First Steps Childcare & Learning Center

10A NCAC 09 .1102 · Violation

Name of Operation: FIRST STEPS CHILDCARE & LEARNING CENTER Facility ID: 26001236 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 10/28/2025 Number Present: 22 Completed Date: 10/28/2025 Age: From 1 To 4 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 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 compliance with applicable child care requirements pertinent to a Routine Unannounced Visit. The previous Annual Compliance Visit was completed March 18, 2025, and prior to today’s visit, the eighteen-month compliance history score was 97%. This program currently operates with a four-Star License issued April 11, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet the educational option: The child care administrator has at least 10 years of documented early childhood work experience in a licensed program that can be verified by the Division. The information on record with the DCDEE was verified as correct by Penny Sweat, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 4/8/2025. Fire Classification of Approved for Daytime Only completed 7/15/2025. Upon my arrival I was greeted by Jackie Harrell, Cook, Ms. Cook contacted Ms. Sweat to inform her I was at the facility. Ms. Sweat arrived at 9:20a.m., children were observed playing with soft blocks, wood blocks, books, and manipulative toys. Lunch served today was grilled cheese toast sandwiches, tomato soup, pineapples, and milk. An observation was completed in space #1, from 9:05a.m. to 9:20a.m., The teacher was observed sitting with the children while they played. The children were playing soft stacking blocks, manipulative toys, and hand puppets. The teacher sat with the children while they played and would ask them about what they were doing or building. She would share with the color of the blocks and would count how many blocks. The children were engaged in play and would smile and try to talk with the teacher. An observation was completed in space #4, from 9:20a.m. to 9:40a.m., The children were observed participating in small group time. They were observed creating a mummy, using black construction paper, white tape, wiggle eyes and glue. The teachers assisted the children with cutting the tape and placing it on the cutout of mummy and gluing the wiggle eyes on to the mummy. The teachers talked to the children about what a mummy is and why they were putting tape on each side of the mummy. The children were engaged in doing the art activity. During today’s visit the previous staff and training worksheets were monitored for compliance with CPR & First Aid Training, CBC, and IT’S SIDS training. The administrator did not have current a IT’S SIDS training on file. The last one dated was 9/14/2023. Also, two new staff member files were monitored and one new staff CPR & First Aid training course that was on file was not with an approved agency with DCDEE and it was online training. At the completion of the visit the visit summary was reviewed with Ms. Sweat. The following violations were observed. Violation Number Comment Rule 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. One staff did not have First Aid Training from an approved organization with in 90 days of hire. .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. One Staff did not have an approve CPR training from an approved organization within 90 days of hire. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The administrator did not have a current ITS-SIDS training on file. Training certificate expired 9/14/2023. .1102(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on November 11, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 A violation was cited for not completing CPR with an approved agency and having it on file for one staff. It is required that all staff have CPR training in person. Refer to child care rule 10A NCAC 09 .1102 (d). We discussed several strategies. Make sure you monitor the staff file to see when the certifications expire. Document on a calendar prior to when documents are due. First Aid: A violation was cited for not completing First Aid training with an approved agency and having it on file for one staff member. Refer to child care rule 10A NCAC 09 .1102(c). We discussed several strategies. Make sure you monitor the staff file to see when the certifications expire. Document on a calendar prior to when documents are due. During my observations today, the children were engaged in playing in free choice play and participating in small group activities. The teachers were sitting with the children and talking with the children. They sat at eye level, supported the children and encouraged them to share. The teachers would help the children with words to use when they got frustrated and did not want to share. I shared with the administrator that the teachers were having good interaction with the children, talking and playing with them. I asked her to share with the teachers to keep helping the children with their conversational speech and giving them the words to use when they need help with solving problems. These things will help with the children’s vocabulary, social and emotional skills. During today’s visit the following information was reviewed and forms left for the Pathways to the Stars. (New QRIS), Education Standards for all positions of each staff member, Staff Information and Education Worksheet, CQI Plan, Family and Community Engagement Standards, Self Study, the Oris Pathways #1, and #2, Program Assessment document, and Classroom and instructional Quality for Centers, and Application for Assessment for a Rated License, and Rated License Assessment Request Review. Ms. Sweat and l reviewed all documents. She stated that she is looking to complete pathway #2 for the facility. I shared with Ms. Sweat that if she would like help with Pathway 2, she could reach out to me or apply with the Partnership for Children and request additional assistants. We discussed ensuring that all staff have submitted information for their Works account. I shared with her that she can reach out to me through email or via phone with any additional questions. I also shared with her that she can also reach out to NCRLAP. During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 Activity Schedules and Plans. Your program has a copy of the publication. Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. Reminders: The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/ Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 if you have any questions, comments, or concerns. 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: FIRST STEPS CHILDCARE & LEARNING CENTER Facility ID: 26001236 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: Visit Date: 10/28/2025 Number Present: 22 Completed Date: 10/28/2025 Age: From 1 To 4 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 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 compliance with applicable child care requirements pertinent to a Routine Unannounced Visit. The previous Annual Compliance Visit was completed March 18, 2025, and prior to today’s visit, the eighteen-month compliance history score was 97%. This program currently operates with a four-Star License issued April 11, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet the educational option: The child care administrator has at least 10 years of documented early childhood work experience in a licensed program that can be verified by the Division. The information on record with the DCDEE was verified as correct by Penny Sweat, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 4/8/2025. Fire Classification of Approved for Daytime Only completed 7/15/2025. Upon my arrival I was greeted by Jackie Harrell, Cook, Ms. Cook contacted Ms. Sweat to inform her I was at the facility. Ms. Sweat arrived at 9:20a.m., children were observed playing with soft blocks, wood blocks, books, and manipulative toys. Lunch served today was grilled cheese toast sandwiches, tomato soup, pineapples, and milk. An observation was completed in space #1, from 9:05a.m. to 9:20a.m., The teacher was observed sitting with the children while they played. The children were playing soft stacking blocks, manipulative toys, and hand puppets. The teacher sat with the children while they played and would ask them about what they were doing or building. She would share with the color of the blocks and would count how many blocks. The children were engaged in play and would smile and try to talk with the teacher. An observation was completed in space #4, from 9:20a.m. to 9:40a.m., The children were observed participating in small group time. They were observed creating a mummy, using black construction paper, white tape, wiggle eyes and glue. The teachers assisted the children with cutting the tape and placing it on the cutout of mummy and gluing the wiggle eyes on to the mummy. The teachers talked to the children about what a mummy is and why they were putting tape on each side of the mummy. The children were engaged in doing the art activity. During today’s visit the previous staff and training worksheets were monitored for compliance with CPR & First Aid Training, CBC, and IT’S SIDS training. The administrator did not have current a IT’S SIDS training on file. The last one dated was 9/14/2023. Also, two new staff member files were monitored and one new staff CPR & First Aid training course that was on file was not with an approved agency with DCDEE and it was online training. At the completion of the visit the visit summary was reviewed with Ms. Sweat. The following violations were observed. Violation Number Comment Rule 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. One staff did not have First Aid Training from an approved organization with in 90 days of hire. .