision substantiated. Technical Assistance 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Part of GS 110-91 (10) states that Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. At the completion of the visit, I reviewed the visit with Ms. Gomez and provided an opportunity to ask questions regarding the interpretation and implementation of child care requirements. If you have any questions or concerns, you may reach me at 336-706-2871 or email me at boon.trott@dhhs.nc.gov. My mailing address is P.O. Box 1374, Mebane, NC 27302. 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 .0509 · Violation

Name of Operation: Knee High Preschool Facility ID: 68000586 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 88 Completed Date: 10/12/2023 Age: From 0 To 4 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete the facility’s second of three Temporary Time Period visits. The assistant director Mrs. Christina Pettiford assisted me during today's visit. I completed a general walk through of the indoor and outdoor play area. I observed 10 classrooms during today's walk-through. I observed children outside upon arrival being greeted by Sparky the dog and other fire fighters showing the children the fire engine. In addition, children were observed eating lunch, involved in group time activities with their caregivers and preparing for rest time. The license was posted along with the Safe Arrival and Departure procedures, Emergency Numbers and a First Aid reference sheet. Today I monitored 10% of the children’s files based on the total number of children present during today’s visit. Nine children’s files were reviewed and all employees files were reviewed. The staff and training worksheet was completed prior to today's visit by the center director and the assistant director also assisted with getting me accurate information that was needed. The temporary license was issued to this facility on 7/21/2023 and expires on 1/21/2024. * The fire drill was conducted on 9/26/2023. The Following Inspection was completed: * The Fire Inspection was completed on 8/11/2023 and was approved for daytime care only. I informed Mrs. Pettiford that the building inspections she handed me was missing several pages and that a new sanitation inspection needs to be completed prior to the end of November. The administrative staff did have concerns regarding three newer classrooms and the number of children allowed in the space. During today's visit I did re-measure those three classrooms and I informed Mrs. Pettiford that I will inform the facility of the new measurements and a copy will be emailed for the administrative staff. The following violations were cited: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The lesson plan was dated 9/18-9/22 for classroom space #8 (2/3's), classroom space #4 (school-age) had no lesson plan posted for review and space #10 (infant)lesson plan was dated 9/18-9/22. GS 110-91(12); .0508(a) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Materials were not in sufficient quantity for all classrooms. There is a need for more books, manipulatives, dramatic play materials, cozy area, science, blocks, sand and water. 10A NCAC 09 .0509(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. In space #8 the diaper changing door is not closing properly. In space #2 their is a pull out cabinet near the window that is broken. .0601(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. This was last completed on 8/18/23. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. This was not reviewed annually for twelve employees currently employed at the facility. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The annual health questionnaire was not completed for four employees. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The required annual emergency information form was not completed annually for two employees. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. This was not completed within the required timeframe for one employee. .1101(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. This was not completed annually for ten employees currently employed at the facility. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. This was not available for review in one employees file. 10A NCAC 09 .0514(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-n-place was last completed on 6/30/23. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The administrator completed the EPR plan on 1/12/23. The plan needed to be in place 5/12/23. .0607(c) Comments: In order to comply with NC Child Care Laws and Rules any violation cited must be corrected IMMEDIATELY. A Compliance letter must be sent by October 26, 2023. The letter must address each violation cited. Please send to my email address Marcia.Humphrey@dhhs.nc.gov and be sure to include the following: *Facility Name *Facility ID number *Each Item numbers TECHNICAL ASSISTANCE: I discussed in detail with the Mrs. Pettiford the importance of making sure the facility is following North Carolina State Rules and Laws governing child care requirements at all times. There is a big need for materials in all the classrooms. There needs to be enough material for three children to play comfortable with the material they are engaged with. When it comes to having the rated license assessment completed remember this will help in the classroom scoring higher in certain components. In addition, it is very important that employees paperwork is reflecting accurately on the staff and training worksheet. If there is any employee missing paperwork, this form will assist the administrative staff in keeping up with all the employees necessary paperwork that we request. RATED LICENSE ASSESSMENT: This facility is interested in having the rated license assessment completed. According to the center director during a prior conversation the