G.S. 110-91 · Violation

Name of Operation: CHILDTIME 2014 Facility ID: 90000386 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 73 Completed Date: 11/13/2025 Age: From 0 To 5 Total Minutes: 290 Time In: 09:15 AM Time Out: 01:20 PM Time In: 01:30 PM Time Out: 02:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Upon arrival I was greeted by Ms. Gibson, Team Lead. I shared the reason for the visit, Ms. Angeliris Hernandez assisted me with the visit. Permit Information: The program currently operates with a Five-Star Center License effective 6/13/19. The license was posted, with the restrictions: - 1st shift - meets enhanced ratios - meets enhanced space - meets enhanced ratios minus one in each group I monitored the following items: supervision, staff/child ratio, staff records, health, safety, and program records. Ownership: The facility’s corporate owner Childtime Childcare, Inc with SoS ID #: 0494204 was current and active. As a reminder, if any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: The program's last fire inspection on file with DCDEE was completed on 2/11/25. The last playground inspection was completed on 10/9/25. The program's last sanitation inspection on file with DCDEE was completed on 6/24/25. The program received eight (8) demerits and received a superior classification. Indoor Learning Environment: This facility has two (2) NC Pre-K classrooms. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in individual routines (nap and free play), outdoor play, free play, group time, toileting and handwashing routines. Space #3 had a broken sensory table lid, this was corrected during the visit. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Program Records: The last fire drill was conducted on 10/23/25 and the last emergency drill was conducted on 9/24/25. The EPR plan was last updated on 10/8/25. Staff Records: The staff-training worksheets were completed for all staff prior to the visit. Please refer to the staff and training worksheets to review which files were selected. One (1) staff file did not have the health and safety trainings completed within their first year of employment. One (1) staff file did not have the R&R training within the last twelve (12) months or within ninety (90) days of hire. One (1) staff file had the R&R training after ninety (90) days. Children's Records: Twelve (12) files were reviewed, please refer to the worksheet to review which files were reviewed. Items were in compliance. Medication: Topical ointments were in compliance, it was reported that there is currently no emergency medication. Nutrition: The facility was in compliance with child care meal pattern requirements. Weapons: The facility was in compliance with child care requirements regarding firearms. Transportation: Transportation was monitored; three (3) buses are being used for transportation; all requirements were in compliance. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Space #3 had a broken sensory table lid. G.S. 110-91(6); .0601(b) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.One (1) staff file did not have the R&R training within the last twelve (12) months or within ninety (90) days of hire. One (1) staff file had the R&R training after ninety (90) days. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff file did not have the health and safety trainings completed within their first year of employment. .1102(a) Corrective Action Plan: The violations not corrected during the visit must be corrected immediately. On or before 11/27/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. A compliance letter template was shared with you if you need a digital copy, let me know. Please ensure that all these components are completed: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the reoccurrence of each violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was eighty-three percent (83%) prior to today’s visit. Rated License Information: A TA visit will occur in the near future to review QRIS requirements. Lead in Water, Paint and Asbestos: As of today, this facility has completed all three (3) sections. Technical Assistance: The following areas/topics were discussed along with requirements to maintain compliance: - Toilets and lavatories - Seats/Upholstery in Vehicles - Allergies Posted - Off Premise and Transportation Forms - HHS Trainings and Orientation Requirements - NC PreK Child Forms Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Hernandez. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: CHILDTIME 2014 Facility ID: 90000386 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 80 Completed Date: 11/14/2024 Age: From 0 To 5 Total Minutes: 387 Time In: 09:03 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Upon arrival I was greeted by Ms. Marsh-Capers, Assistant Director and Ms. Gibson, Team Lead. I shared the reason for the visit, Ms. Marsh-Capers and Ms. Gibson assisted me with the visit. Permit Information: Your program currently operates with a Five-Star Center License effective 6/13/19. The license was posted, with restrictions to: - 1st shift - meets enhanced ratios - meets enhanced space - meets enhanced ratios minus one in each group I monitored the following items: supervision, licensed capacity, space, staff/child ratios, staff records, health, safety, and program records. Ownership: The facility’s corporate owner Childtime Childcare, Inc with SoS ID #: 0494204 was current and active. As a reminder, if any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: The program's last fire inspection on file with DCDEE was completed on 2/1/24. As a reminder, fire inspections need to be completed annually and the form for the fire inspector to use is located on our website under the provider tab and provider documents. Once the inspection is complete, please send your consultant a copy of the report within seven (7) days. The last playground inspection was completed on 10/22/24. The program's last sanitation inspection on file with DCDEE was completed on 6/19/24. The program received twenty (20) demerits and received an approved classification. Indoor Learning Environment: This facility has two (2) NC Pre-K classrooms, and a representative from the Alliance for Children was present conducting observations. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in morning drop off, free play, and individual routines. The refrigerator in space #1 was reading a temperature of over sixty (60) degrees Fahrenheit, it was reported that the temperature fluctuates. I reviewed to ensure that it reads at max forty-five (45) degrees and to repair or replace the refrigerator. It was reported that the screen was used once in space #4, please remember to record any screen time using the screen log that can be found on our website or on the lesson plan. A toilet seat in space #5 is in need of repair or replacement. Children in space #6 engaged in sand play without washing their hands prior to the activity, children need to wash their hands before and after sensory play (sand and/water play). The sinks between space #6 and #7 were in need of cleaning, it was reported that staff have tried to take off the buildup, but it was still visibly dirty from use and buildup still present. Outdoor Learning Environment: The outdoor learning environments were monitored, I observed a white gutter pipe with sharp edges on the playground for 2’s/3’s. Program Records: The last fire drill was conducted on 10/17/24 and the last emergency drill was conducted on 9/9/24. The EPR plan was last updated on 12/15/23, however enrollment numbers, consultant contact number and director information was not current. At a previous visit, I left information with the Director, Ms. Hemphill, to complete the EPR training and to log into the portal to update the EPR plan. I will follow up with Ms. Hemphill via email or phone due to her not being present during today’s visit to obtain more information. Staff Records: The staff-training worksheets were completed for new staff. Existing staff were not on the staff and training worksheet, this was completed during the visit. There was a total of fourteen (14) staff files that were reviewed. Eleven (11) staff files had five (5) hours completed out of the six (6) hours required for orientation in the 1st 2 weeks. First Aid and CPR were overdue for one (1) staff member, it was reported that they were going to attend the training this evening. This training is required within ninety (90) days of employment. One (1) staff file had a certification from an agency/organization that was not approved by DCDEE, a copy of approved agencies was left during the visit. One (1) staff file did not complete the training BSAC, any staff who work with school-age children need to have this training completed within three (3) months of employment. Two (2) existing staff files were missing on-going training documentation and certificates. I reviewed the requirements for on-going training hours, all certificates and logs need to be on file and completed. Training hours need to be recorded based on the annual compliance year, which is from 11/15/23 to 11/15/24. One (1) new staff did not have a current recognizing and responding training, the file obtained a certification from 2022. This training needs to be within twelve (12) months old and/or re-completed within ninety (90) days of their employment. Two (2) existing staff files needed to complete this training for the five (5) year requirement of health and safety trainings. Health Questionnaire’s and Emergency Information forms need to be completed/updated on the first day of employment and annually, three (3) staff files had completed both forms after the annual date. One (1) file was missing an annual evaluation, as a reminder these need to be completed annually and be on file for review. Children's Records: Nine (9) files were reviewed, please refer to the worksheet to review which files were reviewed. All children, including children enrolled in NC PreK need a medical report on file within thirty (30) days of enrollment, a health assessment from DPI does not suffice this requirement. All NC-PreK children need to have vision, hearing, and dental screenings on file, two (2) files were missing a dental screening. One (1) infant file was missing receipt of the safe sleep policy. Medication: I observed an expired diaper cream in space #3, this was removed and corrected during the visit. Nutrition: The facility was in compliance with child care meal pattern requirements. Please remember that all staff prepping and handling food in the kitchen need to adhere to childcare and sanitation requirements. Weapons: The facility was in compliance with child care requirements regarding firearms. Transportation: Transportation was monitored, three (3) buses are being used for transportation; all requirements were in compliance. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in space #1 was reading a temperature of over sixty (60) degrees Fahrenheit. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. A toilet seat in space #5 is in need of repair or replacement. The sinks between space #6 and #7 were in need of cleaning. I observed a white gutter pipe with sharp edges on the playground for 2’s/3’s. G.S. 110-91(6); .0601(b) 843 A drug or medicine was administered after its expiration date. I observed an expired diaper cream in space #3. 10A NCAC 09 .0803(1)(d) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One (1) infant file was missing receipt of the safe sleep policy. 10A NCAC 09 .0606(c) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff files had completed their Health Questionnaire after the annual date. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff files had completed their Emergency Info form after the annual date. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid and CPR was not completed within ninety (90) days of employment for one (1) staff member. One (1) staff file had a certification from an agency/organization that was not approved by DCDEE. .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. First Aid and CPR was not completed within ninety (90) days of employment for one (1) staff member. One (1) staff file had a certification from an agency/organization that was not approved by DCDEE. .1102(d) 1054 Documentation of staff's on-going training was not on file and/or was not current. Two (2) existing staff files were missing on-going training documentation and certificates. 10A NCAC 09 .1106(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Eleven (11) staff files had five (5) hours completed out of the six (6) hours required for orientation in the 1st 2 weeks. .1101(a)(b) 1769 The health assessment did not include a dental screening. Two (2) files were missing a dental screening. .3005 (a)(5) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. I was unable to verify that at least one (1) person at the facility has taken the EPR training. .0607(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) staff, M.H and L.M.C, did not complete the health and safety training topics within five years of completing the previous training topics. .1103(b) Corrective Action Plan: The violations not corrected during the visit must be corrected immediately. On or before 11/28/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. A compliance letter template was shared with you if you need a digital copy, let me know. Please ensure that all these components are completed: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the reoccurrence of each violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was eighty-five percent (85%) prior to today’s visit. Rated License Information: Hold harmless has been extended until the new QRIS (Quality Rating and Improvement System) is implemented, this is also known as SB 425 (Senate Bill 425). Providers in Cohort #1 are not required to go any further with a rated license assessment unless requested, and providers in Cohort #2 do not need to start their preparation year unless a rated license assessment is requested. Lead in Water, Paint and Asbestos: 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking water, identify lead based paint hazards, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina. Additional information can be found in the Raise North Carolina Newsletter sent via email on 12/7/23 from DCDEE. As of today, this facility has completed all three (3) sections, lead in water, lead-based paint and asbestos testing. Technical Assistance: I left handouts and flyers for you and your staff to find resources to help equip with addressing challenging behaviors. Please have the most current summary of the law posted, a copy can be found on our website. When completing and reviewing staff and children files please include signatures of the administrator who completes the file along with the dates that the policies are reviewed, if the form requires a signature from the director/administrator please include it. Exit Conference: An unannounced follow up visit will occur in the future. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Gibson and Ms. Marsh-Capers. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0606 · Violation

