NEW Beginnings Child Care Center II, Inc.

10A NCAC 09 .0803 · Violation

Name of Operation: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: HEATHER ELLIOTT Operation Type: Center Case Number: Visit Date: 3/17/2026 Number Present: 72 Completed Date: 3/17/2026 Age: From 0 To 5 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a 5-star license, issued October 1, 2023.Restrictions on your permit include: a capacity of 205 children for first shift care only, age ranging from 0-12 years-old, and meeting enhanced ratios and space. The license was posted, and the restrictions were in compliance. Your last annual compliance visit was conducted on September 11, 2025. The center’s compliance history was reviewed with the operator. The program’s compliance history was 94% as of March 16, 2026. The NC Secretary of State website was reviewed today and New Beginnings Child Care Center II, Inc. was listed as current/active. Carisa Kraft, administrator, was present and available for consultation. A walk-through of the facility’s approved indoor and outdoor spaces was observed. There were 108 children enrolled and 72 children present, ages ranging from 0-5 years of age. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. In space 12, Infants were engaged in tummy time, napping, and diapering routines. Sleep checks were completed, recorded, and maintained as required. In space 10, the staff were interacting with the children talking to them about animals and the different sounds the animals make. Children were playing dress-up and climbing on the climbing structure. In space 8, children were playing outside on the playground. There were different activities for the children including but not limited to the climbing structure, sandbox, and a bike track. In space 7, children were engaged in different activities including but not limited to playing with playdoh, cooking in dramatic play, playing with baby dolls, and playing in the cozy area. In space 3, children were engaged in free play activities including but not limited to painting with watercolor, playing in the sensory bin, playing at the light table, and playing in the block center. In space 2, the children were transitioning from free play to preparing to transition to the outdoor playground. Toileting and handwashing routines were observed today. Today supervision and staff/child ratios were observed and found to be in compliance. For lunch, chicken tenders, green beans, pineapples (for older children), strawberries ( for the younger children), and milk was served. 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. All new staff files were monitored and found in compliance. The following violations were observed today. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. On the bus transporting children, a container of Lysol disinfecting wipes were assessable to children. .2820(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. In the transportation book of the children being transported, no photographs were available with the children's identifying information. 10A NCAC 09 .1003(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 violations documented must be corrected immediately. On or before March 31, 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: Today there was a canister of Lysol disinfecting wipes on the bus used for transportation of children that was assessable to children. Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. Ensure that all cleaning supplies and other items labeled “Keep out of reach of children” are kept inaccessible while children are in care. Transportation Book Requirements For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .0802(c) of this Chapter, shall be in the vehicle. Today, none of the children being transported had a photograph with their identifying information. Outside Remember, Child Care Rule 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT states you should check the indoor and outdoor environment daily for debris, vandalism, broken equipment and animal waste. The operator shall keep all areas used by the children, indoors and outdoors, clean, and orderly and free of items which are potentially hazardous to children. This includes the removal of items that a child can swallow and use of outdoor play equipment that is too hot to touch. This will also include checking for any standing water that might accumulate inside of toys or bins on the playground. If possible, I suggest drilling holes in the bottom of bins that tend to hold water and ensure water is dumped out before children enter the outdoor play area. Today we also discussed fluffing the mulch and potentially adding more mulch if needed. With the inclement weather it has caused the mulch to become compacted. Emerging research tells us that children need to spend time outdoors to be healthy as they grow and develop. They will be smarter, better able to get along with others, healthier and happier when they have regular opportunities for free and unstructured play outdoors. Outdoor play is beneficial to children as well as caregivers. Research tells us that spending time outdoors, exposed to fresh air, sunlight, and natural elements such as trees and grass provides many health benefits. The outdoor learning environment offers a sense of freedom for children. Children can play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste, and their sense of motion. Caregivers are in a unique position to utilize the outdoor environment to promote development and learning. Medication Today, there were two medications that had written permission for a year, both updated in December 2025. Remember Child Care rule 10A NCAC 09 .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 suggested reviewing the medication child care rule. Nurturing Care Today we discussed ensuring that your new staff are interacting with the children in a nurturing and caring manner. Each child should be attended to in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Staff should protect children from threats, give them opportunities for early learning, through interactions that are emotionally supportive and responsive. Some examples of nurturing behavior are: being fully present in your interactions with children (verbally and non-verbally), validating their feelings, providing physical affection and comfort when sought, laughing and playing games, providing safe mental, physical and social challenges that promote healthy growth and development. Children who are adequately nurtured feel more secure, which leads to the healthy development of self-esteem. Nurturing care is essential for child development and lays the foundation for life-long health and well-being and builds human capital in the child today, the adolescent and adult tomorrow, and in the next generation in the future. QRIS During the visit an overview of section .3200 of the child care rules was provided using the QRIS Conversation Template and resources available on the QRIS Modernization Page, https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. All the newest information on the QRIS rated license assessments and documents are currently posted here. Each of the following pathway options were discussed: Pathway 1 - Program Assessment, Pathway 2 - Classroom and Instructional Quality, and touched on Pathway 3 - Accreditation and Head Start. We reviewed the components common to Pathways 1: Any staff person who will be evaluated as part of the Lead Teachers or Other Educators needs to register for a Works account and submit original, official transcripts or update their current Works account and submit new education. We walked through the Individual and Facility Continuous Quality Improvement (CQI) forms (individual and center). You will complete the complete the center form for your facility and an Individual CQI annually. (This will also count as your Professional Development Plan) Maintain these in your staff files. We reviewed the Family and Community Engagement Plan. We reviewed the Foundational Practices. Ensure that they are included in the parent handbook Consider creating a notebook to collect documentation of the practices including pictures, flyers, newsletters, emails, etc. Pathway 1 – Program Assessment: You will complete a 3-month ERS Self-Study using the Thinking More About FCCERS-3. We discussed information available on the NC Rated License Assessment website, www.ncrlap.org,including training and forms for the three-month self-study and other resources (videos, documents, live and recorded training) and opportunities for an Outreach Assessment. To request Outreach Assessment - Email ncrlap@uncg.edu or call 1-866-362-7527. When the 3-month self-study is completed, you will complete and submit the Self-Study Verification Form. Pathway 2: Classroom and Instructional Quality We reviewed the list of approved curriculums and formative assessments as an approved curriculum and formative assessments will be required for pathway 2. You will need to provide verification that you have received training on the selected curriculum and formative assessment tool. Today, you mentioned that you are planning on choosing pathway 2 at this time. CLEAN WATER FOR CAROLINA KIDS Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: Your facility’s water testing was completed on September 26, 2024. Water testing must be completed every three years. Your facility is exempt from the lead-based paint and asbestos testing as of April 17, 2025. 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