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. One Staff did not have an approve CPR training from an approved organization within 90 days of hire. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The administrator did not have a current ITS-SIDS training on file. Training certificate expired 9/14/2023. .1102(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on November 11, 2025, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 A violation was cited for not completing CPR with an approved agency and having it on file for one staff. It is required that all staff have CPR training in person. Refer to child care rule 10A NCAC 09 .1102 (d). We discussed several strategies. Make sure you monitor the staff file to see when the certifications expire. Document on a calendar prior to when documents are due. First Aid: A violation was cited for not completing First Aid training with an approved agency and having it on file for one staff member. Refer to child care rule 10A NCAC 09 .1102(c). We discussed several strategies. Make sure you monitor the staff file to see when the certifications expire. Document on a calendar prior to when documents are due. During my observations today, the children were engaged in playing in free choice play and participating in small group activities. The teachers were sitting with the children and talking with the children. They sat at eye level, supported the children and encouraged them to share. The teachers would help the children with words to use when they got frustrated and did not want to share. I shared with the administrator that the teachers were having good interaction with the children, talking and playing with them. I asked her to share with the teachers to keep helping the children with their conversational speech and giving them the words to use when they need help with solving problems. These things will help with the children’s vocabulary, social and emotional skills. During today’s visit the following information was reviewed and forms left for the Pathways to the Stars. (New QRIS), Education Standards for all positions of each staff member, Staff Information and Education Worksheet, CQI Plan, Family and Community Engagement Standards, Self Study, the Oris Pathways #1, and #2, Program Assessment document, and Classroom and instructional Quality for Centers, and Application for Assessment for a Rated License, and Rated License Assessment Request Review. Ms. Sweat and l reviewed all documents. She stated that she is looking to complete pathway #2 for the facility. I shared with Ms. Sweat that if she would like help with Pathway 2, she could reach out to me or apply with the Partnership for Children and request additional assistants. We discussed ensuring that all staff have submitted information for their Works account. I shared with her that she can reach out to me through email or via phone with any additional questions. I also shared with her that she can also reach out to NCRLAP. During today’s visit, I discussed access and use of the NCFELD book in the development of activity planning as required by NC Child Care Rule 10A NCAC .0508 Activity Schedules and Plans. Your program has a copy of the publication. Additionally, the publication is available on-line, free of charge, at https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NC_Foundations.pdf Training on use of the publication is available through our Partnership for Children, so please encourage Lead Teachers to visit their website ( https://ccpfc.org/ ) and complete the training. Reminders: The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/ Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 if you have any questions, comments, or concerns. 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: FIRST STEPS CHILDCARE & LEARNING CENTER Facility ID: 26001236 Consultant: TIFFANY REED Operation Type: Center Case Number: 1124-252L Visit Date: 12/4/2024 Number Present: 30 Completed Date: 12/4/2024 Age: From 1 To 5 Total Minutes: 315 Time In: 10:00 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed April 09, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 92%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four -Star license issued April 11, 2023. The information on record with DCDEE was verified as correct by Penny Sweat, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on June 18, 2024. Fire Classification of Approved for daytime care only was completed on July 24, 2024 Allegations are as follows: There are concerns that a child was served food items that they had a known allergy to. I was greeted today by Penny Sweat, Administrator. Upon my arrival, there were thirty (30) children and seven (7) teachers present. Children were observed participating in free-choice, literacy, and art activities. Routine care and handwashing practices were observed. Lunch consisted of spaghetti with meat sauce, peas, mandarin oranges, and milk. One recently hired staff member’s file was reviewed, and all documentation was in compliance with applicable child care rules. The allegations were discussed with the administrator. I interviewed the administrator and two staff members. During the interview with the administrator, she stated that it is their policy to review child enrollment applications for possible medical needs as they are received by parents. The application has an area where parents can notate the child’s medical or dietary needs. If food allergies are notated on the application, the administrator follows up with the parent to obtain medical documentation from the child’s physician. She also gives the parent a food/milk substitution form to be completed by the child’s doctor. She stated that it is their policy to allow the parent one week to obtain medical documentation regarding food allergies. During this time, the facility will follow the parent’s nutritional instructions and allows the parent to bring food/milk substitutions until all documentation is obtained. It is also their policy to post allergy lists in each classroom and in the kitchen, specifying the children with food allergies and the items they are allergic to. The allergy lists are updated as children with documented allergies are enrolled. Additionally, the administrator stated that when parents bring documentation from the doctor stating that a child has a cow’s milk allergy, she interprets it as an allergy to liquid milk only. The additional staff that were interviewed stated that they follow the same policies and practices. I verified that allergy lists were posted in each classroom. I reviewed the files of children with documented allergies. Food allergies were notated on each child’s enrollment application. Written instructions from parents regarding children's dietary needs, while medical documentation was pending, were not on file. I reviewed the facility’s menu between November 12, 2024, and November 20, 2024. I verified that a child with a cow’s milk allergy was served bagels with cream cheese as well as macaroni and cheese on November 12, 2024. A child with a cow’s milk allergy was served goldfish crackers on November 13, 2024. A child with a cow’s milk allergy was served beef and cheese tacos on November 14, 2024. A child with a cow’s milk allergy was served chicken alfredo on November 15, 2024. I also reviewed the facility’s meals and snacks policy, which discourages parents from bringing food to the facility, due to the their participation in the CACFP/USDA food program. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to a child being served food items that they had a known allergy to is substantiated. At the completion of the visit, the Visit Summary was reviewed with P. Sweat. The following violations were observed: Violation Number Comment Rule 509 Food required for any special diet was not provided by parent or center. During a complaint investigation, it was determined through the interview process that a child with a cow’s milk allergy was served bagels with cream cheese as well as macaroni and cheese on November 12, 2024. A child with a cow’s milk allergy was served goldfish crackers on November 13, 2024. A child with a cow’s milk allergy was served beef and cheese tacos on November 14, 2024. A child with a cow’s milk allergy was served chicken alfredo on November 15, 2024. During today's visit, lunch consisted of spaghetti with meat sauce, peas, mandarin oranges, and milk. .0901(h) 510 Food required by special diet prescribed by health care professional or parent did not have written instructions and/or was not maintained on file at the center. During a complaint investigation, it was determined through file reviews that a parent did not have written instructions for a child's dietary needs while allergy testing documentation was pending from the child's doctor. During today's visit, I was informed that the child is no longer enrolled at the facility. .0901(h) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. Technical Assistance: Special Diet Requirements Violations were cited today for a child with a documented food allergy being served a food item that could cause an allergic reaction. According to Child Care Rule 10A NCAC 09 .0901(h), the food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. We discussed having staff read the ingredient lists of pre-packaged food items, if they are unsure if they contain ingredients that could cause allergic reactions, before serving them to children. A CACFP handout titled “Lactose Intolerance and Milk Allergies” was left with the administrator. An updated copy of the medical statement for Meal Modification form (from the CACFP website) was left with the administrator. Enrollment Process We discussed the importance of reviewing applications and asking parents questions regarding medical history prior to children’s enrollment to ensure that all medical documentation, including medical action plans, and medications are in place and ready for implementation before the child’s start date. Moving forward, the administrator will have parents ask the doctor to specifically state on the food and milk substitution form if children with a cow’s milk allergy can consume other dairy products. Kitchen staff will also review the ingredient lists of packaged food before serving items to children. Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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: FIRST STEPS CHILDCARE & LEARNING CENTER Facility ID: 26001236 Consultant: TIFFANY REED Operation Type: Center Case Number: 1124-252L Visit Date: 12/4/2024 Number Present: 30 Completed Date: 12/4/2024 Age: From 1 To 5 Total Minutes: 315 Time In: 10:00 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed April 09, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 92%, which is at or above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four -Star license issued April 11, 2023. The information on record with DCDEE was verified as correct by Penny Sweat, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on June 18, 2024. Fire Classification of Approved for daytime care only was completed on July 24, 2024 Allegations are as follows: There are concerns that a child was served food items that they had a known allergy to. I was greeted today by Penny Sweat, Administrator. Upon my arrival, there were thirty (30) children and seven (7) teachers present. Children were observed participating in free-choice, literacy, and art activities. Routine care and handwashing practices were observed. Lunch consisted of spaghetti with meat sauce, peas, mandarin oranges, and milk. One recently hired staff member’s file was reviewed, and all documentation was in compliance with applicable child care rules. The allegations were discussed with the administrator. I interviewed the administrator and two staff members. During the interview with the administrator, she stated that it is their policy to review child enrollment applications for possible medical needs as they are received by parents. The application has an area where parents can notate the child’s medical or dietary needs. If food allergies are notated on the application, the administrator follows up with the parent to obtain medical documentation from the child’s physician. She also gives the parent a food/milk substitution form to be completed by the child’s doctor. She stated that it is their policy to allow the parent one week to obtain medical documentation regarding food allergies. During this time, the facility will follow the parent’s nutritional instructions and allows the parent to bring food/milk substitutions until all documentation is obtained. It is also their policy to post allergy lists in each classroom and in the kitchen, specifying the children with food allergies and the items they are allergic to. The allergy lists are updated as children with documented allergies are enrolled. Additionally, the administrator stated that when parents bring documentation from the doctor stating that a child has a cow’s milk allergy, she interprets it as an allergy to liquid milk only. The additional staff that were interviewed stated that they follow the same policies and practices. I verified that allergy lists were posted in each classroom. I reviewed the files of children with documented allergies. Food allergies were notated on each child’s enrollment application. Written instructions from parents regarding children's dietary needs, while medical documentation was pending, were not on file. I reviewed the facility’s menu between November 12, 2024, and November 20, 2024. I verified that a child with a cow’s milk allergy was served bagels with cream cheese as well as macaroni and cheese on November 12, 2024. A child with a cow’s milk allergy was served goldfish crackers on November 13, 2024. A child with a cow’s milk allergy was served beef and cheese tacos on November 14, 2024. A child with a cow’s milk allergy was served chicken alfredo on November 15, 2024. I also reviewed the facility’s meals and snacks policy, which discourages parents from bringing food to the facility, due to the their participation in the CACFP/USDA food program. Based on the information gathered and observations made, the allegation of violations of child care requirements pertaining to a child being served food items that they had a known allergy to is substantiated. At the completion of the visit, the Visit Summary was reviewed with P. Sweat. The following violations were observed: Violation Number Comment Rule 509 Food required for any special diet was not provided by parent or center. During a complaint investigation, it was determined through the interview process that a child with a cow’s milk allergy was served bagels with cream cheese as well as macaroni and cheese on November 12, 2024. A child with a cow’s milk allergy was served goldfish crackers on November 13, 2024. A child with a cow’s milk allergy was served beef and cheese tacos on November 14, 2024. A child with a cow’s milk allergy was served chicken alfredo on November 15, 2024. During today's visit, lunch consisted of spaghetti with meat sauce, peas, mandarin oranges, and milk. .0901(h) 510 Food required by special diet prescribed by health care professional or parent did not have written instructions and/or was not maintained on file at the center. During a complaint investigation, it was determined through file reviews that a parent did not have written instructions for a child's dietary needs while allergy testing documentation was pending from the child's doctor. During today's visit, I was informed that the child is no longer enrolled at the facility. .0901(h) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. Technical Assistance: Special Diet Requirements Violations were cited today for a child with a documented food allergy being served a food item that could cause an allergic reaction. According to Child Care Rule 10A NCAC 09 .0901(h), the food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. We discussed having staff read the ingredient lists of pre-packaged food items, if they are unsure if they contain ingredients that could cause allergic reactions, before serving them to children. A CACFP handout titled “Lactose Intolerance and Milk Allergies” was left with the administrator. An updated copy of the medical statement for Meal Modification form (from the CACFP website) was left with the administrator. Enrollment Process We discussed the importance of reviewing applications and asking parents questions regarding medical history prior to children’s enrollment to ensure that all medical documentation, including medical action plans, and medications are in place and ready for implementation before the child’s start date. Moving forward, the administrator will have parents ask the doctor to specifically state on the food and milk substitution form if children with a cow’s milk allergy can consume other dairy products. Kitchen staff will also review the ingredient lists of packaged food before serving items to children. Please feel free to contact me at tiffany.L.reed@dhhs.nc.gov or (910) 605-2367 if you have any questions, comments, or concerns. 