facility is working with their local resource and referral agency. I informed Mrs. Pettiford that it is very important that staff be prepared for this assessment. Due to this facility being a GS-110 religious sponsored facility, there were several things employees were not required to do. So again, making sure staff and prepared, if this takes more than the required time of the Temporary License we can discuss other measures for the facility to increase in Stars. Please make sure all your staff are in “Works”. Works is located on the Division of Child Development website https://ncchildcare.ncdhhs.gov/ under the Services tab labeled as DCDEE-Works or you can access Works directly at: https://dcdee.works.nc.gov/ You will need your NCID number to login. REMINDERS: We discussed in detail with the owner/center director that it is her responsibility to assure that the center maintains compliance with all applicable minimum licensing requirements, including, but not limited to the following: 1) Minimum staff/child ratios, however, we recommend using whichever staff/child ratios that you wish to use at the end of your temporary license period, so that you do not have to dis-enroll children to meet ratios. 2) Please make sure to always maintain copies of all staff members CPR certification cards and First Aid Training verification on site at the center. 3) According to your license capacity, the center's administrator must be on site at the center, performing administrative duties, for a minimum of 30 hours per week. It is also your responsibility to ask Division staff questions for clarification of requirements you do not understand and to monitor your staff to ensure that all requirements are being met on a daily basis. Contact Information: If you have any additional questions or concerns, I can be reached at (919) 259-5860 or by email at marcia.humphrey@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: Knee High Preschool Facility ID: 68000586 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 88 Completed Date: 10/12/2023 Age: From 0 To 4 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete the facility’s second of three Temporary Time Period visits. The assistant director Mrs. Christina Pettiford assisted me during today's visit. I completed a general walk through of the indoor and outdoor play area. I observed 10 classrooms during today's walk-through. I observed children outside upon arrival being greeted by Sparky the dog and other fire fighters showing the children the fire engine. In addition, children were observed eating lunch, involved in group time activities with their caregivers and preparing for rest time. The license was posted along with the Safe Arrival and Departure procedures, Emergency Numbers and a First Aid reference sheet. Today I monitored 10% of the children’s files based on the total number of children present during today’s visit. Nine children’s files were reviewed and all employees files were reviewed. The staff and training worksheet was completed prior to today's visit by the center director and the assistant director also assisted with getting me accurate information that was needed. The temporary license was issued to this facility on 7/21/2023 and expires on 1/21/2024. * The fire drill was conducted on 9/26/2023. The Following Inspection was completed: * The Fire Inspection was completed on 8/11/2023 and was approved for daytime care only. I informed Mrs. Pettiford that the building inspections she handed me was missing several pages and that a new sanitation inspection needs to be completed prior to the end of November. The administrative staff did have concerns regarding three newer classrooms and the number of children allowed in the space. During today's visit I did re-measure those three classrooms and I informed Mrs. Pettiford that I will inform the facility of the new measurements and a copy will be emailed for the administrative staff. The following violations were cited: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The lesson plan was dated 9/18-9/22 for classroom space #8 (2/3's), classroom space #4 (school-age) had no lesson plan posted for review and space #10 (infant)lesson plan was dated 9/18-9/22. GS 110-91(12); .0508(a) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Materials were not in sufficient quantity for all classrooms. There is a need for more books, manipulatives, dramatic play materials, cozy area, science, blocks, sand and water. 10A NCAC 09 .0509(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. In space #8 the diaper changing door is not closing properly. In space #2 their is a pull out cabinet near the window that is broken. .0601(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. This was last completed on 8/18/23. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. This was not reviewed annually for twelve employees currently employed at the facility. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The annual health questionnaire was not completed for four employees. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The required annual emergency information form was not completed annually for two employees. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. This was not completed within the required timeframe for one employee. .1101(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. This was not completed annually for ten employees currently employed at the facility. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. This was not available for review in one employees file. 10A NCAC 09 .0514(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-n-place was last completed on 6/30/23. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The administrator completed the EPR plan on 1/12/23. The plan needed to be in place 5/12/23. .0607(c) Comments: In order to comply with NC Child Care Laws and Rules any violation cited must be corrected IMMEDIATELY. A Compliance letter must be sent by October 26, 2023. The letter must address each violation cited. Please send to my email address Marcia.Humphrey@dhhs.nc.gov and be sure to include the following: *Facility Name *Facility ID number *Each Item numbers TECHNICAL ASSISTANCE: I discussed in detail with the Mrs. Pettiford the importance of making sure the facility is following North Carolina State Rules and Laws governing child care requirements at all times. There is a big need for materials in all the classrooms. There needs to be enough material for three children to play comfortable with the material they are engaged with. When it comes to having the rated license assessment completed remember this will help in the classroom scoring higher in certain components. In addition, it is very important that employees paperwork is reflecting accurately on the staff and training worksheet. If there is any employee missing paperwork, this form will assist the administrative staff in keeping up with all the employees necessary paperwork that we request. RATED LICENSE ASSESSMENT: This facility is interested in having the rated license assessment completed. According to the center director during a prior conversation the facility is working with their local resource and referral agency. I informed Mrs. Pettiford that it is very important that staff be prepared for this assessment. Due to this facility being a GS-110 religious sponsored facility, there were several things employees were not required to do. So again, making sure staff and prepared, if this takes more than the required time of the Temporary License we can discuss other measures for the facility to increase in Stars. Please make sure all your staff are in “Works”. Works is located on the Division of Child Development website https://ncchildcare.ncdhhs.gov/ under the Services tab labeled as DCDEE-Works or you can access Works directly at: https://dcdee.works.nc.gov/ You will need your NCID number to login. REMINDERS: We discussed in detail with the owner/center director that it is her responsibility to assure that the center maintains compliance with all applicable minimum licensing requirements, including, but not limited to the following: 1) Minimum staff/child ratios, however, we recommend using whichever staff/child ratios that you wish to use at the end of your temporary license period, so that you do not have to dis-enroll children to meet ratios. 2) Please make sure to always maintain copies of all staff members CPR certification cards and First Aid Training verification on site at the center. 3) According to your license capacity, the center's administrator must be on site at the center, performing administrative duties, for a minimum of 30 hours per week. It is also your responsibility to ask Division staff questions for clarification of requirements you do not understand and to monitor your staff to ensure that all requirements are being met on a daily basis. Contact Information: If you have any additional questions or concerns, I can be reached at (919) 259-5860 or by email at marcia.humphrey@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: Knee High Preschool Facility ID: 68000586 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 88 Completed Date: 10/12/2023 Age: From 0 To 4 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete the facility’s second of three Temporary Time Period visits. The assistant director Mrs. Christina Pettiford assisted me during today's visit. I completed a general walk through of the indoor and outdoor play area. I observed 10 classrooms during today's walk-through. I observed children outside upon arrival being greeted by Sparky the dog and other fire fighters showing the children the fire engine. In addition, children were observed eating lunch, involved in group time activities with their caregivers and preparing for rest time. The license was posted along with the Safe Arrival and Departure procedures, Emergency Numbers and a First Aid reference sheet. Today I monitored 10% of the children’s files based on the total number of children present during today’s visit. Nine children’s files were reviewed and all employees files were reviewed. The staff and training worksheet was completed prior to today's visit by the center director and the assistant director also assisted with getting me accurate information that was needed. The temporary license was issued to this facility on 7/21/2023 and expires on 1/21/2024. * The fire drill was conducted on 9/26/2023. The Following Inspection was completed: * The Fire Inspection was completed on 8/11/2023 and was approved for daytime care only. I informed Mrs. Pettiford that the building inspections she handed me was missing several pages and that a new sanitation inspection needs to be completed prior to the end of November. The administrative staff did have concerns regarding three newer classrooms and the number of children allowed in the space. During today's visit I did re-measure those three classrooms and I informed Mrs. Pettiford that I will inform the facility of the new measurements and a copy will be emailed for the administrative staff. The following violations were cited: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The lesson plan was dated 9/18-9/22 for classroom space #8 (2/3's), classroom space #4 (school-age) had no lesson plan posted for review and space #10 (infant)lesson plan was dated 9/18-9/22. GS 110-91(12); .0508(a) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Materials were not in sufficient quantity for all classrooms. There is a need for more books, manipulatives, dramatic play materials, cozy area, science, blocks, sand and water. 