Milestones Preschool & Enrichment Center

NC GS 110-90 · Violation

Name of Operation: MILESTONES PRESCHOOL & ENRICHMENT CENTER Facility ID: 67001128 Consultant: HEATHER ELLIOTT Operation Type: Center Case Number: Visit Date: 2/18/2026 Number Present: 72 Completed Date: 2/18/2026 Age: From 3 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a one-star license, issued September 13, 2018. Restrictions on your permit include: a capacity of 91 for first shift care, age ranging in 2-12 years old, no cooking allowed, and children under 2 ½ years old in rooms with direct exits only. The license was posted, and the restrictions were in compliance. Your last annual compliance visit was conducted on August 6, 2025. The center’s compliance history was reviewed with the operator. The program’s compliance history was 94% as of today. The NC Secretary of State website was reviewed today and Milestones Preschool, LLC was listed as current/active. The last Sanitation Inspection was completed on November 24, 2025, with a Superior rating with 4 demerits. Your last fire inspection was on August 13, 2025, and your facility was approved for daytime care. Jamie McRacken and Elizabeth Elks, administrators, were present and available for consultation. A walk-through of the facility was completed today and all approved indoor and outdoor learning environments were monitored. Supervision and staff/child ratios were found to be in compliance. There were 92 children enrolled and 72 children present, age ranging from 3-5 years old. In spaces 1, 3, 4, and 5 children were participating in group activities. The activities included but not limited to singing songs, talking about who was present at school today, conversations about the weather, and discussing and reading the book If You Give a Mouse a Cookie. In space 2, the children were playing outside and transitioned to their classroom for morning snack. Each indoor classroom environment had age-appropriate materials, and the space was divided into centers including but not limited to blocks, art, manipulatives, books, and science. Teachers were engaging with children at eye level and asking engaging questions. All activity plans were current and aligned with NC Early Childhood Foundations. Daily schedules were available for each group of children. Files for the two new staff members have been reviewed and found in compliance. During today’s visit child care requirements were monitored for compliance including supervision, staff/child ratios, CPR and First Aid, Criminal Background Checks, storage of hazardous materials, storage of medications, approved space, and other applicable requirements. The following violations were observed and documented today. All violations must be corrected immediately. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 3, one medicine, albuterol, expired September 2025. .0803(12) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space 3, one permission form had expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 4, 2026, 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 that 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: Heather Elliott, Child Care Consultant PO Box 161 Hampstead, NC 28443 910-364-8728 If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Medications: Today there was one albuterol was expired in Space 3. Two permission forms for albuterol, one is Space 1 and one in Space 3. Child Care rule .0803 (6) states a parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Today I suggest going through all the rooms on a regular basis to ensure that all forms, including medical action plans and permission forms, are up to date. Medical Action Plans should be updated yearly and permission forms for prescribed medication are for up to 6 months. Expired medications must be returned to the parents within 72 hours and new medication received must be accompanied by a new permission to administer form as this form will contain the medication expiration date. Playground Surfacing Today I suggested refreshing, adding and raking the mulch to playground 1 with all the recent inclement weather and the compacting due to the children to ensure that there is sufficient surfacing around the climbing structure. Today we discussed the new QRIS modernization. You stated that you were going to stay at a one-star center and at this time were not interested in the different pathways. CLEAN CLASSROOMS FOR CAROLINA KIDS - Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on March 8, 2024. Water testing must be completed every three (3) years. The Lead Paint Testing and Asbestos Testing was completed February 24,2024, indicating the center is exempt. ABCMS-Today we discussed that information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education’s website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, the visit summary was printed, reviewed, and a copy was left with you. Contact me at heather.elliott@dhhs.nc.gov / 910-364-8728 or my supervisor Kim Sherry, kim.sherry@dhhs.nc.gov / 910-824-0470 if you have any questions. 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: MILESTONES PRESCHOOL & ENRICHMENT CENTER Facility ID: 67001128 Consultant: APRIL BOSSE Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 65 Completed Date: 4/15/2024 Age: From 2 To 5 Total Minutes: 115 Time In: 10:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. This program currently operates with a 1 Star License, issued September 13, 2018. The restrictions listed are as follows: 1st shift only, no cooking, and children under 2 1/2 years old in rooms with direct exits only. Age range is 2 through 12 years with a capacity of 91. The NC Secretary of State website was reviewed on April 12, 2024, and Milestones Preschool, LLC was listed as current- active. The last annual compliance visit was conducted July 25, 2023. The center completed the last Fire Inspection on August 1, 2023, and was approved for daytime care only. The last Sanitation inspection was completed on September 12, 2023, with a Superior Classification. As