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: FIRST STEPS CHILDCARE & LEARNING CENTER Facility ID: 26001236 Consultant: TIFFANY REED Operation Type: Center Case Number: Visit Date: 10/3/2024 Number Present: 35 Completed Date: 10/3/2024 Age: From 1 To 3 Total Minutes: 195 Time In: 10:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced visit. The previous Annual Compliance Visit was completed April 09, 2024, and prior to today’s visit, the eighteen-month compliance history score was at 92%, which is above the 75% required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a Four -Star license issued April 11, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet an educational option of the child care administrator having at least 10 years of documented child care administrative work experience that can be verified by the Division. The information on record with DCDEE was verified as correct by Penny Sweat, Administrator. Current Inspections are as follows: Sanitation Classification of Superior was completed on June 18, 2024. Fire Classification of Approved for daytime care only was completed on July 24, 2024. P. Sweat, Administrator, was present while I observed the indoor and outdoor areas. Thirty-five (35) children and six (6) teachers were present upon my arrival. No children were enrolled in Space #1, but it was monitored for health and safety requirements. In Space #2, children were observed sitting on the floor in a carpeted area, building various structures with Mega Blocks. Two cans of air freshener in aerosol containers were stored on a shelf in an unlocked cabinet, below five feet from the finished floor. No children were enrolled in Space #3. The administrator stated that the space is used for gross motor play during inclement weather. The space was monitored for health and safety requirements. In Space #4, children were observed participating in a whole group activity. The children pretended to squirm through grass like a snake and pretended to crawl through sand like a crab. The teacher and children were also observed singing “Head, Shoulders, Knees, and Toes” and playing Simon Says while waiting for lunch. In Space #5, children were observed listening to a book read by their teacher, while another teacher took small groups of children to use the bathroom. The book was titled “It's Okay to Be Different" by Todd Parr. Routine care and handwashing practices were observed. Lunch consisted of Barbecue chicken, green beans, diced pears, sliced bread, and milk. Two recently hired staff member’s files were reviewed, and all documentation was in compliance with applicable child care rules. At the completion of the visit, the Visit Summary was reviewed with P. Sweat. The following violation was observed: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space #2, two aerosol cans containing air freshener spray were stored on a shelf in an unlocked cabinet, below five feet from the finished floor. When it was brought to the teacher's attention, she immediately locked the cabinet. .2820(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. Technical Assistance/Consultation: Hazardous Items Storage A violation was cited today for the inappropriate storage of potentially hazardous items. According to child care sanitation rule 15A NCAC 18A .2820(b), all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. A copy of the Hazardous Items Storage handout from the DCDEE website was left with the administrator. Infant/Toddler Classroom Observation I discussed the results of my observation in Space #2 with P. Sweat. The teachers were always aware of their surroundings. Self-talk and Parallel talk were not observed. We discussed how self-talk offers an opportunity to allow conversation to occur in a silent classroom. For example, the teacher can talk out loud about what he/she is doing, seeing, hearing, or feeling. Parallel talk is important for the teacher to engage in conversations by talking about what the child is doing, seeing, hearing, or feeling. I encouraged staff to implement these methods of classroom interactions Preschool Classroom Observation I discussed the results of my observation in Space #4 with P. Sweat. Children were engaged in classroom activities and were responsive to the teacher. There were ample materials in each interest center for children to use at their choice. I encouraged P. Sweat to have staff continue to use mealtimes as learning opportunities. Mealtimes can offer opportunities to discuss where food comes from, how food is prepared, or connect concepts such as colors and letters to food. Reminders: Natural Outdoor Learning Initiative The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to: increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children This free course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). This course is approved by the Division of Child Development and Early Education for 3 contact hours. For more information about the course, please visit https://bhs.unc.edu/teaching-whole-child-supporting-social-emotional-wellness-preschool-and-elementary-school-aged DCDEE Website/ Child Care Consultant Contact Information Please visit DCDEE’s website for the latest childcare updates visit https://ncchildcare.ncdhhs.gov/. If you have questions, please contact me at: 910-605-2367 or tiffany.L.reed@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 .0806 · Violation

Name of Operation: FIRST STEPS CHILDCARE & LEARNING CENTER Facility ID: 26001236 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: 1123-106L Visit Date: 11/15/2023 Number Present: 22 Completed Date: 11/15/2023 Age: From 1 To 4 Total Minutes: 310 Time In: 06:10 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed April 11, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 97% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued April 11, 2023. The License was based on the program earning five points in education standards, four points in program standards, and one quality point by choosing to meet the educational option: The child care administrator has at least 10 years of documented early childhood work experience in a licensed program that can be verified by the Division. The information on record with the DCDEE was verified as correct by Penny Sweat, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed January 31, 2023. Fire Classification of Approved for daytime care only completed August 2, 2023. There is a concern that soiled diapers were not changed as required. There is a concern that children as young as 2 years waited in the kitchen as the teacher prepared the sanitizing solution. This was not developmentally appropriate space. I arrived at the facility at 6:10a.m.; one staff member greeted me upon entering the facility. Taylor Bruton, Assistant, and Ms. Sweat arrived later during the visit.: one child had arrived at 6:30a.m. Enrollment was captured at 8:15a.m. During the visit I was able to monitor diaper changing routines. Preparation for sanitation solution was already completed upon my arrival. Breakfast served was waffles, pears, and milk. The concerns were discussed with MS. Sweat and Ms. Bruton. During the discussion, it was confirmed by both Ms. Sweat and Ms. Bruton that an incident accrued with a child having a solid diaper and that a child had been taken into the kitchen with a staff member while the staff prepared the sanitation solution for the day. Ms. Sweat stated that they have put in place a tracking document for children who are in diapers, and it is documented throughout the day for each child. The document is given to the parent at the end of the child’s day. Ms. Sweat also stated that sanitation and disinfectant bottles were Prepared the evening before closed business and tested for the prescribed chemical concentrations before returning the bottles to classrooms for the following day. Based on the information gathered and observations made, the allegation of violation of child care requirements pertaining to concerns regarding soiled diapers were not changed as required is substantiated. Based on the information gathered and observations made, the allegation of violation of child care requirements pertaining to concerns regarding children as young as 2 years waited in the kitchen as the teacher prepared the sanitizing solution. This was not a developmentally appropriate space is substantiated. At the completion of the visit, the Visit Summary was reviewed with Ms. Sweat. The following violations were observed. Violation Number Comment Rule 209 Children used space that was not approved. It was stated that a child was taken into the kitchen while a staff prepared sanitation solution. This was corrected. No children were observed in the kitchen during today's visit and the provider stated that a procedure has been put in place to ensure it does accrue again. GS 110-91(1)&(4-5) 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. It was stated that one child having a soiled diaper had accrue on one occasion. This was corrected by observing staff changing diapers during the visit and by staff completing documentation for the time a child is changed and providing that document to the parents daily. 10A NCAC 09 .0806(a) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. It was stated that a child was taken into the kitchen with a staff member while the staff prepared sanitation solution. This was corrected during today's visit. All children were in an approved space where developmentally appropriate toys and activities were provided. .0510 (e ) (1)(A-G) 1842 Staff members and child care administrators who were counted in meeting the staff/child ratios concurrently performed food preparation or other duties that are not direct child care responsibilities. It was stated that one staff member who were responsible for children did take a child in to the kitchen while the staff prepared sanitation solution. This was corrected by the provider putting a procedure in place to ensure it does not happen again. .0713(a)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. No compliance letter is due. All violations were corrected during the visit. Facility Specific TA: A violation was cited for not having developmentally appropriate toys and activities. Refer to child care rule 10A NCAC 09 0510 (e) (10 (A-G). discussed the following strategy. Ensure that children are kept in a space where you can provide toys & activities that are developmentally appropriate at all times. Reminders: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavioral challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 if you have any questions, comments, or concerns. 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 0510 · Violation