10A NCAC 09 .0509(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. In space #8 the diaper changing door is not closing properly. In space #2 their is a pull out cabinet near the window that is broken. .0601(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. This was last completed on 8/18/23. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. This was not reviewed annually for twelve employees currently employed at the facility. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The annual health questionnaire was not completed for four employees. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The required annual emergency information form was not completed annually for two employees. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. This was not completed within the required timeframe for one employee. .1101(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. This was not completed annually for ten employees currently employed at the facility. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. This was not available for review in one employees file. 10A NCAC 09 .0514(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-n-place was last completed on 6/30/23. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The administrator completed the EPR plan on 1/12/23. The plan needed to be in place 5/12/23. .0607(c) Comments: In order to comply with NC Child Care Laws and Rules any violation cited must be corrected IMMEDIATELY. A Compliance letter must be sent by October 26, 2023. The letter must address each violation cited. Please send to my email address Marcia.Humphrey@dhhs.nc.gov and be sure to include the following: *Facility Name *Facility ID number *Each Item numbers TECHNICAL ASSISTANCE: I discussed in detail with the Mrs. Pettiford the importance of making sure the facility is following North Carolina State Rules and Laws governing child care requirements at all times. There is a big need for materials in all the classrooms. There needs to be enough material for three children to play comfortable with the material they are engaged with. When it comes to having the rated license assessment completed remember this will help in the classroom scoring higher in certain components. In addition, it is very important that employees paperwork is reflecting accurately on the staff and training worksheet. If there is any employee missing paperwork, this form will assist the administrative staff in keeping up with all the employees necessary paperwork that we request. RATED LICENSE ASSESSMENT: This facility is interested in having the rated license assessment completed. According to the center director during a prior conversation the facility is working with their local resource and referral agency. I informed Mrs. Pettiford that it is very important that staff be prepared for this assessment. Due to this facility being a GS-110 religious sponsored facility, there were several things employees were not required to do. So again, making sure staff and prepared, if this takes more than the required time of the Temporary License we can discuss other measures for the facility to increase in Stars. Please make sure all your staff are in “Works”. Works is located on the Division of Child Development website https://ncchildcare.ncdhhs.gov/ under the Services tab labeled as DCDEE-Works or you can access Works directly at: https://dcdee.works.nc.gov/ You will need your NCID number to login. REMINDERS: We discussed in detail with the owner/center director that it is her responsibility to assure that the center maintains compliance with all applicable minimum licensing requirements, including, but not limited to the following: 1) Minimum staff/child ratios, however, we recommend using whichever staff/child ratios that you wish to use at the end of your temporary license period, so that you do not have to dis-enroll children to meet ratios. 2) Please make sure to always maintain copies of all staff members CPR certification cards and First Aid Training verification on site at the center. 3) According to your license capacity, the center's administrator must be on site at the center, performing administrative duties, for a minimum of 30 hours per week. It is also your responsibility to ask Division staff questions for clarification of requirements you do not understand and to monitor your staff to ensure that all requirements are being met on a daily basis. Contact Information: If you have any additional questions or concerns, I can be reached at (919) 259-5860 or by email at marcia.humphrey@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Knee High Preschool Facility ID: 68000586 Consultant: MARCIA HUMPHREY Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 88 Completed Date: 10/12/2023 Age: From 0 To 4 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to complete the facility’s second of three Temporary Time Period visits. The assistant director Mrs. Christina Pettiford assisted me during today's visit. I completed a general walk through of the indoor and outdoor play area. I observed 10 classrooms during today's walk-through. I observed children outside upon arrival being greeted by Sparky the dog and other fire fighters showing the children the fire engine. In addition, children were observed eating lunch, involved in group time activities with their caregivers and preparing for rest time. The license was posted along with the Safe Arrival and Departure procedures, Emergency Numbers and a First Aid reference sheet. Today I monitored 10% of the children’s files based on the total number of children present during today’s visit. Nine children’s files were reviewed and all employees files were reviewed. The staff and training worksheet was completed prior to today's visit by the center director and the assistant director also assisted with getting me accurate information that was needed. The temporary license was issued to this facility on 7/21/2023 and expires