10A NCAC 09 .1003 · Violation

Name of Operation: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: HEATHER ELLIOTT Operation Type: Center Case Number: Visit Date: 3/17/2026 Number Present: 72 Completed Date: 3/17/2026 Age: From 0 To 5 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a 5-star license, issued October 1, 2023.Restrictions on your permit include: a capacity of 205 children for first shift care only, age ranging from 0-12 years-old, and meeting enhanced ratios and space. The license was posted, and the restrictions were in compliance. Your last annual compliance visit was conducted on September 11, 2025. The center’s compliance history was reviewed with the operator. The program’s compliance history was 94% as of March 16, 2026. The NC Secretary of State website was reviewed today and New Beginnings Child Care Center II, Inc. was listed as current/active. Carisa Kraft, administrator, was present and available for consultation. A walk-through of the facility’s approved indoor and outdoor spaces was observed. There were 108 children enrolled and 72 children present, ages ranging from 0-5 years of age. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. In space 12, Infants were engaged in tummy time, napping, and diapering routines. Sleep checks were completed, recorded, and maintained as required. In space 10, the staff were interacting with the children talking to them about animals and the different sounds the animals make. Children were playing dress-up and climbing on the climbing structure. In space 8, children were playing outside on the playground. There were different activities for the children including but not limited to the climbing structure, sandbox, and a bike track. In space 7, children were engaged in different activities including but not limited to playing with playdoh, cooking in dramatic play, playing with baby dolls, and playing in the cozy area. In space 3, children were engaged in free play activities including but not limited to painting with watercolor, playing in the sensory bin, playing at the light table, and playing in the block center. In space 2, the children were transitioning from free play to preparing to transition to the outdoor playground. Toileting and handwashing routines were observed today. Today supervision and staff/child ratios were observed and found to be in compliance. For lunch, chicken tenders, green beans, pineapples (for older children), strawberries ( for the younger children), and milk was served. 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. All new staff files were monitored and found in compliance. The following violations were observed today. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. On the bus transporting children, a container of Lysol disinfecting wipes were assessable to children. .2820(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. In the transportation book of the children being transported, no photographs were available with the children's identifying information. 10A NCAC 09 .1003(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 violations documented must be corrected immediately. On or before March 31, 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: Today there was a canister of Lysol disinfecting wipes on the bus used for transportation of children that was assessable to children. Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. Ensure that all cleaning supplies and other items labeled “Keep out of reach of children” are kept inaccessible while children are in care. Transportation Book Requirements For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .0802(c) of this Chapter, shall be in the vehicle. Today, none of the children being transported had a photograph with their identifying information. Outside Remember, Child Care Rule 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT states you should check the indoor and outdoor environment daily for debris, vandalism, broken equipment and animal waste. The operator shall keep all areas used by the children, indoors and outdoors, clean, and orderly and free of items which are potentially hazardous to children. This includes the removal of items that a child can swallow and use of outdoor play equipment that is too hot to touch. This will also include checking for any standing water that might accumulate inside of toys or bins on the playground. If possible, I suggest drilling holes in the bottom of bins that tend to hold water and ensure water is dumped out before children enter the outdoor play area. Today we also discussed fluffing the mulch and potentially adding more mulch if needed. With the inclement weather it has caused the mulch to become compacted. Emerging research tells us that children need to spend time outdoors to be healthy as they grow and develop. They will be smarter, better able to get along with others, healthier and happier when they have regular opportunities for free and unstructured play outdoors. Outdoor play is beneficial to children as well as caregivers. Research tells us that spending time outdoors, exposed to fresh air, sunlight, and natural elements such as trees and grass provides many health benefits. The outdoor learning environment offers a sense of freedom for children. Children can play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste, and their sense of motion. Caregivers are in a unique position to utilize the outdoor environment to promote development and learning. Medication Today, there were two medications that had written permission for a year, both updated in December 2025. Remember Child Care rule 10A NCAC 09 .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 suggested reviewing the medication child care rule. Nurturing Care Today we discussed ensuring that your new staff are interacting with the children in a nurturing and caring manner. Each child should be attended to in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Staff should protect children from threats, give them opportunities for early learning, through interactions that are emotionally supportive and responsive. Some examples of nurturing behavior are: being fully present in your interactions with children (verbally and non-verbally), validating their feelings, providing physical affection and comfort when sought, laughing and playing games, providing safe mental, physical and social challenges that promote healthy growth and development. Children who are adequately nurtured feel more secure, which leads to the healthy development of self-esteem. Nurturing care is essential for child development and lays the foundation for life-long health and well-being and builds human capital in the child today, the adolescent and adult tomorrow, and in the next generation in the future. QRIS During the visit an overview of section .3200 of the child care rules was provided using the QRIS Conversation Template and resources available on the QRIS Modernization Page, https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. All the newest information on the QRIS rated license assessments and documents are currently posted here. Each of the following pathway options were discussed: Pathway 1 - Program Assessment, Pathway 2 - Classroom and Instructional Quality, and touched on Pathway 3 - Accreditation and Head Start. We reviewed the components common to Pathways 1: Any staff person who will be evaluated as part of the Lead Teachers or Other Educators needs to register for a Works account and submit original, official transcripts or update their current Works account and submit new education. We walked through the Individual and Facility Continuous Quality Improvement (CQI) forms (individual and center). You will complete the complete the center form for your facility and an Individual CQI annually. (This will also count as your Professional Development Plan) Maintain these in your staff files. We reviewed the Family and Community Engagement Plan. We reviewed the Foundational Practices. Ensure that they are included in the parent handbook Consider creating a notebook to collect documentation of the practices including pictures, flyers, newsletters, emails, etc. Pathway 1 – Program Assessment: You will complete a 3-month ERS Self-Study using the Thinking More About FCCERS-3. We discussed information available on the NC Rated License Assessment website, www.ncrlap.org,including training and forms for the three-month self-study and other resources (videos, documents, live and recorded training) and opportunities for an Outreach Assessment. To request Outreach Assessment - Email ncrlap@uncg.edu or call 1-866-362-7527. When the 3-month self-study is completed, you will complete and submit the Self-Study Verification Form. Pathway 2: Classroom and Instructional Quality We reviewed the list of approved curriculums and formative assessments as an approved curriculum and formative assessments will be required for pathway 2. You will need to provide verification that you have received training on the selected curriculum and formative assessment tool. Today, you mentioned that you are planning on choosing pathway 2 at this time. CLEAN WATER FOR CAROLINA KIDS Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: Your facility’s water testing was completed on September 26, 2024. Water testing must be completed every three years. Your facility is exempt from the lead-based paint and asbestos testing as of April 17, 2025. 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