of April 12, 2024, the compliance history is 96%. Today’s visit was conducted by Child Care Consultant April Bosse on behalf of your Child Care Consultant Kim Sherry. Jaime McRacken, administrator, was present during today’s visit. All indoor and outdoor spaces were monitored today. The center was clean and organized. There were five classrooms operating including the half day program. There are ninety-three children enrolled and sixty-five children ages 3-5, were present today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Children in Space 1 were engaged in activity areas with playdoh, bristle blocks, and animals. Children in Space 2 were engaged in activity areas with linking blocks, tracing letters, and using glue for an art activity. Children in Space 3 were engaged in a large group activity coloring dinosaurs and gluing on the letter of their names. Children Space 4 were engaged in painting watermelon art and making words with magnet letters. Children in Space 5 were engaged in pretending to cook, dot marker art, a bug sensory table, and tracing letters with a caregiver. All children were adequately supervised. Caregivers and children interacted in a positive and appropriate manner. Snacks and lunches for all children are brought from home. Four new staff members have been hired since the last annual compliance visit. Files for all new employees were reviewed today. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An Epi-Pen in Space One was not in the original labeled container. .0803(2)(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The Permission to Administer Medication form for an Epi-Pen in Space One was signed and dated in August 2023 and expired in February 2024. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Any violations documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 29, 2024. 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. Email the information to: April Bosse, Child Care Consultant April.bosse@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance for Violations Cited: Permission for Administration of Medication: All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Permission to administer medication is only valid for six months. Today you stated that you will ensure all permission forms are updated and that the requirement for six months’ permission to be renewed will be noted on the spreadsheet that you use to ensure those dates are met. You also stated that you will discuss with staff and parents to ensure that all medications that come into the facility are labeled with a pharmacy label. Technical Assistance: Today we discussed plastic bags for dirty clothes hanging in cubbies. We discussed that this is permitted as those classrooms with plastic bags hanging in cubbies did not have children under the age of three enrolled in them. If a child that is two years old did enroll in those classrooms, caregivers will need to be aware that any plastic will need to be at least five feet off the floor in those classrooms. Reminders: Childcare licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times whether or not they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-lead-based-paint-reimbursement-program-arpa At the completion of the visit, this visit summary was reviewed, printed and signed. If you need assistance, contact your Child Care Consultant, Kim Sherry, Kim.Sherry@dhhs.nc.gov or at (910) 824-0470. You may also contact me regarding this visit: April Bosse, Child Care Consultant, April.bosse@dhhs.nc.gov or at 910-709-4196. Or you may contact my Supervisor Lynette Robbins, 910-824-0235, lynette.robbins@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: MILESTONES PRESCHOOL & ENRICHMENT CENTER Facility ID: 67001128 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 7/25/2023 Number Present: 48 Completed Date: 7/25/2023 Age: From 3 To 5 Total Minutes: 115 Time In: 09:15 AM Time Out: 11:10 AM 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 annual compliance visit. This program currently operates with a 1 Star License, issued September 13, 2018. The restrictions listed are as follows: 1st shift only, no cooking, and children under 2 1/2 years old in rooms with direct exits only. Age range is 2 through 12 years with a capacity of 91. The NC Secretary of State website was reviewed on July 24, 2023 and Milestones Preschool, LLC was listed as current- active. The last annual compliance visit was conducted August 2, 2022. The center completed the last Fire Inspection on August 12, 2022 and was approved for daytime care only. The last Sanitation inspection was completed on April 13, 2023 with a Superior Classification. As of February 2, 2023, the compliance history is 98%. April Bosse, Child Care Consultant assisted with today’s visit. You, Jaime McRacken, administrator, was present during today’s visit. All indoor spaces were monitored today. The center was clean and organized. There were five classrooms operating including the half day program. There are sixty children enrolled and forty-eight children ages 3-5, were present today. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Children in Space 3 were outside in the outdoor learning area sliding and playing on see-saws. Children in Spaces 2, 4, and 5 were observed indoors during group time dancing to a “Mermaid Hunt” and sitting at tables for morning snack while caregivers sat with them and talked. All meals for all children are brought from home. All children were adequately supervised. Caregivers and children interacted in a positive and appropriate manner. All staff members except for two have completed the Health and Safety trainings as outlined in Child Care Rule 10A NCAC 09 .1102. Files for new staff were reviewed today. Qualification letters and required trainings were monitored for all staff and were in compliance. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In classroom space #2, the authorization for an Albuterol inhaler had expired. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan, medication administration form and the medication in Space 2 was expired. .0801(b) A compliance letter including detailed information about how the violations have been corrected must be received by August 4, 2023. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that the violation has been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited: A violation was documented related to Medication in child child rule .0803. In classroom space #2, the authorization for an Albuterol inhaler had expired. Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A violation was documented related to Medical Action Plan in child child rule .0801. A medical action plan, medication administration form and the medication in Space 2 was expired. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. This plan is only needed for those children with the previously listed conditions. Medical Action plans expire after one year. Medication administration forms expire after six months. Today we discussed putting the expiration dates for these items on your calendar so that you can ensure the forms and medication remain in date. Technical Assistance: Today technical assistance was given regarding the wood tee-pee and steps on the playground. The nails on these pieces of equipment could begin to come out and become unsafe for children. Today I suggested that you continue to monitor all these pieces of wooden equipment to ensure that all nails are flush with the wood. Reminders: Nutrition: Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of Child Care Rule 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS in the presence of children in care. At the end of this visit, documentation was completed electronically, printed, and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-824-0470 or Kim.Sherry@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: MILESTONES PRESCHOOL & ENRICHMENT CENTER Facility ID: 67001128 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 7/25/2023 Number Present: 48 Completed Date: 7/25/2023 Age: From 3 To 5 Total Minutes: 115 Time In: 09:15 AM Time Out: 11:10 AM 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 annual compliance visit. This program currently operates with a 1 Star License, issued September 13, 2018. The restrictions listed are as follows: 1st shift only, no cooking, and children under 2 1/2 years old in rooms with direct exits only. Age range is 2 through 12 years with a capacity of 91. The NC Secretary of State website was reviewed on July 24, 2023 and Milestones Preschool, LLC was listed as current- active. The last annual compliance visit was conducted August 2, 2022. The center completed the last Fire Inspection on August 12, 2022 and was approved for daytime care only. The last Sanitation inspection was completed on April 13, 2023 with a Superior Classification. As of February 2, 2023, the compliance history is 98%. April Bosse, Child Care Consultant assisted with today’s visit. You, Jaime McRacken, administrator, was present during today’s visit. All indoor spaces were monitored today. The center was clean and organized. There were five classrooms operating including the half day program. There are sixty children enrolled and forty-eight children ages 3-5, were present today. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Children in Space 3 were outside in the outdoor learning area sliding and playing on see-saws. Children in Spaces 2, 4, and 5 were observed indoors during group time dancing to a “Mermaid Hunt” and sitting at tables for morning snack while caregivers sat with them and talked. All meals for all children are brought from home. All children were adequately supervised. Caregivers and children interacted in a positive and appropriate manner. All staff members except for two have completed the Health and Safety trainings as outlined in Child Care Rule 10A NCAC 09 .1102. Files for new staff were reviewed today. Qualification letters and required trainings were monitored for all staff and were in compliance. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In classroom space #2, the authorization for an Albuterol inhaler had expired. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan, medication administration form and the medication in Space 2 was expired. .0801(b) A compliance letter including detailed information about how the violations have been corrected must be received by August 4, 2023. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that the violation has been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited: A violation was documented related to Medication in child child rule .0803. In classroom space #2, the authorization for an Albuterol inhaler had expired. Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A violation was documented related to Medical Action Plan in child child rule .0801. A medical action plan, medication administration form and the medication in Space 2 was expired. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. This plan is only needed for those children with the previously listed conditions. Medical Action plans expire after one year. Medication administration forms expire after six months. Today we discussed putting the expiration dates for these items on your calendar so that you can ensure the forms and medication remain in date. Technical Assistance: Today technical assistance was given regarding the wood tee-pee and steps on the playground. The nails on these pieces of equipment could begin to come out and become unsafe for children. Today I suggested that you continue to monitor all these pieces of wooden equipment to ensure that all nails are flush with the wood. Reminders: Nutrition: Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of Child Care Rule 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS in the presence of children in care. At the end of this visit, documentation was completed electronically, printed, and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-824-0470 or Kim.Sherry@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times