on 1/21/2024. * The fire drill was conducted on 9/26/2023. The Following Inspection was completed: * The Fire Inspection was completed on 8/11/2023 and was approved for daytime care only. I informed Mrs. Pettiford that the building inspections she handed me was missing several pages and that a new sanitation inspection needs to be completed prior to the end of November. The administrative staff did have concerns regarding three newer classrooms and the number of children allowed in the space. During today's visit I did re-measure those three classrooms and I informed Mrs. Pettiford that I will inform the facility of the new measurements and a copy will be emailed for the administrative staff. The following violations were cited: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The lesson plan was dated 9/18-9/22 for classroom space #8 (2/3's), classroom space #4 (school-age) had no lesson plan posted for review and space #10 (infant)lesson plan was dated 9/18-9/22. GS 110-91(12); .0508(a) 434 The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. Materials were not in sufficient quantity for all classrooms. There is a need for more books, manipulatives, dramatic play materials, cozy area, science, blocks, sand and water. 10A NCAC 09 .0509(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. In space #8 the diaper changing door is not closing properly. In space #2 their is a pull out cabinet near the window that is broken. .0601(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. This was last completed on 8/18/23. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. This was not reviewed annually for twelve employees currently employed at the facility. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The annual health questionnaire was not completed for four employees. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The required annual emergency information form was not completed annually for two employees. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. This was not completed within the required timeframe for one employee. .1101(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. This was not completed annually for ten employees currently employed at the facility. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. This was not available for review in one employees file. 10A NCAC 09 .0514(g) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-n-place was last completed on 6/30/23. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The administrator completed the EPR plan on 1/12/23. The plan needed to be in place 5/12/23. .0607(c) Comments: In order to comply with NC Child Care Laws and Rules any violation cited must be corrected IMMEDIATELY. A Compliance letter must be sent by October 26, 2023. The letter must address each violation cited. Please send to my email address Marcia.Humphrey@dhhs.nc.gov and be sure to include the following: *Facility Name *Facility ID number *Each Item numbers TECHNICAL ASSISTANCE: I discussed in detail with the Mrs. Pettiford the importance of making sure the facility is following North Carolina State Rules and Laws governing child care requirements at all times. There is a big need for materials in all the classrooms. There needs to be enough material for three children to play comfortable with the material they are engaged with. When it comes to having the rated license assessment completed remember this will help in the classroom scoring higher in certain components. In addition, it is very important that employees paperwork is reflecting accurately on the staff and training worksheet. If there is any employee missing paperwork, this form will assist the administrative staff in keeping up with all the employees necessary paperwork that we request. RATED LICENSE ASSESSMENT: This facility is interested in having the rated license assessment completed. According to the center director during a prior conversation the facility is working with their local resource and referral agency. I informed Mrs. Pettiford that it is very important that staff be prepared for this assessment. Due to this facility being a GS-110 religious sponsored facility, there were several things employees were not required to do. So again, making sure staff and prepared, if this takes more than the required time of the Temporary License we can discuss other measures for the facility to increase in Stars. Please make sure all your staff are in “Works”. Works is located on the Division of Child Development website https://ncchildcare.ncdhhs.gov/ under the Services tab labeled as DCDEE-Works or you can access Works directly at: https://dcdee.works.nc.gov/ You will need your NCID number to login. REMINDERS: We discussed in detail with the owner/center director that it is her responsibility to assure that the center maintains compliance with all applicable minimum licensing requirements, including, but not limited to the following: 1) Minimum staff/child ratios, however, we recommend using whichever staff/child ratios that you wish to use at the end of your temporary license period, so that you do not have to dis-enroll children to meet ratios. 2) Please make sure to always maintain copies of all staff members CPR certification cards and First Aid Training verification on site at the center. 3) According to your license capacity, the center's administrator must be on site at the center, performing administrative duties, for a minimum of 30 hours per week. It is also your responsibility to ask Division staff questions for clarification of requirements you do not understand and to monitor your staff to ensure that all requirements are being met on a daily basis. Contact Information: If you have any additional questions or concerns, I can be reached at (919) 259-5860 or by email at marcia.humphrey@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times