10A NCAC 09 .1719 · Violation

Name of Operation: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: HEATHER ELLIOTT Operation Type: Center Case Number: Visit Date: 3/17/2026 Number Present: 72 Completed Date: 3/17/2026 Age: From 0 To 5 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a 5-star license, issued October 1, 2023.Restrictions on your permit include: a capacity of 205 children for first shift care only, age ranging from 0-12 years-old, and meeting enhanced ratios and space. The license was posted, and the restrictions were in compliance. Your last annual compliance visit was conducted on September 11, 2025. The center’s compliance history was reviewed with the operator. The program’s compliance history was 94% as of March 16, 2026. The NC Secretary of State website was reviewed today and New Beginnings Child Care Center II, Inc. was listed as current/active. Carisa Kraft, administrator, was present and available for consultation. A walk-through of the facility’s approved indoor and outdoor spaces was observed. There were 108 children enrolled and 72 children present, ages ranging from 0-5 years of age. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. In space 12, Infants were engaged in tummy time, napping, and diapering routines. Sleep checks were completed, recorded, and maintained as required. In space 10, the staff were interacting with the children talking to them about animals and the different sounds the animals make. Children were playing dress-up and climbing on the climbing structure. In space 8, children were playing outside on the playground. There were different activities for the children including but not limited to the climbing structure, sandbox, and a bike track. In space 7, children were engaged in different activities including but not limited to playing with playdoh, cooking in dramatic play, playing with baby dolls, and playing in the cozy area. In space 3, children were engaged in free play activities including but not limited to painting with watercolor, playing in the sensory bin, playing at the light table, and playing in the block center. In space 2, the children were transitioning from free play to preparing to transition to the outdoor playground. Toileting and handwashing routines were observed today. Today supervision and staff/child ratios were observed and found to be in compliance. For lunch, chicken tenders, green beans, pineapples (for older children), strawberries ( for the younger children), and milk was served. 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. All new staff files were monitored and found in compliance. The following violations were observed today. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. On the bus transporting children, a container of Lysol disinfecting wipes were assessable to children. .2820(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. In the transportation book of the children being transported, no photographs were available with the children's identifying information. 10A NCAC 09 .1003(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 violations documented must be corrected immediately. On or before March 31, 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: Today there was a canister of Lysol disinfecting wipes on the bus used for transportation of children that was assessable to children. Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. Ensure that all cleaning supplies and other items labeled “Keep out of reach of children” are kept inaccessible while children are in care. Transportation Book Requirements For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .0802(c) of this Chapter, shall be in the vehicle. Today, none of the children being transported had a photograph with their identifying information. Outside Remember, Child Care Rule 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT states you should check the indoor and outdoor environment daily for debris, vandalism, broken equipment and animal waste. The operator shall keep all areas used by the children, indoors and outdoors, clean, and orderly and free of items which are potentially hazardous to children. This includes the removal of items that a child can swallow and use of outdoor play equipment that is too hot to touch. This will also include checking for any standing water that might accumulate inside of toys or bins on the playground. If possible, I suggest drilling holes in the bottom of bins that tend to hold water and ensure water is dumped out before children enter the outdoor play area. Today we also discussed fluffing the mulch and potentially adding more mulch if needed. With the inclement weather it has caused the mulch to become compacted. Emerging research tells us that children need to spend time outdoors to be healthy as they grow and develop. They will be smarter, better able to get along with others, healthier and happier when they have regular opportunities for free and unstructured play outdoors. Outdoor play is beneficial to children as well as caregivers. Research tells us that spending time outdoors, exposed to fresh air, sunlight, and natural elements such as trees and grass provides many health benefits. The outdoor learning environment offers a sense of freedom for children. Children can play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste, and their sense of motion. Caregivers are in a unique position to utilize the outdoor environment to promote development and learning. Medication Today, there were two medications that had written permission for a year, both updated in December 2025. Remember Child Care rule 10A NCAC 09 .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 suggested reviewing the medication child care rule. Nurturing Care Today we discussed ensuring that your new staff are interacting with the children in a nurturing and caring manner. Each child should be attended to in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Staff should protect children from threats, give them opportunities for early learning, through interactions that are emotionally supportive and responsive. Some examples of nurturing behavior are: being fully present in your interactions with children (verbally and non-verbally), validating their feelings, providing physical affection and comfort when sought, laughing and playing games, providing safe mental, physical and social challenges that promote healthy growth and development. Children who are adequately nurtured feel more secure, which leads to the healthy development of self-esteem. Nurturing care is essential for child development and lays the foundation for life-long health and well-being and builds human capital in the child today, the adolescent and adult tomorrow, and in the next generation in the future. QRIS During the visit an overview of section .3200 of the child care rules was provided using the QRIS Conversation Template and resources available on the QRIS Modernization Page, https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. All the newest information on the QRIS rated license assessments and documents are currently posted here. Each of the following pathway options were discussed: Pathway 1 - Program Assessment, Pathway 2 - Classroom and Instructional Quality, and touched on Pathway 3 - Accreditation and Head Start. We reviewed the components common to Pathways 1: Any staff person who will be evaluated as part of the Lead Teachers or Other Educators needs to register for a Works account and submit original, official transcripts or update their current Works account and submit new education. We walked through the Individual and Facility Continuous Quality Improvement (CQI) forms (individual and center). You will complete the complete the center form for your facility and an Individual CQI annually. (This will also count as your Professional Development Plan) Maintain these in your staff files. We reviewed the Family and Community Engagement Plan. We reviewed the Foundational Practices. Ensure that they are included in the parent handbook Consider creating a notebook to collect documentation of the practices including pictures, flyers, newsletters, emails, etc. Pathway 1 – Program Assessment: You will complete a 3-month ERS Self-Study using the Thinking More About FCCERS-3. We discussed information available on the NC Rated License Assessment website, www.ncrlap.org,including training and forms for the three-month self-study and other resources (videos, documents, live and recorded training) and opportunities for an Outreach Assessment. To request Outreach Assessment - Email ncrlap@uncg.edu or call 1-866-362-7527. When the 3-month self-study is completed, you will complete and submit the Self-Study Verification Form. Pathway 2: Classroom and Instructional Quality We reviewed the list of approved curriculums and formative assessments as an approved curriculum and formative assessments will be required for pathway 2. You will need to provide verification that you have received training on the selected curriculum and formative assessment tool. Today, you mentioned that you are planning on choosing pathway 2 at this time. CLEAN WATER FOR CAROLINA KIDS Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: Your facility’s water testing was completed on September 26, 2024. Water testing must be completed every three years. Your facility is exempt from the lead-based paint and asbestos testing as of April 17, 2025. 