Name of Operation: FIRST STEPS CHILDCARE & LEARNING CENTER Facility ID: 26001236 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: 1123-106L Visit Date: 11/15/2023 Number Present: 22 Completed Date: 11/15/2023 Age: From 1 To 4 Total Minutes: 310 Time In: 06:10 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed April 11, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 97% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued April 11, 2023. The License was based on the program earning five points in education standards, four points in program standards, and one quality point by choosing to meet the educational option: The child care administrator has at least 10 years of documented early childhood work experience in a licensed program that can be verified by the Division. The information on record with the DCDEE was verified as correct by Penny Sweat, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed January 31, 2023. Fire Classification of Approved for daytime care only completed August 2, 2023. There is a concern that soiled diapers were not changed as required. There is a concern that children as young as 2 years waited in the kitchen as the teacher prepared the sanitizing solution. This was not developmentally appropriate space. I arrived at the facility at 6:10a.m.; one staff member greeted me upon entering the facility. Taylor Bruton, Assistant, and Ms. Sweat arrived later during the visit.: one child had arrived at 6:30a.m. Enrollment was captured at 8:15a.m. During the visit I was able to monitor diaper changing routines. Preparation for sanitation solution was already completed upon my arrival. Breakfast served was waffles, pears, and milk. The concerns were discussed with MS. Sweat and Ms. Bruton. During the discussion, it was confirmed by both Ms. Sweat and Ms. Bruton that an incident accrued with a child having a solid diaper and that a child had been taken into the kitchen with a staff member while the staff prepared the sanitation solution for the day. Ms. Sweat stated that they have put in place a tracking document for children who are in diapers, and it is documented throughout the day for each child. The document is given to the parent at the end of the child’s day. Ms. Sweat also stated that sanitation and disinfectant bottles were Prepared the evening before closed business and tested for the prescribed chemical concentrations before returning the bottles to classrooms for the following day. Based on the information gathered and observations made, the allegation of violation of child care requirements pertaining to concerns regarding soiled diapers were not changed as required is substantiated. Based on the information gathered and observations made, the allegation of violation of child care requirements pertaining to concerns regarding children as young as 2 years waited in the kitchen as the teacher prepared the sanitizing solution. This was not a developmentally appropriate space is substantiated. At the completion of the visit, the Visit Summary was reviewed with Ms. Sweat. The following violations were observed. Violation Number Comment Rule 209 Children used space that was not approved. It was stated that a child was taken into the kitchen while a staff prepared sanitation solution. This was corrected. No children were observed in the kitchen during today's visit and the provider stated that a procedure has been put in place to ensure it does accrue again. GS 110-91(1)&(4-5) 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. It was stated that one child having a soiled diaper had accrue on one occasion. This was corrected by observing staff changing diapers during the visit and by staff completing documentation for the time a child is changed and providing that document to the parents daily. 10A NCAC 09 .0806(a) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. It was stated that a child was taken into the kitchen with a staff member while the staff prepared sanitation solution. This was corrected during today's visit. All children were in an approved space where developmentally appropriate toys and activities were provided. .0510 (e ) (1)(A-G) 1842 Staff members and child care administrators who were counted in meeting the staff/child ratios concurrently performed food preparation or other duties that are not direct child care responsibilities. It was stated that one staff member who were responsible for children did take a child in to the kitchen while the staff prepared sanitation solution. This was corrected by the provider putting a procedure in place to ensure it does not happen again. .0713(a)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. No compliance letter is due. All violations were corrected during the visit. Facility Specific TA: A violation was cited for not having developmentally appropriate toys and activities. Refer to child care rule 10A NCAC 09 0510 (e) (10 (A-G). discussed the following strategy. Ensure that children are kept in a space where you can provide toys & activities that are developmentally appropriate at all times. Reminders: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavioral challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 if you have any questions, comments, or concerns. 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: FIRST STEPS CHILDCARE & LEARNING CENTER Facility ID: 26001236 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: 1123-106L Visit Date: 11/15/2023 Number Present: 22 Completed Date: 11/15/2023 Age: From 1 To 4 Total Minutes: 310 Time In: 06:10 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed April 11, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 97% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued April 11, 2023. The License was based on the program earning five points in education standards, four points in program standards, and one quality point by choosing to meet the educational option: The child care administrator has at least 10 years of documented early childhood work experience in a licensed program that can be verified by the Division. The information on record with the DCDEE was verified as correct by Penny Sweat, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed January 31, 2023. Fire Classification of Approved for daytime care only completed August 2, 2023. There is a concern that soiled diapers were not changed as required. There is a concern that children as young as 2 years waited in the kitchen as the teacher prepared the sanitizing solution. This was not developmentally appropriate space. I arrived at the facility at 6:10a.m.; one staff member greeted me upon entering the facility. Taylor Bruton, Assistant, and Ms. Sweat arrived later during the visit.: one child had arrived at 6:30a.m. Enrollment was captured at 8:15a.m. During the visit I was able to monitor diaper changing routines. Preparation for sanitation solution was already completed upon my arrival. Breakfast served was waffles, pears, and milk. The concerns were discussed with MS. Sweat and Ms. Bruton. During the discussion, it was confirmed by both Ms. Sweat and Ms. Bruton that an incident accrued with a child having a solid diaper and that a child had been taken into the kitchen with a staff member while the staff prepared the sanitation solution for the day. Ms. Sweat stated that they have put in place a tracking document for children who are in diapers, and it is documented throughout the day for each child. The document is given to the parent at the end of the child’s day. Ms. Sweat also stated that sanitation and disinfectant bottles were Prepared the evening before closed business and tested for the prescribed chemical concentrations before returning the bottles to classrooms for the following day. Based on the information gathered and observations made, the allegation of violation of child care requirements pertaining to concerns regarding soiled diapers were not changed as required is substantiated. Based on the information gathered and observations made, the allegation of violation of child care requirements pertaining to concerns regarding children as young as 2 years waited in the kitchen as the teacher prepared the sanitizing solution. This was not a developmentally appropriate space is substantiated. At the completion of the visit, the Visit Summary was reviewed with Ms. Sweat. The following violations were observed. Violation Number Comment Rule 209 Children used space that was not approved. It was stated that a child was taken into the kitchen while a staff prepared sanitation solution. This was corrected. No children were observed in the kitchen during today's visit and the provider stated that a procedure has been put in place to ensure it does accrue again. GS 110-91(1)&(4-5) 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. It was stated that one child having a soiled diaper had accrue on one occasion. This was corrected by observing staff changing diapers during the visit and by staff completing documentation for the time a child is changed and providing that document to the parents daily. 