Name of Operation: CHILDTIME 2014 Facility ID: 90000386 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 80 Completed Date: 11/14/2024 Age: From 0 To 5 Total Minutes: 387 Time In: 09:03 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Upon arrival I was greeted by Ms. Marsh-Capers, Assistant Director and Ms. Gibson, Team Lead. I shared the reason for the visit, Ms. Marsh-Capers and Ms. Gibson assisted me with the visit. Permit Information: Your program currently operates with a Five-Star Center License effective 6/13/19. The license was posted, with restrictions to: - 1st shift - meets enhanced ratios - meets enhanced space - meets enhanced ratios minus one in each group I monitored the following items: supervision, licensed capacity, space, staff/child ratios, staff records, health, safety, and program records. Ownership: The facility’s corporate owner Childtime Childcare, Inc with SoS ID #: 0494204 was current and active. As a reminder, if any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: The program's last fire inspection on file with DCDEE was completed on 2/1/24. As a reminder, fire inspections need to be completed annually and the form for the fire inspector to use is located on our website under the provider tab and provider documents. Once the inspection is complete, please send your consultant a copy of the report within seven (7) days. The last playground inspection was completed on 10/22/24. The program's last sanitation inspection on file with DCDEE was completed on 6/19/24. The program received twenty (20) demerits and received an approved classification. Indoor Learning Environment: This facility has two (2) NC Pre-K classrooms, and a representative from the Alliance for Children was present conducting observations. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in morning drop off, free play, and individual routines. The refrigerator in space #1 was reading a temperature of over sixty (60) degrees Fahrenheit, it was reported that the temperature fluctuates. I reviewed to ensure that it reads at max forty-five (45) degrees and to repair or replace the refrigerator. It was reported that the screen was used once in space #4, please remember to record any screen time using the screen log that can be found on our website or on the lesson plan. A toilet seat in space #5 is in need of repair or replacement. Children in space #6 engaged in sand play without washing their hands prior to the activity, children need to wash their hands before and after sensory play (sand and/water play). The sinks between space #6 and #7 were in need of cleaning, it was reported that staff have tried to take off the buildup, but it was still visibly dirty from use and buildup still present. Outdoor Learning Environment: The outdoor learning environments were monitored, I observed a white gutter pipe with sharp edges on the playground for 2’s/3’s. Program Records: The last fire drill was conducted on 10/17/24 and the last emergency drill was conducted on 9/9/24. The EPR plan was last updated on 12/15/23, however enrollment numbers, consultant contact number and director information was not current. At a previous visit, I left information with the Director, Ms. Hemphill, to complete the EPR training and to log into the portal to update the EPR plan. I will follow up with Ms. Hemphill via email or phone due to her not being present during today’s visit to obtain more information. Staff Records: The staff-training worksheets were completed for new staff. Existing staff were not on the staff and training worksheet, this was completed during the visit. There was a total of fourteen (14) staff files that were reviewed. Eleven (11) staff files had five (5) hours completed out of the six (6) hours required for orientation in the 1st 2 weeks. First Aid and CPR were overdue for one (1) staff member, it was reported that they were going to attend the training this evening. This training is required within ninety (90) days of employment. One (1) staff file had a certification from an agency/organization that was not approved by DCDEE, a copy of approved agencies was left during the visit. One (1) staff file did not complete the training BSAC, any staff who work with school-age children need to have this training completed within three (3) months of employment. Two (2) existing staff files were missing on-going training documentation and certificates. I reviewed the requirements for on-going training hours, all certificates and logs need to be on file and completed. Training hours need to be recorded based on the annual compliance year, which is from 11/15/23 to 11/15/24. One (1) new staff did not have a current recognizing and responding training, the file obtained a certification from 2022. This training needs to be within twelve (12) months old and/or re-completed within ninety (90) days of their employment. Two (2) existing staff files needed to complete this training for the five (5) year requirement of health and safety trainings. Health Questionnaire’s and Emergency Information forms need to be completed/updated on the first day of employment and annually, three (3) staff files had completed both forms after the annual date. One (1) file was missing an annual evaluation, as a reminder these need to be completed annually and be on file for review. Children's Records: Nine (9) files were reviewed, please refer to the worksheet to review which files were reviewed. All children, including children enrolled in NC PreK need a medical report on file within thirty (30) days of enrollment, a health assessment from DPI does not suffice this requirement. All NC-PreK children need to have vision, hearing, and dental screenings on file, two (2) files were missing a dental screening. One (1) infant file was missing receipt of the safe sleep policy. Medication: I observed an expired diaper cream in space #3, this was removed and corrected during the visit. Nutrition: The facility was in compliance with child care meal pattern requirements. Please remember that all staff prepping and handling food in the kitchen need to adhere to childcare and sanitation requirements. Weapons: The facility was in compliance with child care requirements regarding firearms. Transportation: Transportation was monitored, three (3) buses are being used for transportation; all requirements were in compliance. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in space #1 was reading a temperature of over sixty (60) degrees Fahrenheit. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. A toilet seat in space #5 is in need of repair or replacement. The sinks between space #6 and #7 were in need of cleaning. I observed a white gutter pipe with sharp edges on the playground for 2’s/3’s. G.S. 110-91(6); .0601(b) 843 A drug or medicine was administered after its expiration date. I observed an expired diaper cream in space #3. 10A NCAC 09 .0803(1)(d) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One (1) infant file was missing receipt of the safe sleep policy. 10A NCAC 09 .0606(c) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff files had completed their Health Questionnaire after the annual date. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff files had completed their Emergency Info form after the annual date. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid and CPR was not completed within ninety (90) days of employment for one (1) staff member. One (1) staff file had a certification from an agency/organization that was not approved by DCDEE. .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. First Aid and CPR was not completed within ninety (90) days of employment for one (1) staff member. One (1) staff file had a certification from an agency/organization that was not approved by DCDEE. .1102(d) 1054 Documentation of staff's on-going training was not on file and/or was not current. Two (2) existing staff files were missing on-going training documentation and certificates. 10A NCAC 09 .1106(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Eleven (11) staff files had five (5) hours completed out of the six (6) hours required for orientation in the 1st 2 weeks. .1101(a)(b) 1769 The health assessment did not include a dental screening. Two (2) files were missing a dental screening. .3005 (a)(5) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. I was unable to verify that at least one (1) person at the facility has taken the EPR training. .0607(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) staff, M.H and L.M.C, did not complete the health and safety training topics within five years of completing the previous training topics. .1103(b) Corrective Action Plan: The violations not corrected during the visit must be corrected immediately. On or before 11/28/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. A compliance letter template was shared with you if you need a digital copy, let me know. Please ensure that all these components are completed: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the reoccurrence of each violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was eighty-five percent (85%) prior to today’s visit. Rated License Information: Hold harmless has been extended until the new QRIS (Quality Rating and Improvement System) is implemented, this is also known as SB 425 (Senate Bill 425). Providers in Cohort #1 are not required to go any further with a rated license assessment unless requested, and providers in Cohort #2 do not need to start their preparation year unless a rated license assessment is requested. Lead in Water, Paint and Asbestos: 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking water, identify lead based paint hazards, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina. Additional information can be found in the Raise North Carolina Newsletter sent via email on 12/7/23 from DCDEE. As of today, this facility has completed all three (3) sections, lead in water, lead-based paint and asbestos testing. Technical Assistance: I left handouts and flyers for you and your staff to find resources to help equip with addressing challenging behaviors. Please have the most current summary of the law posted, a copy can be found on our website. When completing and reviewing staff and children files please include signatures of the administrator who completes the file along with the dates that the policies are reviewed, if the form requires a signature from the director/administrator please include it. Exit Conference: An unannounced follow up visit will occur in the future. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Gibson and Ms. Marsh-Capers. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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 .1106 · Violation