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: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: HEATHER ELLIOTT Operation Type: Center Case Number: Visit Date: 3/17/2026 Number Present: 72 Completed Date: 3/17/2026 Age: From 0 To 5 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a 5-star license, issued October 1, 2023.Restrictions on your permit include: a capacity of 205 children for first shift care only, age ranging from 0-12 years-old, and meeting enhanced ratios and space. The license was posted, and the restrictions were in compliance. Your last annual compliance visit was conducted on September 11, 2025. The center’s compliance history was reviewed with the operator. The program’s compliance history was 94% as of March 16, 2026. The NC Secretary of State website was reviewed today and New Beginnings Child Care Center II, Inc. was listed as current/active. Carisa Kraft, administrator, was present and available for consultation. A walk-through of the facility’s approved indoor and outdoor spaces was observed. There were 108 children enrolled and 72 children present, ages ranging from 0-5 years of age. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. In space 12, Infants were engaged in tummy time, napping, and diapering routines. Sleep checks were completed, recorded, and maintained as required. In space 10, the staff were interacting with the children talking to them about animals and the different sounds the animals make. Children were playing dress-up and climbing on the climbing structure. In space 8, children were playing outside on the playground. There were different activities for the children including but not limited to the climbing structure, sandbox, and a bike track. In space 7, children were engaged in different activities including but not limited to playing with playdoh, cooking in dramatic play, playing with baby dolls, and playing in the cozy area. In space 3, children were engaged in free play activities including but not limited to painting with watercolor, playing in the sensory bin, playing at the light table, and playing in the block center. In space 2, the children were transitioning from free play to preparing to transition to the outdoor playground. Toileting and handwashing routines were observed today. Today supervision and staff/child ratios were observed and found to be in compliance. For lunch, chicken tenders, green beans, pineapples (for older children), strawberries ( for the younger children), and milk was served. 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. All new staff files were monitored and found in compliance. The following violations were observed today. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. On the bus transporting children, a container of Lysol disinfecting wipes were assessable to children. .2820(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. In the transportation book of the children being transported, no photographs were available with the children's identifying information. 10A NCAC 09 .1003(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 violations documented must be corrected immediately. On or before March 31, 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: Today there was a canister of Lysol disinfecting wipes on the bus used for transportation of children that was assessable to children. Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. Ensure that all cleaning supplies and other items labeled “Keep out of reach of children” are kept inaccessible while children are in care. Transportation Book Requirements For each child being transported, identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .0802(c) of this Chapter, shall be in the vehicle. Today, none of the children being transported had a photograph with their identifying information. Outside Remember, Child Care Rule 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT states you should check the indoor and outdoor environment daily for debris, vandalism, broken equipment and animal waste. The operator shall keep all areas used by the children, indoors and outdoors, clean, and orderly and free of items which are potentially hazardous to children. This includes the removal of items that a child can swallow and use of outdoor play equipment that is too hot to touch. This will also include checking for any standing water that might accumulate inside of toys or bins on the playground. If possible, I suggest drilling holes in the bottom of bins that tend to hold water and ensure water is dumped out before children enter the outdoor play area. Today we also discussed fluffing the mulch and potentially adding more mulch if needed. With the inclement weather it has caused the mulch to become compacted. Emerging research tells us that children need to spend time outdoors to be healthy as they grow and develop. They will be smarter, better able to get along with others, healthier and happier when they have regular opportunities for free and unstructured play outdoors. Outdoor play is beneficial to children as well as caregivers. Research tells us that spending time outdoors, exposed to fresh air, sunlight, and natural elements such as trees and grass provides many health benefits. The outdoor learning environment offers a sense of freedom for children. Children can play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste, and their sense of motion. Caregivers are in a unique position to utilize the outdoor environment to promote development and learning. Medication Today, there were two medications that had written permission for a year, both updated in December 2025. Remember Child Care rule 10A NCAC 09 .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 suggested reviewing the medication child care rule. Nurturing Care Today we discussed ensuring that your new staff are interacting with the children in a nurturing and caring manner. Each child should be attended to in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Staff should protect children from threats, give them opportunities for early learning, through interactions that are emotionally supportive and responsive. Some examples of nurturing behavior are: being fully present in your interactions with children (verbally and non-verbally), validating their feelings, providing physical affection and comfort when sought, laughing and playing games, providing safe mental, physical and social challenges that promote healthy growth and development. Children who are adequately nurtured feel more secure, which leads to the healthy development of self-esteem. Nurturing care is essential for child development and lays the foundation for life-long health and well-being and builds human capital in the child today, the adolescent and adult tomorrow, and in the next generation in the future. QRIS During the visit an overview of section .3200 of the child care rules was provided using the QRIS Conversation Template and resources available on the QRIS Modernization Page, https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. All the newest information on the QRIS rated license assessments and documents are currently posted here. Each of the following pathway options were discussed: Pathway 1 - Program Assessment, Pathway 2 - Classroom and Instructional Quality, and touched on Pathway 3 - Accreditation and Head Start. We reviewed the components common to Pathways 1: Any staff person who will be evaluated as part of the Lead Teachers or Other Educators needs to register for a Works account and submit original, official transcripts or update their current Works account and submit new education. We walked through the Individual and Facility Continuous Quality Improvement (CQI) forms (individual and center). You will complete the complete the center form for your facility and an Individual CQI annually. (This will also count as your Professional Development Plan) Maintain these in your staff files. We reviewed the Family and Community Engagement Plan. We reviewed the Foundational Practices. Ensure that they are included in the parent handbook Consider creating a notebook to collect documentation of the practices including pictures, flyers, newsletters, emails, etc. Pathway 1 – Program Assessment: You will complete a 3-month ERS Self-Study using the Thinking More About FCCERS-3. We discussed information available on the NC Rated License Assessment website, www.ncrlap.org,including training and forms for the three-month self-study and other resources (videos, documents, live and recorded training) and opportunities for an Outreach Assessment. To request Outreach Assessment - Email ncrlap@uncg.edu or call 1-866-362-7527. When the 3-month self-study is completed, you will complete and submit the Self-Study Verification Form. Pathway 2: Classroom and Instructional Quality We reviewed the list of approved curriculums and formative assessments as an approved curriculum and formative assessments will be required for pathway 2. You will need to provide verification that you have received training on the selected curriculum and formative assessment tool. Today, you mentioned that you are planning on choosing pathway 2 at this time. CLEAN WATER FOR CAROLINA KIDS Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: Your facility’s water testing was completed on September 26, 2024. Water testing must be completed every three years. Your facility is exempt from the lead-based paint and asbestos testing as of April 17, 2025. 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