10A NCAC 09 .0806(a) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. It was stated that a child was taken into the kitchen with a staff member while the staff prepared sanitation solution. This was corrected during today's visit. All children were in an approved space where developmentally appropriate toys and activities were provided. .0510 (e ) (1)(A-G) 1842 Staff members and child care administrators who were counted in meeting the staff/child ratios concurrently performed food preparation or other duties that are not direct child care responsibilities. It was stated that one staff member who were responsible for children did take a child in to the kitchen while the staff prepared sanitation solution. This was corrected by the provider putting a procedure in place to ensure it does not happen again. .0713(a)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. No compliance letter is due. All violations were corrected during the visit. Facility Specific TA: A violation was cited for not having developmentally appropriate toys and activities. Refer to child care rule 10A NCAC 09 0510 (e) (10 (A-G). discussed the following strategy. Ensure that children are kept in a space where you can provide toys & activities that are developmentally appropriate at all times. Reminders: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavioral challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 if you have any questions, comments, or concerns. 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: FIRST STEPS CHILDCARE & LEARNING CENTER Facility ID: 26001236 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: 1123-106L Visit Date: 11/15/2023 Number Present: 22 Completed Date: 11/15/2023 Age: From 1 To 4 Total Minutes: 310 Time In: 06:10 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegations regarding violations of child care requirements. The previous Annual Compliance Visit was completed April 11, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 97% which is above 75%, as required by North Carolina General Statute 110-90(4)(c-d). This program currently operates with a four-Star License issued April 11, 2023. The License was based on the program earning five points in education standards, four points in program standards, and one quality point by choosing to meet the educational option: The child care administrator has at least 10 years of documented early childhood work experience in a licensed program that can be verified by the Division. The information on record with the DCDEE was verified as correct by Penny Sweat, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed January 31, 2023. Fire Classification of Approved for daytime care only completed August 2, 2023. There is a concern that soiled diapers were not changed as required. There is a concern that children as young as 2 years waited in the kitchen as the teacher prepared the sanitizing solution. This was not developmentally appropriate space. I arrived at the facility at 6:10a.m.; one staff member greeted me upon entering the facility. Taylor Bruton, Assistant, and Ms. Sweat arrived later during the visit.: one child had arrived at 6:30a.m. Enrollment was captured at 8:15a.m. During the visit I was able to monitor diaper changing routines. Preparation for sanitation solution was already completed upon my arrival. Breakfast served was waffles, pears, and milk. The concerns were discussed with MS. Sweat and Ms. Bruton. During the discussion, it was confirmed by both Ms. Sweat and Ms. Bruton that an incident accrued with a child having a solid diaper and that a child had been taken into the kitchen with a staff member while the staff prepared the sanitation solution for the day. Ms. Sweat stated that they have put in place a tracking document for children who are in diapers, and it is documented throughout the day for each child. The document is given to the parent at the end of the child’s day. Ms. Sweat also stated that sanitation and disinfectant bottles were Prepared the evening before closed business and tested for the prescribed chemical concentrations before returning the bottles to classrooms for the following day. Based on the information gathered and observations made, the allegation of violation of child care requirements pertaining to concerns regarding soiled diapers were not changed as required is substantiated. Based on the information gathered and observations made, the allegation of violation of child care requirements pertaining to concerns regarding children as young as 2 years waited in the kitchen as the teacher prepared the sanitizing solution. This was not a developmentally appropriate space is substantiated. At the completion of the visit, the Visit Summary was reviewed with Ms. Sweat. The following violations were observed. Violation Number Comment Rule 209 Children used space that was not approved. It was stated that a child was taken into the kitchen while a staff prepared sanitation solution. This was corrected. No children were observed in the kitchen during today's visit and the provider stated that a procedure has been put in place to ensure it does accrue again. GS 110-91(1)&(4-5) 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. It was stated that one child having a soiled diaper had accrue on one occasion. This was corrected by observing staff changing diapers during the visit and by staff completing documentation for the time a child is changed and providing that document to the parents daily. 10A NCAC 09 .0806(a) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. It was stated that a child was taken into the kitchen with a staff member while the staff prepared sanitation solution. This was corrected during today's visit. All children were in an approved space where developmentally appropriate toys and activities were provided. .0510 (e ) (1)(A-G) 1842 Staff members and child care administrators who were counted in meeting the staff/child ratios concurrently performed food preparation or other duties that are not direct child care responsibilities. It was stated that one staff member who were responsible for children did take a child in to the kitchen while the staff prepared sanitation solution. This was corrected by the provider putting a procedure in place to ensure it does not happen again. .0713(a)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. No compliance letter is due. All violations were corrected during the visit. Facility Specific TA: A violation was cited for not having developmentally appropriate toys and activities. Refer to child care rule 10A NCAC 09 0510 (e) (10 (A-G). discussed the following strategy. Ensure that children are kept in a space where you can provide toys & activities that are developmentally appropriate at all times. Reminders: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavioral challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/. Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 if you have any questions, comments, or concerns. 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: FIRST STEPS CHILDCARE & LEARNING CENTER Facility ID: 26001236 Consultant: JENNIFER STRICKLAND Operation Type: Center Case Number: Visit Date: 10/6/2023 Number Present: 30 Completed Date: 10/6/2023 Age: From 1 To 4 Total Minutes: 135 Time In: 08:15 AM Time Out: 10:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit is to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced Visit. The previous Annual Compliance Rated License Assessment Visit was completed April 11, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 97%. This program currently operates with a Four (4) -Star License issued April 11, 2023. The License was based on the program earning seven (7) points in education standards, two (2) points in program standards, and one (1) quality point by choosing to meet an educational option with the child care administrator has at least 10 years of documented child care administrative work experience that can be verified by the Division. The information on record with DCDEE was verified as correct by Penny Sweat and the owner’s corporation status was verified in the Secretary of States website and current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed January 31, 2023. Fire Classification of Approved for daytime care only completed August 2, 2023. Taylor Bruton, Assistant Director, was present while I observed the indoor and outdoor areas. P. Sweet came in later and finished the walk-through with me. Upon my arrival, there were thirty-one (31) children present. In space #2, children explored their room and played in different activity areas. The teacher asked them if they wanted to listen to a story, and they all joined her on the carpet for storytime. All four (4) children were mesmerized listening to the story. In space #5, children were engaged in free play. Children were observed building at the block area, dressing up in dramatic play, and playing with table toys. Teacher interaction was limited to giving children directives to re-direct behavior. Ziploc bags were found in three (3) cubbies, two others holding art material, plastic bags hanging from the bathroom door handle, and rubber gloves on top of a shelf were found accessible to children all located under 5 feet. In addition a teacher’s personal bag was stored on the floor behind the children’s changing table. The bag contained key, and various cords. In space #4, children transitioned from a whole group to free play. There were plenty of materials that were accessible to children at each center. Children were observed playing in the dramatic play area, blocks, manipulatives, and with Play-Doh. Teachers walked around the room to monitor and interact with children. Lunch served today was cut up hot dogs in beak beans, sliced bread, mandarin oranges, and milk. The facility's program records were reviewed for compliance. At the completion of the visit, the Visit Summary was reviewed with P. Sweat. The following violations were observed. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Accessible to children in space #5, a staff member's bag was stored on the floor behind the changing table. .2820(b) 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. In space # 5 Ziplock bags were found in three (3) cubbies, two others holding art material, plastic bags hanging from the bathroom door handle, and rubber gloves on top of a shelf were found accessible to children all located under 5 feet .0604(q) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation was corrected during the visit. No compliance letter is due. Facility Specific TA/Consultation/Reminders: Plastic Bags: A violation was cited during today’s visit for items that were potential choking hazards accessible to children under three years old. I recommended P. Sweat to remind all staff to keep plastic bags and materials that can be torn apart 5 feet or higher. Additional information can be found in NC Child Care rule 10A NCAC .0604 (q) Hazardous Items: A violation was cited today for a personal bag being stored on the floor behind the changing table where children had access to that area. Please refer to Rule 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS for more information. Observation Suggestion: Children were engaged in playing with materials throughout different classrooms and outdoors. I encourage teachers to talk about what they are doing or what the children are doing to help them link language and action in a way they can develop their vocabulary and language skills. Describe your and your children’s activities when washing hands, changing diapers, or doing art projects. NCRLAP: I encourage teachers to visit the NCRLAP website at www.ncrlap.org for the video resources such as “Language for Learning: Infants and Toddlers” and “Language for Learning: Preschoolers. Also available are additional webinars, handouts, and other videos for all Environment Rating Scales. Challenging Behaviors: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline DCDEE Website/ Child Care Consultant Contact Information Visit the DCDEE website (https://ncchildcare.ncdhhs.gov) for updated requirements, forms, and other pertinent information. Please feel free to contact me at jennifer.a.strickland@dhhs.nc.gov or 910- 882-2378 if you have any questions or concerns. 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: FIRST STEPS CHILDCARE & LEARNING CENTER Facility ID: 26001236 Consultant: JENNIFER STRICKLAND Operation Type: Center Case Number: Visit Date: 10/6/2023 Number Present: 30 Completed Date: 10/6/2023 Age: From 1 To 4 Total Minutes: 135 Time In: 08:15 AM Time Out: 10:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit is to monitor compliance with applicable child care requirements pertinent to a Routine Unannounced Visit. The previous Annual Compliance Rated License Assessment Visit was completed April 11, 2023, and prior to today’s visit, the eighteen-month compliance history score was at 97%. This program currently operates with a Four (4) -Star License issued April 11, 2023. The License was based on the program earning seven (7) points in education standards, two (2) points in program standards, and one (1) quality point by choosing to meet an educational option with the child care administrator has at least 10 years of documented child care administrative work experience that can be verified by the Division. The information on record with DCDEE was verified as correct by Penny Sweat and the owner’s corporation status was verified in the Secretary of States website and current-active. Current Inspections are as follows: Sanitation Classification of Superior Completed January 31, 2023. Fire Classification of Approved for daytime care only completed August 2, 2023. Taylor Bruton, Assistant Director, was present while I observed the indoor and outdoor areas. P. Sweet came in later and finished the walk-through with me. Upon my arrival, there were thirty-one (31) children present. In space #2, children explored their room and played in different activity areas. The teacher asked them if they wanted to listen to a story, and they all joined her on the carpet for storytime. All four (4) children were mesmerized listening to the story. In space #5, children were engaged in free play. Children were observed building at the block area, dressing up in dramatic play, and playing with table toys. Teacher interaction was limited to giving children directives to re-direct behavior. Ziploc bags were found in three (3) cubbies, two others holding art material, plastic bags hanging from the bathroom door handle, and rubber gloves on top of a shelf were found accessible to children all located under 5 feet. In addition a teacher’s personal bag was stored on the floor behind the children’s changing table. The bag contained key, and various cords. In space #4, children transitioned from a whole group to free play. There were plenty of materials that were accessible to children at each center. Children were observed playing in the dramatic play area, blocks, manipulatives, and with Play-Doh. Teachers walked around the room to monitor and interact with children. Lunch served today was cut up hot dogs in beak beans, sliced bread, mandarin oranges, and milk. The facility's program records were reviewed for compliance. At the completion of the visit, the Visit Summary was reviewed with P. Sweat. The following violations were observed. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Accessible to children in space #5, a staff member's bag was stored on the floor behind the changing table. .2820(b) 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. In space # 5 Ziplock bags were found in three (3) cubbies, two others holding art material, plastic bags hanging from the bathroom door handle, and rubber gloves on top of a shelf were found accessible to children all located under 5 feet .0604(q) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violation was corrected during the visit. No compliance letter is due. Facility Specific TA/Consultation/Reminders: Plastic Bags: A violation was cited during today’s visit for items that were potential choking hazards accessible to children under three years old. I recommended P. Sweat to remind all staff to keep plastic bags and materials that can be torn apart 5 feet or higher. Additional information can be found in NC Child Care rule 10A NCAC .0604 (q) Hazardous Items: A violation was cited today for a personal bag being stored on the floor behind the changing table where children had access to that area. Please refer to Rule 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS for more information. Observation Suggestion: Children were engaged in playing with materials throughout different classrooms and outdoors. I encourage teachers to talk about what they are doing or what the children are doing to help them link language and action in a way they can develop their vocabulary and language skills. Describe your and your children’s activities when washing hands, changing diapers, or doing art projects. NCRLAP: I encourage teachers to visit the NCRLAP website at www.ncrlap.org for the video resources such as “Language for Learning: Infants and Toddlers” and “Language for Learning: Preschoolers. Also available are additional webinars, handouts, and other videos for all Environment Rating Scales. Challenging Behaviors: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits' end? Help is available for these and other behavior challenges! The Challenging Behaviors Hotline has opened and is provided for Free. You may speak to a Behavior Support Advisor for advice and resources specific to challenging behaviors in your facility. Dial 1-888-600-1685 Option 1 or for more information go to www.childcareresourcesinc.org/challenging-behaviors-helpline DCDEE Website/ Child Care Consultant Contact Information Visit the DCDEE website (https://ncchildcare.ncdhhs.gov) for updated requirements, forms, and other pertinent information. Please feel free to contact me at jennifer.a.strickland@dhhs.nc.gov or 910- 882-2378 if you have any questions or concerns. 