Name of Operation: CHILDTIME 2014 Facility ID: 90000386 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 80 Completed Date: 11/14/2024 Age: From 0 To 5 Total Minutes: 387 Time In: 09:03 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Upon arrival I was greeted by Ms. Marsh-Capers, Assistant Director and Ms. Gibson, Team Lead. I shared the reason for the visit, Ms. Marsh-Capers and Ms. Gibson assisted me with the visit. Permit Information: Your program currently operates with a Five-Star Center License effective 6/13/19. The license was posted, with restrictions to: - 1st shift - meets enhanced ratios - meets enhanced space - meets enhanced ratios minus one in each group I monitored the following items: supervision, licensed capacity, space, staff/child ratios, staff records, health, safety, and program records. Ownership: The facility’s corporate owner Childtime Childcare, Inc with SoS ID #: 0494204 was current and active. As a reminder, if any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: The program's last fire inspection on file with DCDEE was completed on 2/1/24. As a reminder, fire inspections need to be completed annually and the form for the fire inspector to use is located on our website under the provider tab and provider documents. Once the inspection is complete, please send your consultant a copy of the report within seven (7) days. The last playground inspection was completed on 10/22/24. The program's last sanitation inspection on file with DCDEE was completed on 6/19/24. The program received twenty (20) demerits and received an approved classification. Indoor Learning Environment: This facility has two (2) NC Pre-K classrooms, and a representative from the Alliance for Children was present conducting observations. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in morning drop off, free play, and individual routines. The refrigerator in space #1 was reading a temperature of over sixty (60) degrees Fahrenheit, it was reported that the temperature fluctuates. I reviewed to ensure that it reads at max forty-five (45) degrees and to repair or replace the refrigerator. It was reported that the screen was used once in space #4, please remember to record any screen time using the screen log that can be found on our website or on the lesson plan. A toilet seat in space #5 is in need of repair or replacement. Children in space #6 engaged in sand play without washing their hands prior to the activity, children need to wash their hands before and after sensory play (sand and/water play). The sinks between space #6 and #7 were in need of cleaning, it was reported that staff have tried to take off the buildup, but it was still visibly dirty from use and buildup still present. Outdoor Learning Environment: The outdoor learning environments were monitored, I observed a white gutter pipe with sharp edges on the playground for 2’s/3’s. Program Records: The last fire drill was conducted on 10/17/24 and the last emergency drill was conducted on 9/9/24. The EPR plan was last updated on 12/15/23, however enrollment numbers, consultant contact number and director information was not current. At a previous visit, I left information with the Director, Ms. Hemphill, to complete the EPR training and to log into the portal to update the EPR plan. I will follow up with Ms. Hemphill via email or phone due to her not being present during today’s visit to obtain more information. Staff Records: The staff-training worksheets were completed for new staff. Existing staff were not on the staff and training worksheet, this was completed during the visit. There was a total of fourteen (14) staff files that were reviewed. Eleven (11) staff files had five (5) hours completed out of the six (6) hours required for orientation in the 1st 2 weeks. First Aid and CPR were overdue for one (1) staff member, it was reported that they were going to attend the training this evening. This training is required within ninety (90) days of employment. One (1) staff file had a certification from an agency/organization that was not approved by DCDEE, a copy of approved agencies was left during the visit. One (1) staff file did not complete the training BSAC, any staff who work with school-age children need to have this training completed within three (3) months of employment. Two (2) existing staff files were missing on-going training documentation and certificates. I reviewed the requirements for on-going training hours, all certificates and logs need to be on file and completed. Training hours need to be recorded based on the annual compliance year, which is from 11/15/23 to 11/15/24. One (1) new staff did not have a current recognizing and responding training, the file obtained a certification from 2022. This training needs to be within twelve (12) months old and/or re-completed within ninety (90) days of their employment. Two (2) existing staff files needed to complete this training for the five (5) year requirement of health and safety trainings. Health Questionnaire’s and Emergency Information forms need to be completed/updated on the first day of employment and annually, three (3) staff files had completed both forms after the annual date. One (1) file was missing an annual evaluation, as a reminder these need to be completed annually and be on file for review. Children's Records: Nine (9) files were reviewed, please refer to the worksheet to review which files were reviewed. All children, including children enrolled in NC PreK need a medical report on file within thirty (30) days of enrollment, a health assessment from DPI does not suffice this requirement. All NC-PreK children need to have vision, hearing, and dental screenings on file, two (2) files were missing a dental screening. One (1) infant file was missing receipt of the safe sleep policy. Medication: I observed an expired diaper cream in space #3, this was removed and corrected during the visit. Nutrition: The facility was in compliance with child care meal pattern requirements. Please remember that all staff prepping and handling food in the kitchen need to adhere to childcare and sanitation requirements. Weapons: The facility was in compliance with child care requirements regarding firearms. Transportation: Transportation was monitored, three (3) buses are being used for transportation; all requirements were in compliance. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in space #1 was reading a temperature of over sixty (60) degrees Fahrenheit. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. A toilet seat in space #5 is in need of repair or replacement. The sinks between space #6 and #7 were in need of cleaning. I observed a white gutter pipe with sharp edges on the playground for 2’s/3’s. G.S. 110-91(6); .0601(b) 843 A drug or medicine was administered after its expiration date. I observed an expired diaper cream in space #3. 10A NCAC 09 .0803(1)(d) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One (1) infant file was missing receipt of the safe sleep policy. 10A NCAC 09 .0606(c) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff files had completed their Health Questionnaire after the annual date. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff files had completed their Emergency Info form after the annual date. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid and CPR was not completed within ninety (90) days of employment for one (1) staff member. One (1) staff file had a certification from an agency/organization that was not approved by DCDEE. .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. First Aid and CPR was not completed within ninety (90) days of employment for one (1) staff member. One (1) staff file had a certification from an agency/organization that was not approved by DCDEE. .1102(d) 1054 Documentation of staff's on-going training was not on file and/or was not current. Two (2) existing staff files were missing on-going training documentation and certificates. 10A NCAC 09 .1106(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Eleven (11) staff files had five (5) hours completed out of the six (6) hours required for orientation in the 1st 2 weeks. .1101(a)(b) 1769 The health assessment did not include a dental screening. Two (2) files were missing a dental screening. .3005 (a)(5) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. I was unable to verify that at least one (1) person at the facility has taken the EPR training. .0607(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) staff, M.H and L.M.C, did not complete the health and safety training topics within five years of completing the previous training topics. .1103(b) Corrective Action Plan: The violations not corrected during the visit must be corrected immediately. On or before 11/28/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. A compliance letter template was shared with you if you need a digital copy, let me know. Please ensure that all these components are completed: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the reoccurrence of each violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was eighty-five percent (85%) prior to today’s visit. Rated License Information: Hold harmless has been extended until the new QRIS (Quality Rating and Improvement System) is implemented, this is also known as SB 425 (Senate Bill 425). Providers in Cohort #1 are not required to go any further with a rated license assessment unless requested, and providers in Cohort #2 do not need to start their preparation year unless a rated license assessment is requested. Lead in Water, Paint and Asbestos: 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking water, identify lead based paint hazards, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina. Additional information can be found in the Raise North Carolina Newsletter sent via email on 12/7/23 from DCDEE. As of today, this facility has completed all three (3) sections, lead in water, lead-based paint and asbestos testing. Technical Assistance: I left handouts and flyers for you and your staff to find resources to help equip with addressing challenging behaviors. Please have the most current summary of the law posted, a copy can be found on our website. When completing and reviewing staff and children files please include signatures of the administrator who completes the file along with the dates that the policies are reviewed, if the form requires a signature from the director/administrator please include it. Exit Conference: An unannounced follow up visit will occur in the future. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Gibson and Ms. Marsh-Capers. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: CHILDTIME 2014 Facility ID: 90000386 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 80 Completed Date: 11/14/2024 Age: From 0 To 5 Total Minutes: 387 Time In: 09:03 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Upon arrival I was greeted by Ms. Marsh-Capers, Assistant Director and Ms. Gibson, Team Lead. I shared the reason for the visit, Ms. Marsh-Capers and Ms. Gibson assisted me with the visit. Permit Information: Your program currently operates with a Five-Star Center License effective 6/13/19. The license was posted, with restrictions to: - 1st shift - meets enhanced ratios - meets enhanced space - meets enhanced ratios minus one in each group I monitored the following items: supervision, licensed capacity, space, staff/child ratios, staff records, health, safety, and program records. Ownership: The facility’s corporate owner Childtime Childcare, Inc with SoS ID #: 0494204 was current and active. As a reminder, if any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: The program's last fire inspection on file with DCDEE was completed on 2/1/24. As a reminder, fire inspections need to be completed annually and the form for the fire inspector to use is located on our website under the provider tab and provider documents. Once the inspection is complete, please send your consultant a copy of the report within seven (7) days. The last playground inspection was completed on 10/22/24. The program's last sanitation inspection on file with DCDEE was completed on 6/19/24. The program received twenty (20) demerits and received an approved classification. Indoor Learning Environment: This facility has two (2) NC Pre-K classrooms, and a representative from the Alliance for Children was present conducting observations. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in morning drop off, free play, and individual routines. The refrigerator in space #1 was reading a temperature of over sixty (60) degrees Fahrenheit, it was reported that the temperature fluctuates. I reviewed to ensure that it reads at max forty-five (45) degrees and to repair or replace the refrigerator. It was reported that the screen was used once in space #4, please remember to record any screen time using the screen log that can be found on our website or on the lesson plan. A toilet seat in space #5 is in need of repair or replacement. Children in space #6 engaged in sand play without washing their hands prior to the activity, children need to wash their hands before and after sensory play (sand and/water play). The sinks between space #6 and #7 were in need of cleaning, it was reported that staff have tried to take off the buildup, but it was still visibly dirty from use and buildup still present. Outdoor Learning Environment: The outdoor learning environments were monitored, I observed a white gutter pipe with sharp edges on the playground for 2’s/3’s. Program Records: The last fire drill was conducted on 10/17/24 and the last emergency drill was conducted on 9/9/24. The EPR plan was last updated on 12/15/23, however enrollment numbers, consultant contact number and director information was not current. At a previous visit, I left information with the Director, Ms. Hemphill, to complete the EPR training and to log into the portal to update the EPR plan. I will follow up with Ms. Hemphill via email or phone due to her not being present during today’s visit to obtain more information. Staff Records: The staff-training worksheets were completed for new staff. Existing staff were not on the staff and training worksheet, this was completed during the visit. There was a total of fourteen (14) staff files that were reviewed. Eleven (11) staff files had five (5) hours completed out of the six (6) hours required for orientation in the 1st 2 weeks. First Aid and CPR were overdue for one (1) staff member, it was reported that they were going to attend the training this evening. This training is required within ninety (90) days of employment. One (1) staff file had a certification from an agency/organization that was not approved by DCDEE, a copy of approved agencies was left during the visit. One (1) staff file did not complete the training BSAC, any staff who work with school-age children need to have this training completed within three (3) months of employment. Two (2) existing staff files were missing on-going training documentation and certificates. I reviewed the requirements for on-going training hours, all certificates and logs need to be on file and completed. Training hours need to be recorded based on the annual compliance year, which is from 11/15/23 to 11/15/24. One (1) new staff did not have a current recognizing and responding training, the file obtained a certification from 2022. This training needs to be within twelve (12) months old and/or re-completed within ninety (90) days of their employment. Two (2) existing staff files needed to complete this training for the five (5) year requirement of health and safety trainings. Health Questionnaire’s and Emergency Information forms need to be completed/updated on the first day of employment and annually, three (3) staff files had completed both forms after the annual date. One (1) file was missing an annual evaluation, as a reminder these need to be completed annually and be on file for review. Children's Records: Nine (9) files were reviewed, please refer to the worksheet to review which files were reviewed. All children, including children enrolled in NC PreK need a medical report on file within thirty (30) days of enrollment, a health assessment from DPI does not suffice this requirement. All NC-PreK children need to have vision, hearing, and dental screenings on file, two (2) files were missing a dental screening. One (1) infant file was missing receipt of the safe sleep policy. Medication: I observed an expired diaper cream in space #3, this was removed and corrected during the visit. Nutrition: The facility was in compliance with child care meal pattern requirements. Please remember that all staff prepping and handling food in the kitchen need to adhere to childcare and sanitation requirements. Weapons: The facility was in compliance with child care requirements regarding firearms. Transportation: Transportation was monitored, three (3) buses are being used for transportation; all requirements were in compliance. Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator in space #1 was reading a temperature of over sixty (60) degrees Fahrenheit. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. A toilet seat in space #5 is in need of repair or replacement. The sinks between space #6 and #7 were in need of cleaning. I observed a white gutter pipe with sharp edges on the playground for 2’s/3’s. G.S. 110-91(6); .0601(b) 843 A drug or medicine was administered after its expiration date. I observed an expired diaper cream in space #3. 10A NCAC 09 .0803(1)(d) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One (1) infant file was missing receipt of the safe sleep policy. 10A NCAC 09 .0606(c) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff files had completed their Health Questionnaire after the annual date. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff files had completed their Emergency Info form after the annual date. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid and CPR was not completed within ninety (90) days of employment for one (1) staff member. One (1) staff file had a certification from an agency/organization that was not approved by DCDEE. .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. First Aid and CPR was not completed within ninety (90) days of employment for one (1) staff member. One (1) staff file had a certification from an agency/organization that was not approved by DCDEE. .1102(d) 1054 Documentation of staff's on-going training was not on file and/or was not current. Two (2) existing staff files were missing on-going training documentation and certificates. 10A NCAC 09 .1106(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Eleven (11) staff files had five (5) hours completed out of the six (6) hours required for orientation in the 1st 2 weeks. .1101(a)(b) 1769 The health assessment did not include a dental screening. Two (2) files were missing a dental screening. .3005 (a)(5) 1827 The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. I was unable to verify that at least one (1) person at the facility has taken the EPR training. .0607(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) staff, M.H and L.M.C, did not complete the health and safety training topics within five years of completing the previous training topics. .1103(b) Corrective Action Plan: The violations not corrected during the visit must be corrected immediately. On or before 11/28/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. A compliance letter template was shared with you if you need a digital copy, let me know. Please ensure that all these components are completed: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the reoccurrence of each violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was eighty-five percent (85%) prior to today’s visit. Rated License Information: Hold harmless has been extended until the new QRIS (Quality Rating and Improvement System) is implemented, this is also known as SB 425 (Senate Bill 425). Providers in Cohort #1 are not required to go any further with a rated license assessment unless requested, and providers in Cohort #2 do not need to start their preparation year unless a rated license assessment is requested. Lead in Water, Paint and Asbestos: 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking water, identify lead based paint hazards, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina. Additional information can be found in the Raise North Carolina Newsletter sent via email on 12/7/23 from DCDEE. As of today, this facility has completed all three (3) sections, lead in water, lead-based paint and asbestos testing. Technical Assistance: I left handouts and flyers for you and your staff to find resources to help equip with addressing challenging behaviors. Please have the most current summary of the law posted, a copy can be found on our website. When completing and reviewing staff and children files please include signatures of the administrator who completes the file along with the dates that the policies are reviewed, if the form requires a signature from the director/administrator please include it. Exit Conference: An unannounced follow up visit will occur in the future. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Gibson and Ms. Marsh-Capers. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CHILDTIME 2014 Facility ID: 90000386 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 72 Completed Date: 6/12/2024 Age: From 0 To 10 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for a routine visit. Upon arrival I was greeted by Ms. Marsh-Capers, Assistant Director, then I met with Ms. Gibson, Team Lead and Ms. Hemphill, Director. I shared the reason for the visit, the Director had to step away and assist another site upon my arrival. Ms. Gibson assisted me with the walkthrough. Your program currently operates with a Five-Star Center License effective 6/13/19. The license was posted, with restrictions to: - 1st shift - meets enhanced ratios - meets enhanced space - meets enhanced ratios minus one in each group I monitored the following items: supervision, staff/child ratio, staff and children’s records, health, safety, and program records. Ownership: The facility’s corporate owner Childtime Childcare, Inc with SoS ID #: 0494204 was current and active. As a reminder, if any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: The program's last fire inspection on file with DCDEE was completed on 12/8/22. During the visit I obtained a recent inspection completed on 2/1/24. As a reminder, fire inspections need to be completed annually and the form for the fire inspector to use is located on our website under the provider tab and provider documents. Once the inspection is complete, please send your consultant a copy of the report within seven (7) days. The last playground inspection was completed on 5/24/24. The program's last sanitation inspection on file with DCDEE was completed on 8/16/23. The program received fourteen (14) demerits and received a Superior classification. Indoor Learning Environment: This facility has two (2) NC Pre-K classrooms, the children were out for the summer and the classrooms are currently being used for summer camp and school-aged children. In space #4 and #5, a lesson plan was not posted for the current week. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in morning drop off, outdoor play, free play, transitions and handwashing routines. Outdoor Learning Environment: The outdoor learning environments were monitored, I observed a metal gate fence with two (2) hazards, a metal rod was protruding from the bottom and a hole was developing at the bottom of the fence gate. It was reported that work order requests have been submitted, however no action has taken place. Program Records: The last fire drill was conducted on 5/31/24 and the last emergency drill was conducted on 5/30/24. Staff Records: The staff-training worksheets were completed for some of the new staff. I made edits and comments on both sheets. There were seven (7) new staff files that were reviewed. Three (3) new staff did not have their medical report completed prior to employment. It was reported that you caught on to the error that they were outdated and that you addressed it immediately by setting up appointments for two (2) of the staff members and that you realized after one (1) of the staff’s first day that their medical report was older than twelve (12) months and they are getting an updated one completed tomorrow. Two (2) new staff did not have their TB test/screen completed prior to employment. Like the medical reports, it was reported that you caught on to the error that they were outdated and addressed it immediately by setting up appointments for two (2) of the staff members One (1) new staff did not have a current recognizing and responding training, the file obtained a certification from 2017. This training needs to be within twelve (12) months old and/or re-completed within ninety (90) days of their employment. Medication: Medication was monitored and all requirements were in compliance. Nutrition: The facility was in compliance with child care meal pattern requirements. Weapons: The facility was in compliance with child care requirements regarding firearms. Transportation: Transportation was monitored, three (3) buses are being used for transportation. Bus #1 had a large ripped cushion at the front of the bus the tear was taking up about ¼ of the seat. Bus #2 had six (6) tears in almost every seat and Bus #3 had two (2) tears within the seats. I observed duct tape being used to repair the seats however the heat and with wear and tear the tape is uplifting in most areas. Please look into putting in a work repair for all three (3) buses the repairs can be either with patches or re-upholstered if unable to replace the seats. Six (6) violations were observed, three (3) were corrected during the visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The program's last fire inspection on file with DCDEE was completed on 12/8/22. During the visit I obtained a recent inspection completed on 2/1/24. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. In space #4 and #5 a lesson plan was not posted for the current week. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. I observed a metal gate fence with two (2) hazards, a metal rod was protruding from the bottom and a hole was developing at the bottom of the fence gate. 10A NCAC 09 .0601(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) new staff did not have their TB test/screen completed prior to employment. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. DML did not have their qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Three (3) new staff did not have their medical report completed prior to employment. .0701(d) Corrective Action Plan: The violations not corrected during the visit must be corrected immediately. On or before 6/26/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. A compliance letter template was shared with you please ensure that all these components are completed: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the reoccurrence of each violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was eighty-four percent (84%) prior to today’s visit. Rated License Information: This facility is in Cohort #2 and your preparation year is from 7/1/24 to 6/30/25. Your reassessment year will be from 7/1/25 to 6/30/26. I shared with you that more information would be forthcoming as we get closer to your prep year beginning and to lookout for any email communication regarding the rated license process. Reminders and Resources: Please ensure that you are using the most updated Child Care Rule Book also known as Chapter 9 - Child Care Rules. The new version was updated in January of 2024. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking water, identify lead based paint hazards, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina. Additional information can be found in the Raise North Carolina Newsletter sent via email on 12/7/23 from DCDEE. As of today, this facility has completed all three (3) sections, lead in water, lead-based paint and asbestos testing. Please ensure that all on-going training hours are being completed and documented as required for yourself and all staff members and that any annual documents are being updated and completed. These items will be monitored for completion at your annual compliance visit: - Staff Development Plans - Annual Evaluations for Staff - Medical Forms (Health Questionnaire/Emergency Info) - Polices (EMC, EPR, and any other policies that are amended) Please ensure to update your Emergency Preparedness Plan (EPR) to reflect all current information regarding your enrollment, contact numbers and any updates to your emergency plans. This will be reviewed at your annual compliance visit. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Gibson and Ms. Hemphill. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: CHILDTIME 2014 Facility ID: 90000386 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 72 Completed Date: 6/12/2024 Age: From 0 To 10 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for a routine visit. Upon arrival I was greeted by Ms. Marsh-Capers, Assistant Director, then I met with Ms. Gibson, Team Lead and Ms. Hemphill, Director. I shared the reason for the visit, the Director had to step away and assist another site upon my arrival. Ms. Gibson assisted me with the walkthrough. Your program currently operates with a Five-Star Center License effective 6/13/19. The license was posted, with restrictions to: - 1st shift - meets enhanced ratios - meets enhanced space - meets enhanced ratios minus one in each group I monitored the following items: supervision, staff/child ratio, staff and children’s records, health, safety, and program records. Ownership: The facility’s corporate owner Childtime Childcare, Inc with SoS ID #: 0494204 was current and active. As a reminder, if any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: The program's last fire inspection on file with DCDEE was completed on 12/8/22. During the visit I obtained a recent inspection completed on 2/1/24. As a reminder, fire inspections need to be completed annually and the form for the fire inspector to use is located on our website under the provider tab and provider documents. Once the inspection is complete, please send your consultant a copy of the report within seven (7) days. The last playground inspection was completed on 5/24/24. The program's last sanitation inspection on file with DCDEE was completed on 8/16/23. The program received fourteen (14) demerits and received a Superior classification. Indoor Learning Environment: This facility has two (2) NC Pre-K classrooms, the children were out for the summer and the classrooms are currently being used for summer camp and school-aged children. In space #4 and #5, a lesson plan was not posted for the current week. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in morning drop off, outdoor play, free play, transitions and handwashing routines. Outdoor Learning Environment: The outdoor learning environments were monitored, I observed a metal gate fence with two (2) hazards, a metal rod was protruding from the bottom and a hole was developing at the bottom of the fence gate. It was reported that work order requests have been submitted, however no action has taken place. Program Records: The last fire drill was conducted on 5/31/24 and the last emergency drill was conducted on 5/30/24. Staff Records: The staff-training worksheets were completed for some of the new staff. I made edits and comments on both sheets. There were seven (7) new staff files that were reviewed. Three (3) new staff did not have their medical report completed prior to employment. It was reported that you caught on to the error that they were outdated and that you addressed it immediately by setting up appointments for two (2) of the staff members and that you realized after one (1) of the staff’s first day that their medical report was older than twelve (12) months and they are getting an updated one completed tomorrow. Two (2) new staff did not have their TB test/screen completed prior to employment. Like the medical reports, it was reported that you caught on to the error that they were outdated and addressed it immediately by setting up appointments for two (2) of the staff members One (1) new staff did not have a current recognizing and responding training, the file obtained a certification from 2017. This training needs to be within twelve (12) months old and/or re-completed within ninety (90) days of their employment. Medication: Medication was monitored and all requirements were in compliance. Nutrition: The facility was in compliance with child care meal pattern requirements. Weapons: The facility was in compliance with child care requirements regarding firearms. Transportation: Transportation was monitored, three (3) buses are being used for transportation. Bus #1 had a large ripped cushion at the front of the bus the tear was taking up about ¼ of the seat. Bus #2 had six (6) tears in almost every seat and Bus #3 had two (2) tears within the seats. I observed duct tape being used to repair the seats however the heat and with wear and tear the tape is uplifting in most areas. Please look into putting in a work repair for all three (3) buses the repairs can be either with patches or re-upholstered if unable to replace the seats. Six (6) violations were observed, three (3) were corrected during the visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The program's last fire inspection on file with DCDEE was completed on 12/8/22. During the visit I obtained a recent inspection completed on 2/1/24. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. In space #4 and #5 a lesson plan was not posted for the current week. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. I observed a metal gate fence with two (2) hazards, a metal rod was protruding from the bottom and a hole was developing at the bottom of the fence gate. 10A NCAC 09 .0601(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) new staff did not have their TB test/screen completed prior to employment. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. DML did not have their qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Three (3) new staff did not have their medical report completed prior to employment. .0701(d) Corrective Action Plan: The violations not corrected during the visit must be corrected immediately. On or before 6/26/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. A compliance letter template was shared with you please ensure that all these components are completed: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the reoccurrence of each violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was eighty-four percent (84%) prior to today’s visit. Rated License Information: This facility is in Cohort #2 and your preparation year is from 7/1/24 to 6/30/25. Your reassessment year will be from 7/1/25 to 6/30/26. I shared with you that more information would be forthcoming as we get closer to your prep year beginning and to lookout for any email communication regarding the rated license process. Reminders and Resources: Please ensure that you are using the most updated Child Care Rule Book also known as Chapter 9 - Child Care Rules. The new version was updated in January of 2024. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking water, identify lead based paint hazards, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina. Additional information can be found in the Raise North Carolina Newsletter sent via email on 12/7/23 from DCDEE. As of today, this facility has completed all three (3) sections, lead in water, lead-based paint and asbestos testing. Please ensure that all on-going training hours are being completed and documented as required for yourself and all staff members and that any annual documents are being updated and completed. These items will be monitored for completion at your annual compliance visit: - Staff Development Plans - Annual Evaluations for Staff - Medical Forms (Health Questionnaire/Emergency Info) - Polices (EMC, EPR, and any other policies that are amended) Please ensure to update your Emergency Preparedness Plan (EPR) to reflect all current information regarding your enrollment, contact numbers and any updates to your emergency plans. This will be reviewed at your annual compliance visit. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Gibson and Ms. Hemphill. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CHILDTIME 2014 Facility ID: 90000386 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 72 Completed Date: 6/12/2024 Age: From 0 To 10 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for a routine visit. Upon arrival I was greeted by Ms. Marsh-Capers, Assistant Director, then I met with Ms. Gibson, Team Lead and Ms. Hemphill, Director. I shared the reason for the visit, the Director had to step away and assist another site upon my arrival. Ms. Gibson assisted me with the walkthrough. Your program currently operates with a Five-Star Center License effective 6/13/19. The license was posted, with restrictions to: - 1st shift - meets enhanced ratios - meets enhanced space - meets enhanced ratios minus one in each group I monitored the following items: supervision, staff/child ratio, staff and children’s records, health, safety, and program records. Ownership: The facility’s corporate owner Childtime Childcare, Inc with SoS ID #: 0494204 was current and active. As a reminder, if any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: The program's last fire inspection on file with DCDEE was completed on 12/8/22. During the visit I obtained a recent inspection completed on 2/1/24. As a reminder, fire inspections need to be completed annually and the form for the fire inspector to use is located on our website under the provider tab and provider documents. Once the inspection is complete, please send your consultant a copy of the report within seven (7) days. The last playground inspection was completed on 5/24/24. The program's last sanitation inspection on file with DCDEE was completed on 8/16/23. The program received fourteen (14) demerits and received a Superior classification. Indoor Learning Environment: This facility has two (2) NC Pre-K classrooms, the children were out for the summer and the classrooms are currently being used for summer camp and school-aged children. In space #4 and #5, a lesson plan was not posted for the current week. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in morning drop off, outdoor play, free play, transitions and handwashing routines. Outdoor Learning Environment: The outdoor learning environments were monitored, I observed a metal gate fence with two (2) hazards, a metal rod was protruding from the bottom and a hole was developing at the bottom of the fence gate. It was reported that work order requests have been submitted, however no action has taken place. Program Records: The last fire drill was conducted on 5/31/24 and the last emergency drill was conducted on 5/30/24. Staff Records: The staff-training worksheets were completed for some of the new staff. I made edits and comments on both sheets. There were seven (7) new staff files that were reviewed. Three (3) new staff did not have their medical report completed prior to employment. It was reported that you caught on to the error that they were outdated and that you addressed it immediately by setting up appointments for two (2) of the staff members and that you realized after one (1) of the staff’s first day that their medical report was older than twelve (12) months and they are getting an updated one completed tomorrow. Two (2) new staff did not have their TB test/screen completed prior to employment. Like the medical reports, it was reported that you caught on to the error that they were outdated and addressed it immediately by setting up appointments for two (2) of the staff members One (1) new staff did not have a current recognizing and responding training, the file obtained a certification from 2017. This training needs to be within twelve (12) months old and/or re-completed within ninety (90) days of their employment. Medication: Medication was monitored and all requirements were in compliance. Nutrition: The facility was in compliance with child care meal pattern requirements. Weapons: The facility was in compliance with child care requirements regarding firearms. Transportation: Transportation was monitored, three (3) buses are being used for transportation. Bus #1 had a large ripped cushion at the front of the bus the tear was taking up about ¼ of the seat. Bus #2 had six (6) tears in almost every seat and Bus #3 had two (2) tears within the seats. I observed duct tape being used to repair the seats however the heat and with wear and tear the tape is uplifting in most areas. Please look into putting in a work repair for all three (3) buses the repairs can be either with patches or re-upholstered if unable to replace the seats. Six (6) violations were observed, three (3) were corrected during the visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The program's last fire inspection on file with DCDEE was completed on 12/8/22. During the visit I obtained a recent inspection completed on 2/1/24. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. In space #4 and #5 a lesson plan was not posted for the current week. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. I observed a metal gate fence with two (2) hazards, a metal rod was protruding from the bottom and a hole was developing at the bottom of the fence gate. 10A NCAC 09 .0601(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) new staff did not have their TB test/screen completed prior to employment. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. DML did not have their qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Three (3) new staff did not have their medical report completed prior to employment. .0701(d) Corrective Action Plan: The violations not corrected during the visit must be corrected immediately. On or before 6/26/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. A compliance letter template was shared with you please ensure that all these components are completed: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the reoccurrence of each violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was eighty-four percent (84%) prior to today’s visit. Rated License Information: This facility is in Cohort #2 and your preparation year is from 7/1/24 to 6/30/25. Your reassessment year will be from 7/1/25 to 6/30/26. I shared with you that more information would be forthcoming as we get closer to your prep year beginning and to lookout for any email communication regarding the rated license process. Reminders and Resources: Please ensure that you are using the most updated Child Care Rule Book also known as Chapter 9 - Child Care Rules. The new version was updated in January of 2024. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking water, identify lead based paint hazards, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina. Additional information can be found in the Raise North Carolina Newsletter sent via email on 12/7/23 from DCDEE. As of today, this facility has completed all three (3) sections, lead in water, lead-based paint and asbestos testing. Please ensure that all on-going training hours are being completed and documented as required for yourself and all staff members and that any annual documents are being updated and completed. These items will be monitored for completion at your annual compliance visit: - Staff Development Plans - Annual Evaluations for Staff - Medical Forms (Health Questionnaire/Emergency Info) - Polices (EMC, EPR, and any other policies that are amended) Please ensure to update your Emergency Preparedness Plan (EPR) to reflect all current information regarding your enrollment, contact numbers and any updates to your emergency plans. This will be reviewed at your annual compliance visit. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Gibson and Ms. Hemphill. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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: CHILDTIME 2014 Facility ID: 90000386 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 72 Completed Date: 6/12/2024 Age: From 0 To 10 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for a routine visit. Upon arrival I was greeted by Ms. Marsh-Capers, Assistant Director, then I met with Ms. Gibson, Team Lead and Ms. Hemphill, Director. I shared the reason for the visit, the Director had to step away and assist another site upon my arrival. Ms. Gibson assisted me with the walkthrough. Your program currently operates with a Five-Star Center License effective 6/13/19. The license was posted, with restrictions to: - 1st shift - meets enhanced ratios - meets enhanced space - meets enhanced ratios minus one in each group I monitored the following items: supervision, staff/child ratio, staff and children’s records, health, safety, and program records. Ownership: The facility’s corporate owner Childtime Childcare, Inc with SoS ID #: 0494204 was current and active. As a reminder, if any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: The program's last fire inspection on file with DCDEE was completed on 12/8/22. During the visit I obtained a recent inspection completed on 2/1/24. As a reminder, fire inspections need to be completed annually and the form for the fire inspector to use is located on our website under the provider tab and provider documents. Once the inspection is complete, please send your consultant a copy of the report within seven (7) days. The last playground inspection was completed on 5/24/24. The program's last sanitation inspection on file with DCDEE was completed on 8/16/23. The program received fourteen (14) demerits and received a Superior classification. Indoor Learning Environment: This facility has two (2) NC Pre-K classrooms, the children were out for the summer and the classrooms are currently being used for summer camp and school-aged children. In space #4 and #5, a lesson plan was not posted for the current week. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in morning drop off, outdoor play, free play, transitions and handwashing routines. Outdoor Learning Environment: The outdoor learning environments were monitored, I observed a metal gate fence with two (2) hazards, a metal rod was protruding from the bottom and a hole was developing at the bottom of the fence gate. It was reported that work order requests have been submitted, however no action has taken place. Program Records: The last fire drill was conducted on 5/31/24 and the last emergency drill was conducted on 5/30/24. Staff Records: The staff-training worksheets were completed for some of the new staff. I made edits and comments on both sheets. There were seven (7) new staff files that were reviewed. Three (3) new staff did not have their medical report completed prior to employment. It was reported that you caught on to the error that they were outdated and that you addressed it immediately by setting up appointments for two (2) of the staff members and that you realized after one (1) of the staff’s first day that their medical report was older than twelve (12) months and they are getting an updated one completed tomorrow. Two (2) new staff did not have their TB test/screen completed prior to employment. Like the medical reports, it was reported that you caught on to the error that they were outdated and addressed it immediately by setting up appointments for two (2) of the staff members One (1) new staff did not have a current recognizing and responding training, the file obtained a certification from 2017. This training needs to be within twelve (12) months old and/or re-completed within ninety (90) days of their employment. Medication: Medication was monitored and all requirements were in compliance. Nutrition: The facility was in compliance with child care meal pattern requirements. Weapons: The facility was in compliance with child care requirements regarding firearms. Transportation: Transportation was monitored, three (3) buses are being used for transportation. Bus #1 had a large ripped cushion at the front of the bus the tear was taking up about ¼ of the seat. Bus #2 had six (6) tears in almost every seat and Bus #3 had two (2) tears within the seats. I observed duct tape being used to repair the seats however the heat and with wear and tear the tape is uplifting in most areas. Please look into putting in a work repair for all three (3) buses the repairs can be either with patches or re-upholstered if unable to replace the seats. Six (6) violations were observed, three (3) were corrected during the visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The program's last fire inspection on file with DCDEE was completed on 12/8/22. During the visit I obtained a recent inspection completed on 2/1/24. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. In space #4 and #5 a lesson plan was not posted for the current week. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. I observed a metal gate fence with two (2) hazards, a metal rod was protruding from the bottom and a hole was developing at the bottom of the fence gate. 10A NCAC 09 .0601(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) new staff did not have their TB test/screen completed prior to employment. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. DML did not have their qualification letter on file and available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Three (3) new staff did not have their medical report completed prior to employment. .0701(d) Corrective Action Plan: The violations not corrected during the visit must be corrected immediately. On or before 6/26/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. A compliance letter template was shared with you please ensure that all these components are completed: • Name of your facility • Your facility ID number • Date the visit made • Date that you are submitting the compliance letter • Provide each cited violation number • Describe when and how each violation was corrected • Describe how you will prevent the reoccurrence of each violation (you need to specify how you will prevent the violation from re-occurring) • Sign with your signature Please email the information to: abigail.avalos@dhhs.nc.gov Compliance History: The program’s compliance history was eighty-four percent (84%) prior to today’s visit. Rated License Information: This facility is in Cohort #2 and your preparation year is from 7/1/24 to 6/30/25. Your reassessment year will be from 7/1/25 to 6/30/26. I shared with you that more information would be forthcoming as we get closer to your prep year beginning and to lookout for any email communication regarding the rated license process. Reminders and Resources: Please ensure that you are using the most updated Child Care Rule Book also known as Chapter 9 - Child Care Rules. The new version was updated in January of 2024. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking water, identify lead based paint hazards, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina. Additional information can be found in the Raise North Carolina Newsletter sent via email on 12/7/23 from DCDEE. As of today, this facility has completed all three (3) sections, lead in water, lead-based paint and asbestos testing. Please ensure that all on-going training hours are being completed and documented as required for yourself and all staff members and that any annual documents are being updated and completed. These items will be monitored for completion at your annual compliance visit: - Staff Development Plans - Annual Evaluations for Staff - Medical Forms (Health Questionnaire/Emergency Info) - Polices (EMC, EPR, and any other policies that are amended) Please ensure to update your Emergency Preparedness Plan (EPR) to reflect all current information regarding your enrollment, contact numbers and any updates to your emergency plans. This will be reviewed at your annual compliance visit. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Gibson and Ms. Hemphill. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: CHILDTIME 2014 Facility ID: 90000386 Consultant: ABIGAIL AVALOS Operation Type: Center Case Number: 0124-135L Visit Date: 1/29/2024 Number Present: 65 Completed Date: 1/29/2024 Age: From 0 To 8 Total Minutes: 135 Time In: 02:00 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding an alleged violation of child care requirements. There is a concern that a child did not receive adequate supervision. A child was left unattended on the playground. Upon arrival, I was greeted by Ms. Chambers, Teacher. I shared the reason for the visit. The administrative team was not present upon my arrival due to completing bus routes. I conducted a walkthrough of the facility alone. Ms. Laura Marsh Capers, Assistant Director arrived around 2:46pm. I shared the reason for the visit and gave you a chance to respond. You reported Ms. Marsh Capers, that you were not present when the incident occurred, but you were informed of the incident and shared with me the details that align with the incident regarding a child being left unattended on the playground. This was a self-report made by Ms. Mellonia Hemphill, Director and the details of the incident are as follows: - On 1/5/24 a three-year-old child was left unsupervised on the playground for an unknown about of time. It is speculated that the child was unattended for about ten (10) to fifteen (15) minutes. - At pick up time the child’s mother noticed that their child was not indoors with their classmates and she began searching for the child with another staff member, when the child was seen coming indoors from the backdoor that leads to the playground. - It was reported that the child was not upset and was not injured. - It was shared to the reporter that a proper head count was not conducted by the teacher responsible for the child and that the name to face sheet was not used. - Once the child was picked up and had departed, the incident was reported to your regional manager. - The facility does have a live cameras and the camera footage from the incident was reviewed by the regional manager, in which it was reported that they could not distinguish the child in question. When asked about the video again, the video was no longer available. I reviewed the following items: - The transition form from 1/5/24 for space #3. - The roster from the staff training that was held on 1/24/24 to address supervision rules, expectations, and review of the incident that occurred on 1/5/24. - The policy review that was held with all staff titled, “Child Supervision Procedure”. - The policy review that was held with all staff titled, “Face to Name Procedure”. Interview Findings: I interviewed a total of four (4) staff members. All staff who were interviewed shared information that aligns with the allegation. Staff verified the date, the child involved, the individuals involved and the procedures that took place after the incident occurred. All staff are unaware of how long the child was left unattended. After conducting the interviews and review of the face to name sheet, it was evident that the proper transition from outdoors to indoors did not occur. During each interview, I shared the importance of supervision, the requirements in rule, and how to prevent this from re-occurring. Those suggestions included being able to identify each child by conducting name to face at each threshold of a door whether the transition is indoors or outdoors. In addition, I reviewed to document accurate times that children are being signed out, switched over to other rooms, and or departing for the day. Findings: Based on interviews and observations the allegation that “there is a concern that a child did not receive adequate supervision. A child was left unattended on the playground” is substantiated. I conducted a walk-through of the center. Supervision, staff/child ratios, adequate/approved space and permit restrictions were observed in compliance today. The children were observed participating in free play, nap/quiet time, dismissal, toileting routines and transitions. There were sixty-five (65) children present. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 1/5/24 a three-year-old child was left unattended outdoors on the playground for an unknown amount of time. .1801(a)(1-5) On or before 2/12/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violation was corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: abigail.avalos@dhhs.nc.gov Technical Assistance with the Substantiated Allegation: Please ensure to review the requirements around supervision to all staff at orientation and frequently in staff meetings or individual evaluations, to ensure that adequate supervision of children is taking place. As a reminder, 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS: (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. In addition, please look into equipping staff with information/training that highlights the importance of playground supervision. Please visit the CCRI training catalog and ProSolutions for training on supervision and transitions and have staff re-trained on what the requirements are for adequate supervision and meaningful and purposeful transitions. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you, Ms. Marsh Capers. A follow-up visit will occur in the future. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-249-6440 or via email at abigail.avalos@dhhs.nc.gov. Thank you for your assistance during today’s visit. Abigail Avalos, M.Ed. Child Care Consultant Division of Child Development and Early Education 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1002 · Violation

Name of Operation: CHILDTIME 2014 Facility ID: 90000386 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 11/15/2023 Number Present: 77 Completed Date: 11/15/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 09:00 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival we were greeted by Lora Capers-Marsh , Assistant Director and I shared the reason for the visit. Ms. Mellonia Hemphill, Director accompanied me throughout the walk-through of the facility and the outdoor learning environments. Ebony Duncan, Licensing Supervisor, assisted today with the visit. Your program currently operates with a Five-Star Center License effective 6/13/19. The license was posted, with restrictions to 1st shift, meets enhanced ratios, meets enhanced space, and meets enhanced ratios minus one in each group. Ownership: The facility owner is Childtime Childcare, Inc SoS ID #: 0494204. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All classroom spaces, the kitchen, and three (3) outdoor learning environments were monitored. This facility has two (2) NC Pre-K classrooms. Make sure all of this is correct. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 10/11/2023. •Emergency drill was conducted on 9/13/2023. •The fire inspection was completed on 12/8/2022. •The playground inspection was completed on 10/13/2023. •The sanitation inspection was conducted on 08/16/2023 and received a Superior classification. Indoor Learning Environment: I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed actively engaged with group gross motor games on the toddler playground, free choice in centers, art and writing activities, and preparing to go outside. The teachers were warm and interactive will the children as the participated in their daily routines. Outdoor Learning Environment: The outdoor learning environments were monitored and was out of compliance due to issues with the depth of mulch. The preschool playground mulch was observed to have only ½ inch of mulch around all critical height structures and over the entire playground. The younger toddler playground’s mulch was also ½ inch in depth under the swings and over the entire playground. Program Records: We reviewed all the required records and were in compliance with the exception of the Emergency Preparedness and Response Plan which has not been updated since 2018. Staff Records: The staff-training worksheet was completed prior to the visit. There were three (3) new staff files to review today, and two (2) existing staff file. Please refer to the staff/training worksheet to review which files were monitored and all were in compliance. Children’s Records: There are one hundred and twenty (120) children enrolled in this center. There were seventy seven (77) in attendance today. Thirteen (13) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Eleven (11) of the Children’s files were missing documentation stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma was reviewed upon the child’s enrollment. Two (2)of the children’s files did not have emergency information updated yearly. Medication: All emergency and other medications were reviewed today and were in compliance. Nutrition: The facility was in compliance after updated the daily menu with substitutions during today’s visit with Child Care Meal Patterns Requirements. The menu consisted of chicken sandwiches, pears, cucumbers and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: Three (3) vehicles were monitored today, Bus #1, Bus #2, and Bus #3. This was viewed to be out of compliance. The front tire treads on bus #3 measured less than one and one sixteenth of an inch, and on each bus there were disinfectant wipes within the reach of children. All inspections, insurance and registration were in compliance. There were eight (8) violations were observed today. Two (2) were corrected during the visit. The violations are as follows: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In space # 5 that serves preschool age children there was no documentation of screen time as a free choice activity. .0510(d)(2)(A-C) 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 #1 that cares for infants there were plastic bags accessible. .0604(q) 1123 All vehicles used to transport children were not free of hazards. On Bus #3 used to transport school age children the front tire treads did not measure 2/32 inches in depth. In bus #1, #2 and #3 there were disinfectant wipes accessible to the children. This violation was corrected during the visit. 10A NCAC 09 .1002(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. There were two children whose file did not have yearly updated emergency medical care information. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children's files did not have a completed medical exam or health assessment on file. GS110-91(1) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR plan has not been updated since 2018. .0607(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playgrounds that serve preschoolers the mulch measured one half an inch under the playground structure. The toddler playground mulch measures one and one half an inch under the swing set structure. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Eleven children's files did not have a statement with parent signatures for Shaken Baby Syndrome and Abusive Head Trauma. .0608(b)(1-6) The violations not corrected during the visit must be corrected immediately. On or before 11/28/2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 Traci.Meyer@dhhs.nc.us 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was 83% prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: Childtime rated license cohort is cohort # two (2). The preparation year of the assessment is July 1st, 2024 to June 30th, 2025 and the assessment year is July 1st, 2025 to June 30th, 2026. Listed below are some items to do to get ready for the upcoming preparation and assessment years. •Have all staff update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all teachers and staff print out their WORKS letter, so you can see if their education is updated. If any teachers have a BSAC certificate have them upload the certificate into their account. •Access the resources for your upcoming assessment at www.ncrlap.org. •Review the materials lists for each classroom. This list is to be used as a resource reminding you of some of the required items to promote quality in programming. Technical Assistance: Please ensure that the parent information board is located in a more central location. Make sure all Staff Emergency Information forms are filled out completely, including hospital preferences. An updated Summary of the Law is available on the DCDEE website, please print and take down the previous version. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. The DCDEE is offering two new training courses in November; “Unpacking the ITERS-R” which is on demand throughout the month and on November 16th “Creating Supportive Environments”. Visit the DCDEE website for more information and to register. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of the findings and violations with you, Ms. Hemphill. I encouraged you to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS110-91 · Violation