10A NCAC 09 .0514 · Violation

Name of Operation: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 64 Completed Date: 9/11/2025 Age: From 0 To 11 Total Minutes: 170 Time In: 09:30 AM Time Out: 12:20 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 compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 5-Star license issued October 1, 2023. Childcare Consultants, Tammy Ross and Natalie Pond, assisted with today’s visit. Due to travel time, we arrived at your facility at 9:30am. The last annual compliance was conducted on September 17, 2024. The sanitation inspection was completed July 1, 2025, with an Approved classification. The last fire inspection was conducted on October 23, 2024. Your facility was approved for 1st shift care and the facility meets enhanced ratios and enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of September 11, 2025. The NC Secretary of State website was reviewed on September 11, 2025, and New Beginnings Child Care Center II, Inc. was listed as current-active. The Administrator, Carisa Kraft, was present and available for consultation. There are ninety-four (94) children between the ages of zero (0) and eleven (11) enrolled and sixty-four (64) were present today. There are twelve classroom spaces at this facility and four outdoor spaces approved for use by child care children. There are nine classrooms operating at this facility. Infants in space #12 received care based on individual needs. Safe sleep charts and infant feeding schedules are being maintained. Toddlers in spaces #10 and #9 were observed outside playing in fenced area. Children were observed playing on the seesaw, pulling toys, sandbox, and playing with balls. Staff moved about the space engaging in play and ensuring visual supervision of all children. Preschool children in spaces #2, #7, and #8 were observed participating in free choice activities. Free choice activities included working on puzzles, art -coloring/drawing/pasting on construction paper, building in blocks, cooking, doing hair, setting the table and feeding babies, and dressing as firefighters/doctors/police in dramatic play. Spaces #4 and #5 are used for school-age children; there were no children present due to the time of the visit. However, spaces were monitored and found to be in compliance. All spaces are arranged into activity areas to include but are not limited to art, blocks, dramatic play, music, cozy, science, math, manipulatives, writing and language. A variety of age-appropriate learning materials were accessible in each activity area. Lunch served today consisted of chicken nuggets, lima beans, mandarin oranges, peaches, and milk. Health and safety trainings were monitored, and requirements were met. NC Pre-K Site Monitoring: Space #3 operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 8:00am to 2:30pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum and Screening, and Teaching Strategies Gold for their ongoing assessments. Lead teacher and teacher are working on completing developmental screenings and stated they understood they must be completed within 90 days of the beginning of the school year, which was September 3, 2025. Health assessments including vision, hearing, and dental screenings are also being collected, and staff members stated they understood they must all be on file by October 3, 2025. The site monitoring tool has not been completed yet; it will be reviewed during your next visit. Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) out of nine (9) employee personnel files reviewed did not contain an annual staff evaluation. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. Any violations documented must be corrected immediately. Violation #1232 was corrected during the visit; therefore, a compliance letter is not required. Remember it is your responsibility to ensure you comply with all applicable requirements at all times. If you have questions or need assistance, please contact me. My contact information is as follows: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 Technical Assistance: Annual Staff Evaluations: Each employee's personnel file, including the administrator, shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Consider creating a way to track these dates to ensure they are completed within the time frame. Potential Choking Hazards: Choking is a serious risk for young children. Any small item can be a potential choking hazard, including small broken pieces of crayons and/or chalk and small marker caps. In a classroom where children under the age of three (3) are enrolled or may be present, it is important to maintain an environment free from choking hazards. Strategies could include regularly surveying accessible toys and having a choke tube tester on hand. Provider Portal for ABCMS (the criminal records check database): As stated in G.S. 110-90.2 & .2703(r), child care operators are to notify the Division of any new child care providers working who were hired within five business days. You have completed the training and linked your staff to your facility. Choosing a Pathway to the Stars: The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • You can review the rule roll out module in the DCDEE e-learning Moodle platform and • If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. • In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities in order to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! AWARD$ Plus Program: The Infant Toddler Educator AWARD$ program has recently gone through some exciting programmatic updates. The original AWARD$ program was only available to teachers working full-time in Birth to Three classrooms that had an AA in ECE or higher degree and were employed by 4- and 5-star programs. The education requirement has been reduced as an incentive to support teachers seeking to increase their education in any star rated licensed program. Visit www.childcareservices.org/award for additional information. July '25 Rule Changes: Summary, Training Available The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2025 child care rule changes. The Child Care Commission adopted rules to support QRIS modernization. The new section, .3200, provides the standards for earning a two-though five-star-rated license. There are three pathways: program assessment, classroom and instructional quality, and accreditation and head start. To support the QRIS changes, additional rules were amended within the following sections: definitions, developmental day services, and NC Pre-Kindergarten services. Consultants will assist as you begin to review the changes, but please note some of the rule changes may not impact your facility. DCDEE has provided a summary of the changes, but for specific details regarding these changes, please ensure you are using the updated July 1, 2025 rule book, and view information in the DCDEE Moodle(Enroll if you haven’t yet).You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov/ncidsspr/. Rule training modules can be found in the same course as the previous 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. For assistance with Moodle, contact DCDEE_MOODLE_SUPPORT@dhhs.nc.gov. 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 September 26, 2024. Water testing must be completed every three (3) years. • Lead-Based Paint-Section Complete-N/A • Asbestos-Section Complete- N/A The Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative launched in North Carolina to make it easier for military families to access and afford quality child care from community providers. Licensed child care facilities are now able to participate in MCCYN-PLUS based on their star rating. If you are interested in participating in the military fee assistance program, please visit: https://www.childcareaware.org/feeassistancerespite/feeassistancerespiteproviders/feeassistance/ to review the application process. Reminders: For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. 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 .3009 · Violation