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: FIRST STEPS CHILDCARE & LEARNING CENTER Facility ID: 26001236 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: 0823-442L Visit Date: 9/7/2023 Number Present: 33 Completed Date: 9/7/2023 Age: From 0 To 3 Total Minutes: 255 Time In: 11:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegation regarding violations of child care requirements. The previous Annual Compliance Visit was completed April 11, 2023, and prior to today’s visit, the eighteen-month compliance history score was 97%. This program currently operates with a four-Star License issued April 11, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet the educational option: The child care administrator has at least 10 years of documented early childhood work experience in a licensed program that can be verified by the Division. The information on record with the DCDEE was verified as correct by Penny Sweat, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 1/31/2023. Fire Classification of Approved for Daytime Only completed 8/16/2022. There are concerns that staff are not interacting with children in a nurturing and caring manner. There are concerns that sanitation guidelines are not being followed. There are concerns that developmentally appropriate activities are not being provided. There are concerns that staff/child ratios are not being followed. Ms. Sweat was present during today’s visit. I monitored the indoor and outdoor areas. Upon my arrival there were thirty-three (33) children in care. In space #2, #4, and #5, the children were resting on their assigned cots. After rest time the children participated in toileting and handwashing routines. The children then had snack. After snack, children transitioned to free choice play. Snack served today was cucumbers, ritz crackers, and water. The allegations were discussed with the administrator. Five (5) teachers and two (2) parents were interviewed. During the interviews with staff, the staff were asked about caring for more than the number of children to one staff for the age group that they serve in their classroom. The teachers stated that they let the office staff know their numbers before they are ever over the number of children, they are supposed to have to one teacher. During my observations of each classroom, all the furniture and toys were in good repair. There were enough materials in each classroom that were developmentally appropriate for the ages of the children being served. In each classroom monitored, staff interacted with children and interactions were positive and nurturing. During my observations, the teachers assisted the children as they woke up and transitioned to toileting and handwashing routines, asking them questions like, “Did you have a good rest?” “Are you ready for snack?” The teachers also communicated with the children what they were having for snack. Based on the information gathered, interviews conducted, and my observations during today’s visit, there wasn’t sufficient information to confirm the allegations of violation of child care requirements so the allegations that staff are not interacting with children in a nurturing and caring manner; that sanitation guidelines are not being followed; developmentally appropriate activities are not being provided; and staff /child ratios are not being followed are unsubstantiated. Three new staff files were monitored during today’s visit and one violation was found. At the completion of the visit the visit summary was reviewed with Ms. Sweat. The following violation was observed. 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. A medical report for one new staff member was older than 12 months. The staff hire date was 7/17/2023, and the date of the report was 3/22/2022. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on September 21, 2023, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 TA: Medical Statement: One new staff member medical statement was over 12 months old. Remember, medical statements are required prior to employment and cannot be older than 12 months. Refer Child Care Rule 10A NCAC 09 .0701(a). Ensure you are monitoring all documents for dates when you receive them before staff that are being employed by your facility. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/ Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 if you have any questions, comments, or concerns. 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: FIRST STEPS CHILDCARE & LEARNING CENTER Facility ID: 26001236 Consultant: SANDRA JOHNSON Operation Type: Center Case Number: 0823-442L Visit Date: 9/7/2023 Number Present: 33 Completed Date: 9/7/2023 Age: From 0 To 3 Total Minutes: 255 Time In: 11:30 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's visit was to investigate allegation regarding violations of child care requirements. The previous Annual Compliance Visit was completed April 11, 2023, and prior to today’s visit, the eighteen-month compliance history score was 97%. This program currently operates with a four-Star License issued April 11, 2023. The License was based on the program earning seven points in education standards, two points in program standards, and one quality point by choosing to meet the educational option: The child care administrator has at least 10 years of documented early childhood work experience in a licensed program that can be verified by the Division. The information on record with the DCDEE was verified as correct by Penny Sweat, Administrator, and the owner’s corporation status was verified on the Secretary of State’s website as current-active. Current Inspections are as follows: Sanitation Classification of Superior completed 1/31/2023. Fire Classification of Approved for Daytime Only completed 8/16/2022. There are concerns that staff are not interacting with children in a nurturing and caring manner. There are concerns that sanitation guidelines are not being followed. There are concerns that developmentally appropriate activities are not being provided. There are concerns that staff/child ratios are not being followed. Ms. Sweat was present during today’s visit. I monitored the indoor and outdoor areas. Upon my arrival there were thirty-three (33) children in care. In space #2, #4, and #5, the children were resting on their assigned cots. After rest time the children participated in toileting and handwashing routines. The children then had snack. After snack, children transitioned to free choice play. Snack served today was cucumbers, ritz crackers, and water. The allegations were discussed with the administrator. Five (5) teachers and two (2) parents were interviewed. During the interviews with staff, the staff were asked about caring for more than the number of children to one staff for the age group that they serve in their classroom. The teachers stated that they let the office staff know their numbers before they are ever over the number of children, they are supposed to have to one teacher. During my observations of each classroom, all the furniture and toys were in good repair. There were enough materials in each classroom that were developmentally appropriate for the ages of the children being served. In each classroom monitored, staff interacted with children and interactions were positive and nurturing. During my observations, the teachers assisted the children as they woke up and transitioned to toileting and handwashing routines, asking them questions like, “Did you have a good rest?” “Are you ready for snack?” The teachers also communicated with the children what they were having for snack. Based on the information gathered, interviews conducted, and my observations during today’s visit, there wasn’t sufficient information to confirm the allegations of violation of child care requirements so the allegations that staff are not interacting with children in a nurturing and caring manner; that sanitation guidelines are not being followed; developmentally appropriate activities are not being provided; and staff /child ratios are not being followed are unsubstantiated. Three new staff files were monitored during today’s visit and one violation was found. At the completion of the visit the visit summary was reviewed with Ms. Sweat. The following violation was observed. 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. A medical report for one new staff member was older than 12 months. The staff hire date was 7/17/2023, and the date of the report was 3/22/2022. 10A NCAC 09 .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Violations observed and documented today may impact the compliance history score. The violations observed and documented today must be corrected immediately. Additionally, by 5:00pm on September 21, 2023, you must submit a written, dated, and signed statement to me. The statement must describe accurately and in detail, how and when the violations were corrected. If the letter states that corrections have been made when they have not, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Sandra Johnson Child Care Consultant P.O. Box 64401 Fayetteville, NC 28306 sandra.johnson@dhhs.nc.gov If you email the compliance letter, you must include a signature block, which contains your name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 TA: Medical Statement: One new staff member medical statement was over 12 months old. Remember, medical statements are required prior to employment and cannot be older than 12 months. Refer Child Care Rule 10A NCAC 09 .0701(a). Ensure you are monitoring all documents for dates when you receive them before staff that are being employed by your facility. Please visit DCDEE’s website for the latest child care updates and information for child care at https://ncchildcare.ncdhhs.gov/ Please feel free to contact me at sandra.johnson@dhhs.nc.gov or 910-408-8985 if you have any questions, comments, or concerns. 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