Name of Operation: CHILDTIME 2014 Facility ID: 90000386 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 11/15/2023 Number Present: 77 Completed Date: 11/15/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 09:00 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival we were greeted by Lora Capers-Marsh , Assistant Director and I shared the reason for the visit. Ms. Mellonia Hemphill, Director accompanied me throughout the walk-through of the facility and the outdoor learning environments. Ebony Duncan, Licensing Supervisor, assisted today with the visit. Your program currently operates with a Five-Star Center License effective 6/13/19. The license was posted, with restrictions to 1st shift, meets enhanced ratios, meets enhanced space, and meets enhanced ratios minus one in each group. Ownership: The facility owner is Childtime Childcare, Inc SoS ID #: 0494204. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All classroom spaces, the kitchen, and three (3) outdoor learning environments were monitored. This facility has two (2) NC Pre-K classrooms. Make sure all of this is correct. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 10/11/2023. •Emergency drill was conducted on 9/13/2023. •The fire inspection was completed on 12/8/2022. •The playground inspection was completed on 10/13/2023. •The sanitation inspection was conducted on 08/16/2023 and received a Superior classification. Indoor Learning Environment: I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed actively engaged with group gross motor games on the toddler playground, free choice in centers, art and writing activities, and preparing to go outside. The teachers were warm and interactive will the children as the participated in their daily routines. Outdoor Learning Environment: The outdoor learning environments were monitored and was out of compliance due to issues with the depth of mulch. The preschool playground mulch was observed to have only ½ inch of mulch around all critical height structures and over the entire playground. The younger toddler playground’s mulch was also ½ inch in depth under the swings and over the entire playground. Program Records: We reviewed all the required records and were in compliance with the exception of the Emergency Preparedness and Response Plan which has not been updated since 2018. Staff Records: The staff-training worksheet was completed prior to the visit. There were three (3) new staff files to review today, and two (2) existing staff file. Please refer to the staff/training worksheet to review which files were monitored and all were in compliance. Children’s Records: There are one hundred and twenty (120) children enrolled in this center. There were seventy seven (77) in attendance today. Thirteen (13) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Eleven (11) of the Children’s files were missing documentation stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma was reviewed upon the child’s enrollment. Two (2)of the children’s files did not have emergency information updated yearly. Medication: All emergency and other medications were reviewed today and were in compliance. Nutrition: The facility was in compliance after updated the daily menu with substitutions during today’s visit with Child Care Meal Patterns Requirements. The menu consisted of chicken sandwiches, pears, cucumbers and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: Three (3) vehicles were monitored today, Bus #1, Bus #2, and Bus #3. This was viewed to be out of compliance. The front tire treads on bus #3 measured less than one and one sixteenth of an inch, and on each bus there were disinfectant wipes within the reach of children. All inspections, insurance and registration were in compliance. There were eight (8) violations were observed today. Two (2) were corrected during the visit. The violations are as follows: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In space # 5 that serves preschool age children there was no documentation of screen time as a free choice activity. .0510(d)(2)(A-C) 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 #1 that cares for infants there were plastic bags accessible. .0604(q) 1123 All vehicles used to transport children were not free of hazards. On Bus #3 used to transport school age children the front tire treads did not measure 2/32 inches in depth. In bus #1, #2 and #3 there were disinfectant wipes accessible to the children. This violation was corrected during the visit. 10A NCAC 09 .1002(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. There were two children whose file did not have yearly updated emergency medical care information. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children's files did not have a completed medical exam or health assessment on file. GS110-91(1) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR plan has not been updated since 2018. .0607(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playgrounds that serve preschoolers the mulch measured one half an inch under the playground structure. The toddler playground mulch measures one and one half an inch under the swing set structure. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Eleven children's files did not have a statement with parent signatures for Shaken Baby Syndrome and Abusive Head Trauma. .0608(b)(1-6) The violations not corrected during the visit must be corrected immediately. On or before 11/28/2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 Traci.Meyer@dhhs.nc.us 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was 83% prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: Childtime rated license cohort is cohort # two (2). The preparation year of the assessment is July 1st, 2024 to June 30th, 2025 and the assessment year is July 1st, 2025 to June 30th, 2026. Listed below are some items to do to get ready for the upcoming preparation and assessment years. •Have all staff update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all teachers and staff print out their WORKS letter, so you can see if their education is updated. If any teachers have a BSAC certificate have them upload the certificate into their account. •Access the resources for your upcoming assessment at www.ncrlap.org. •Review the materials lists for each classroom. This list is to be used as a resource reminding you of some of the required items to promote quality in programming. Technical Assistance: Please ensure that the parent information board is located in a more central location. Make sure all Staff Emergency Information forms are filled out completely, including hospital preferences. An updated Summary of the Law is available on the DCDEE website, please print and take down the previous version. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. The DCDEE is offering two new training courses in November; “Unpacking the ITERS-R” which is on demand throughout the month and on November 16th “Creating Supportive Environments”. Visit the DCDEE website for more information and to register. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of the findings and violations with you, Ms. Hemphill. I encouraged you to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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: CHILDTIME 2014 Facility ID: 90000386 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 11/15/2023 Number Present: 77 Completed Date: 11/15/2023 Age: From 0 To 5 Total Minutes: 230 Time In: 09:00 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival we were greeted by Lora Capers-Marsh , Assistant Director and I shared the reason for the visit. Ms. Mellonia Hemphill, Director accompanied me throughout the walk-through of the facility and the outdoor learning environments. Ebony Duncan, Licensing Supervisor, assisted today with the visit. Your program currently operates with a Five-Star Center License effective 6/13/19. The license was posted, with restrictions to 1st shift, meets enhanced ratios, meets enhanced space, and meets enhanced ratios minus one in each group. Ownership: The facility owner is Childtime Childcare, Inc SoS ID #: 0494204. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All classroom spaces, the kitchen, and three (3) outdoor learning environments were monitored. This facility has two (2) NC Pre-K classrooms. Make sure all of this is correct. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 10/11/2023. •Emergency drill was conducted on 9/13/2023. •The fire inspection was completed on 12/8/2022. •The playground inspection was completed on 10/13/2023. •The sanitation inspection was conducted on 08/16/2023 and received a Superior classification. Indoor Learning Environment: I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed actively engaged with group gross motor games on the toddler playground, free choice in centers, art and writing activities, and preparing to go outside. The teachers were warm and interactive will the children as the participated in their daily routines. Outdoor Learning Environment: The outdoor learning environments were monitored and was out of compliance due to issues with the depth of mulch. The preschool playground mulch was observed to have only ½ inch of mulch around all critical height structures and over the entire playground. The younger toddler playground’s mulch was also ½ inch in depth under the swings and over the entire playground. Program Records: We reviewed all the required records and were in compliance with the exception of the Emergency Preparedness and Response Plan which has not been updated since 2018. Staff Records: The staff-training worksheet was completed prior to the visit. There were three (3) new staff files to review today, and two (2) existing staff file. Please refer to the staff/training worksheet to review which files were monitored and all were in compliance. Children’s Records: There are one hundred and twenty (120) children enrolled in this center. There were seventy seven (77) in attendance today. Thirteen (13) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Eleven (11) of the Children’s files were missing documentation stating that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma was reviewed upon the child’s enrollment. Two (2)of the children’s files did not have emergency information updated yearly. Medication: All emergency and other medications were reviewed today and were in compliance. Nutrition: The facility was in compliance after updated the daily menu with substitutions during today’s visit with Child Care Meal Patterns Requirements. The menu consisted of chicken sandwiches, pears, cucumbers and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: Three (3) vehicles were monitored today, Bus #1, Bus #2, and Bus #3. This was viewed to be out of compliance. The front tire treads on bus #3 measured less than one and one sixteenth of an inch, and on each bus there were disinfectant wipes within the reach of children. All inspections, insurance and registration were in compliance. There were eight (8) violations were observed today. Two (2) were corrected during the visit. The violations are as follows: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In space # 5 that serves preschool age children there was no documentation of screen time as a free choice activity. .0510(d)(2)(A-C) 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 #1 that cares for infants there were plastic bags accessible. .0604(q) 1123 All vehicles used to transport children were not free of hazards. On Bus #3 used to transport school age children the front tire treads did not measure 2/32 inches in depth. In bus #1, #2 and #3 there were disinfectant wipes accessible to the children. This violation was corrected during the visit. 10A NCAC 09 .1002(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. There were two children whose file did not have yearly updated emergency medical care information. .0802(c) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children's files did not have a completed medical exam or health assessment on file. GS110-91(1) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR plan has not been updated since 2018. .0607(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the playgrounds that serve preschoolers the mulch measured one half an inch under the playground structure. The toddler playground mulch measures one and one half an inch under the swing set structure. .0605(k)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Eleven children's files did not have a statement with parent signatures for Shaken Baby Syndrome and Abusive Head Trauma. .0608(b)(1-6) The violations not corrected during the visit must be corrected immediately. On or before 11/28/2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 Traci.Meyer@dhhs.nc.us 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was 83% prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: Childtime rated license cohort is cohort # two (2). The preparation year of the assessment is July 1st, 2024 to June 30th, 2025 and the assessment year is July 1st, 2025 to June 30th, 2026. Listed below are some items to do to get ready for the upcoming preparation and assessment years. •Have all staff update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all teachers and staff print out their WORKS letter, so you can see if their education is updated. If any teachers have a BSAC certificate have them upload the certificate into their account. •Access the resources for your upcoming assessment at www.ncrlap.org. •Review the materials lists for each classroom. This list is to be used as a resource reminding you of some of the required items to promote quality in programming. Technical Assistance: Please ensure that the parent information board is located in a more central location. Make sure all Staff Emergency Information forms are filled out completely, including hospital preferences. An updated Summary of the Law is available on the DCDEE website, please print and take down the previous version. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. The DCDEE is offering two new training courses in November; “Unpacking the ITERS-R” which is on demand throughout the month and on November 16th “Creating Supportive Environments”. Visit the DCDEE website for more information and to register. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of the findings and violations with you, Ms. Hemphill. I encouraged you to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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