Name of Operation: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 64 Completed Date: 9/11/2025 Age: From 0 To 11 Total Minutes: 170 Time In: 09:30 AM Time Out: 12:20 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 compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 5-Star license issued October 1, 2023. Childcare Consultants, Tammy Ross and Natalie Pond, assisted with today’s visit. Due to travel time, we arrived at your facility at 9:30am. The last annual compliance was conducted on September 17, 2024. The sanitation inspection was completed July 1, 2025, with an Approved classification. The last fire inspection was conducted on October 23, 2024. Your facility was approved for 1st shift care and the facility meets enhanced ratios and enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of September 11, 2025. The NC Secretary of State website was reviewed on September 11, 2025, and New Beginnings Child Care Center II, Inc. was listed as current-active. The Administrator, Carisa Kraft, was present and available for consultation. There are ninety-four (94) children between the ages of zero (0) and eleven (11) enrolled and sixty-four (64) were present today. There are twelve classroom spaces at this facility and four outdoor spaces approved for use by child care children. There are nine classrooms operating at this facility. Infants in space #12 received care based on individual needs. Safe sleep charts and infant feeding schedules are being maintained. Toddlers in spaces #10 and #9 were observed outside playing in fenced area. Children were observed playing on the seesaw, pulling toys, sandbox, and playing with balls. Staff moved about the space engaging in play and ensuring visual supervision of all children. Preschool children in spaces #2, #7, and #8 were observed participating in free choice activities. Free choice activities included working on puzzles, art -coloring/drawing/pasting on construction paper, building in blocks, cooking, doing hair, setting the table and feeding babies, and dressing as firefighters/doctors/police in dramatic play. Spaces #4 and #5 are used for school-age children; there were no children present due to the time of the visit. However, spaces were monitored and found to be in compliance. All spaces are arranged into activity areas to include but are not limited to art, blocks, dramatic play, music, cozy, science, math, manipulatives, writing and language. A variety of age-appropriate learning materials were accessible in each activity area. Lunch served today consisted of chicken nuggets, lima beans, mandarin oranges, peaches, and milk. Health and safety trainings were monitored, and requirements were met. NC Pre-K Site Monitoring: Space #3 operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 8:00am to 2:30pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum and Screening, and Teaching Strategies Gold for their ongoing assessments. Lead teacher and teacher are working on completing developmental screenings and stated they understood they must be completed within 90 days of the beginning of the school year, which was September 3, 2025. Health assessments including vision, hearing, and dental screenings are also being collected, and staff members stated they understood they must all be on file by October 3, 2025. The site monitoring tool has not been completed yet; it will be reviewed during your next visit. Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) out of nine (9) employee personnel files reviewed did not contain an annual staff evaluation. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. Any violations documented must be corrected immediately. Violation #1232 was corrected during the visit; therefore, a compliance letter is not required. Remember it is your responsibility to ensure you comply with all applicable requirements at all times. If you have questions or need assistance, please contact me. My contact information is as follows: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 Technical Assistance: Annual Staff Evaluations: Each employee's personnel file, including the administrator, shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Consider creating a way to track these dates to ensure they are completed within the time frame. Potential Choking Hazards: Choking is a serious risk for young children. Any small item can be a potential choking hazard, including small broken pieces of crayons and/or chalk and small marker caps. In a classroom where children under the age of three (3) are enrolled or may be present, it is important to maintain an environment free from choking hazards. Strategies could include regularly surveying accessible toys and having a choke tube tester on hand. Provider Portal for ABCMS (the criminal records check database): As stated in G.S. 110-90.2 & .2703(r), child care operators are to notify the Division of any new child care providers working who were hired within five business days. You have completed the training and linked your staff to your facility. Choosing a Pathway to the Stars: The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • You can review the rule roll out module in the DCDEE e-learning Moodle platform and • If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. • In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities in order to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! AWARD$ Plus Program: The Infant Toddler Educator AWARD$ program has recently gone through some exciting programmatic updates. The original AWARD$ program was only available to teachers working full-time in Birth to Three classrooms that had an AA in ECE or higher degree and were employed by 4- and 5-star programs. The education requirement has been reduced as an incentive to support teachers seeking to increase their education in any star rated licensed program. Visit www.childcareservices.org/award for additional information. July '25 Rule Changes: Summary, Training Available The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2025 child care rule changes. The Child Care Commission adopted rules to support QRIS modernization. The new section, .3200, provides the standards for earning a two-though five-star-rated license. There are three pathways: program assessment, classroom and instructional quality, and accreditation and head start. To support the QRIS changes, additional rules were amended within the following sections: definitions, developmental day services, and NC Pre-Kindergarten services. Consultants will assist as you begin to review the changes, but please note some of the rule changes may not impact your facility. DCDEE has provided a summary of the changes, but for specific details regarding these changes, please ensure you are using the updated July 1, 2025 rule book, and view information in the DCDEE Moodle(Enroll if you haven’t yet).You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov/ncidsspr/. Rule training modules can be found in the same course as the previous 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. For assistance with Moodle, contact DCDEE_MOODLE_SUPPORT@dhhs.nc.gov. 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 September 26, 2024. Water testing must be completed every three (3) years. • Lead-Based Paint-Section Complete-N/A • Asbestos-Section Complete- N/A The Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative launched in North Carolina to make it easier for military families to access and afford quality child care from community providers. Licensed child care facilities are now able to participate in MCCYN-PLUS based on their star rating. If you are interested in participating in the military fee assistance program, please visit: https://www.childcareaware.org/feeassistancerespite/feeassistancerespiteproviders/feeassistance/ to review the application process. Reminders: For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. 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: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 64 Completed Date: 9/11/2025 Age: From 0 To 11 Total Minutes: 170 Time In: 09:30 AM Time Out: 12:20 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 compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 5-Star license issued October 1, 2023. Childcare Consultants, Tammy Ross and Natalie Pond, assisted with today’s visit. Due to travel time, we arrived at your facility at 9:30am. The last annual compliance was conducted on September 17, 2024. The sanitation inspection was completed July 1, 2025, with an Approved classification. The last fire inspection was conducted on October 23, 2024. Your facility was approved for 1st shift care and the facility meets enhanced ratios and enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of September 11, 2025. The NC Secretary of State website was reviewed on September 11, 2025, and New Beginnings Child Care Center II, Inc. was listed as current-active. The Administrator, Carisa Kraft, was present and available for consultation. There are ninety-four (94) children between the ages of zero (0) and eleven (11) enrolled and sixty-four (64) were present today. There are twelve classroom spaces at this facility and four outdoor spaces approved for use by child care children. There are nine classrooms operating at this facility. Infants in space #12 received care based on individual needs. Safe sleep charts and infant feeding schedules are being maintained. Toddlers in spaces #10 and #9 were observed outside playing in fenced area. Children were observed playing on the seesaw, pulling toys, sandbox, and playing with balls. Staff moved about the space engaging in play and ensuring visual supervision of all children. Preschool children in spaces #2, #7, and #8 were observed participating in free choice activities. Free choice activities included working on puzzles, art -coloring/drawing/pasting on construction paper, building in blocks, cooking, doing hair, setting the table and feeding babies, and dressing as firefighters/doctors/police in dramatic play. Spaces #4 and #5 are used for school-age children; there were no children present due to the time of the visit. However, spaces were monitored and found to be in compliance. All spaces are arranged into activity areas to include but are not limited to art, blocks, dramatic play, music, cozy, science, math, manipulatives, writing and language. A variety of age-appropriate learning materials were accessible in each activity area. Lunch served today consisted of chicken nuggets, lima beans, mandarin oranges, peaches, and milk. Health and safety trainings were monitored, and requirements were met. NC Pre-K Site Monitoring: Space #3 operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 8:00am to 2:30pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum and Screening, and Teaching Strategies Gold for their ongoing assessments. Lead teacher and teacher are working on completing developmental screenings and stated they understood they must be completed within 90 days of the beginning of the school year, which was September 3, 2025. Health assessments including vision, hearing, and dental screenings are also being collected, and staff members stated they understood they must all be on file by October 3, 2025. The site monitoring tool has not been completed yet; it will be reviewed during your next visit. Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) out of nine (9) employee personnel files reviewed did not contain an annual staff evaluation. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. Any violations documented must be corrected immediately. Violation #1232 was corrected during the visit; therefore, a compliance letter is not required. Remember it is your responsibility to ensure you comply with all applicable requirements at all times. If you have questions or need assistance, please contact me. My contact information is as follows: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 Technical Assistance: Annual Staff Evaluations: Each employee's personnel file, including the administrator, shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Consider creating a way to track these dates to ensure they are completed within the time frame. Potential Choking Hazards: Choking is a serious risk for young children. Any small item can be a potential choking hazard, including small broken pieces of crayons and/or chalk and small marker caps. In a classroom where children under the age of three (3) are enrolled or may be present, it is important to maintain an environment free from choking hazards. Strategies could include regularly surveying accessible toys and having a choke tube tester on hand. Provider Portal for ABCMS (the criminal records check database): As stated in G.S. 110-90.2 & .2703(r), child care operators are to notify the Division of any new child care providers working who were hired within five business days. You have completed the training and linked your staff to your facility. Choosing a Pathway to the Stars: The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • You can review the rule roll out module in the DCDEE e-learning Moodle platform and • If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. • In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities in order to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! AWARD$ Plus Program: The Infant Toddler Educator AWARD$ program has recently gone through some exciting programmatic updates. The original AWARD$ program was only available to teachers working full-time in Birth to Three classrooms that had an AA in ECE or higher degree and were employed by 4- and 5-star programs. The education requirement has been reduced as an incentive to support teachers seeking to increase their education in any star rated licensed program. Visit www.childcareservices.org/award for additional information. July '25 Rule Changes: Summary, Training Available The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2025 child care rule changes. The Child Care Commission adopted rules to support QRIS modernization. The new section, .3200, provides the standards for earning a two-though five-star-rated license. There are three pathways: program assessment, classroom and instructional quality, and accreditation and head start. To support the QRIS changes, additional rules were amended within the following sections: definitions, developmental day services, and NC Pre-Kindergarten services. Consultants will assist as you begin to review the changes, but please note some of the rule changes may not impact your facility. DCDEE has provided a summary of the changes, but for specific details regarding these changes, please ensure you are using the updated July 1, 2025 rule book, and view information in the DCDEE Moodle(Enroll if you haven’t yet).You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov/ncidsspr/. Rule training modules can be found in the same course as the previous 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. For assistance with Moodle, contact DCDEE_MOODLE_SUPPORT@dhhs.nc.gov. 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 September 26, 2024. Water testing must be completed every three (3) years. • Lead-Based Paint-Section Complete-N/A • Asbestos-Section Complete- N/A The Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative launched in North Carolina to make it easier for military families to access and afford quality child care from community providers. Licensed child care facilities are now able to participate in MCCYN-PLUS based on their star rating. If you are interested in participating in the military fee assistance program, please visit: https://www.childcareaware.org/feeassistancerespite/feeassistancerespiteproviders/feeassistance/ to review the application process. Reminders: For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. 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: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 64 Completed Date: 9/11/2025 Age: From 0 To 11 Total Minutes: 170 Time In: 09:30 AM Time Out: 12:20 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 compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 5-Star license issued October 1, 2023. Childcare Consultants, Tammy Ross and Natalie Pond, assisted with today’s visit. Due to travel time, we arrived at your facility at 9:30am. The last annual compliance was conducted on September 17, 2024. The sanitation inspection was completed July 1, 2025, with an Approved classification. The last fire inspection was conducted on October 23, 2024. Your facility was approved for 1st shift care and the facility meets enhanced ratios and enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of September 11, 2025. The NC Secretary of State website was reviewed on September 11, 2025, and New Beginnings Child Care Center II, Inc. was listed as current-active. The Administrator, Carisa Kraft, was present and available for consultation. There are ninety-four (94) children between the ages of zero (0) and eleven (11) enrolled and sixty-four (64) were present today. There are twelve classroom spaces at this facility and four outdoor spaces approved for use by child care children. There are nine classrooms operating at this facility. Infants in space #12 received care based on individual needs. Safe sleep charts and infant feeding schedules are being maintained. Toddlers in spaces #10 and #9 were observed outside playing in fenced area. Children were observed playing on the seesaw, pulling toys, sandbox, and playing with balls. Staff moved about the space engaging in play and ensuring visual supervision of all children. Preschool children in spaces #2, #7, and #8 were observed participating in free choice activities. Free choice activities included working on puzzles, art -coloring/drawing/pasting on construction paper, building in blocks, cooking, doing hair, setting the table and feeding babies, and dressing as firefighters/doctors/police in dramatic play. Spaces #4 and #5 are used for school-age children; there were no children present due to the time of the visit. However, spaces were monitored and found to be in compliance. All spaces are arranged into activity areas to include but are not limited to art, blocks, dramatic play, music, cozy, science, math, manipulatives, writing and language. A variety of age-appropriate learning materials were accessible in each activity area. Lunch served today consisted of chicken nuggets, lima beans, mandarin oranges, peaches, and milk. Health and safety trainings were monitored, and requirements were met. NC Pre-K Site Monitoring: Space #3 operated as NC Pre-K classrooms. The NC Pre-K requirements in Section .3000 of the Child Care Rules were monitored for compliance today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children in this program attend from 8:00am to 2:30pm, meeting the instructional day requirement of 6.5 hours. This NC Pre-K program uses Creative Curriculum and Screening, and Teaching Strategies Gold for their ongoing assessments. Lead teacher and teacher are working on completing developmental screenings and stated they understood they must be completed within 90 days of the beginning of the school year, which was September 3, 2025. Health assessments including vision, hearing, and dental screenings are also being collected, and staff members stated they understood they must all be on file by October 3, 2025. The site monitoring tool has not been completed yet; it will be reviewed during your next visit. Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) out of nine (9) employee personnel files reviewed did not contain an annual staff evaluation. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. Any violations documented must be corrected immediately. Violation #1232 was corrected during the visit; therefore, a compliance letter is not required. Remember it is your responsibility to ensure you comply with all applicable requirements at all times. If you have questions or need assistance, please contact me. My contact information is as follows: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 Technical Assistance: Annual Staff Evaluations: Each employee's personnel file, including the administrator, shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Consider creating a way to track these dates to ensure they are completed within the time frame. Potential Choking Hazards: Choking is a serious risk for young children. Any small item can be a potential choking hazard, including small broken pieces of crayons and/or chalk and small marker caps. In a classroom where children under the age of three (3) are enrolled or may be present, it is important to maintain an environment free from choking hazards. Strategies could include regularly surveying accessible toys and having a choke tube tester on hand. Provider Portal for ABCMS (the criminal records check database): As stated in G.S. 110-90.2 & .2703(r), child care operators are to notify the Division of any new child care providers working who were hired within five business days. You have completed the training and linked your staff to your facility. Choosing a Pathway to the Stars: The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition will begin soon with the following informational opportunities: • You can review the rule roll out module in the DCDEE e-learning Moodle platform and • If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. • In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. • Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities in order to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! AWARD$ Plus Program: The Infant Toddler Educator AWARD$ program has recently gone through some exciting programmatic updates. The original AWARD$ program was only available to teachers working full-time in Birth to Three classrooms that had an AA in ECE or higher degree and were employed by 4- and 5-star programs. The education requirement has been reduced as an incentive to support teachers seeking to increase their education in any star rated licensed program. Visit www.childcareservices.org/award for additional information. July '25 Rule Changes: Summary, Training Available The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2025 child care rule changes. The Child Care Commission adopted rules to support QRIS modernization. The new section, .3200, provides the standards for earning a two-though five-star-rated license. There are three pathways: program assessment, classroom and instructional quality, and accreditation and head start. To support the QRIS changes, additional rules were amended within the following sections: definitions, developmental day services, and NC Pre-Kindergarten services. Consultants will assist as you begin to review the changes, but please note some of the rule changes may not impact your facility. DCDEE has provided a summary of the changes, but for specific details regarding these changes, please ensure you are using the updated July 1, 2025 rule book, and view information in the DCDEE Moodle(Enroll if you haven’t yet).You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov/ncidsspr/. Rule training modules can be found in the same course as the previous 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. For assistance with Moodle, contact DCDEE_MOODLE_SUPPORT@dhhs.nc.gov. 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 September 26, 2024. Water testing must be completed every three (3) years. • Lead-Based Paint-Section Complete-N/A • Asbestos-Section Complete- N/A The Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative launched in North Carolina to make it easier for military families to access and afford quality child care from community providers. Licensed child care facilities are now able to participate in MCCYN-PLUS based on their star rating. If you are interested in participating in the military fee assistance program, please visit: https://www.childcareaware.org/feeassistancerespite/feeassistancerespiteproviders/feeassistance/ to review the application process. Reminders: For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. 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: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 79 Completed Date: 4/2/2025 Age: From 0 To 5 Total Minutes: 220 Time In: 09:35 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine Unannounced visit was to monitor compliance with applicable child care requirements. This facility currently operates with a 5 Star License, issued April 30, 2018, earning 6 points in Education, 6 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 205 during the first shift with an age range of 0-12 years old, daytime care only, and meets enhanced space and ratios. The program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled; this program uses the Creative Curriculum for Preschool, Fifth Edition. The last annual compliance visit conducted at this facility on September 17, 2024. As of April 2, 2025, the facility’s eighteen-month compliance history is 93%. The center is owned by New Beginnings Child Care Center II, Inc. and as of April 2, 2025, the corporation is current and active with the NC Secretary of State. The center completed the last Fire Inspection on October 23, 2024. The center was approved for daytime care only. The last Sanitation inspection was completed on December 27, 2024, with a Superior Classification. The license was posted, and the restrictions were in compliance. You, administrator, Carisa Kraft, was on site and available for consultation. You accompanied me during the walk through and observations. There were one hundred and one children enrolled, and seventy-nine children ages 0- 5 were present today. All approved indoor and outdoor spaces were monitored today and found supervision and staff/child ratios to be in compliance. Infants in space #12 received care based on their individual needs. Two staff members interacted with five infants on the floor for tummy time and/or exploration around the classroom. They played with a rabbit and balls. Two of the infants were napping, safe sleep checks were documented as required. Two of the groups of toddlers were engaged in outdoor free play activities. There were limited materials outdoors. During the observation, you moved materials from an unused playground to this space. Children were interested in riding toys, trikes, and push and riding toys. You are placing an order so there are a variety of materials for the children, as several children tried to ride one of the riding toys at the same time. The group of two-year-olds was having groups time, they were sitting and listening to a teacher read the book, ’Oh’. The three year olds were playing dress up with hats, building with blocks, playing farm and the animals, stacking manipulatives and other age appropriate activities. The NC Pre-k group were outdoors engaged in free play activities such as digging in the sand, climbing, running around, sliding, and swinging. Staff were positioned throughout the playground to ensure visual supervision. The last group was the older preschoolers. They were molding playdough, putting together puzzles, connecting Legos, and other age appropriate activities. Staff were sitting with the children and engaged in play. Lunch served consisted of meatballs, mashed potatoes, pineapple/peas, and milk. Technical assistance: I recommend that caregiving staff are not notified that a representative from DCDEE is on-site. Staff should prioritize staff interactions with children over solely focusing on teacher tasks is crucial for fostering positive development and strong relationships, leading to better outcomes for children's learning and well-being. Engaging children is a key component of active supervision, which ensures children's safety and well-being. ACTIVITY PLANS AND AREAS- Lesson plans were current; although, evidence was not seen where they were being implemented. When conducting walk-throughs, ensure staff are following their less plans and activities are being implemented, such as art, language, etc. Today we discussed adding to the materials in the one-year-old classroom to ensure that multiple children have opportunities to engage in the same activity. When children under three years old are in care, each learning center shall have developmentally appropriate toys and activities for each child to promote the child’s emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development. In rooms for infants and toddlers, toys must be organized by type. Be sure to label the toys bins and shelves with words so adults can easily sort and put away toys; toys can be grouped in the following categories: dolls, blocks, pretend play, books, sensory and musical. Materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers. The following activity areas must be available daily for children ages 1-5 years: art and other creative play, children's books, blocks and block building, manipulatives, and family living and dramatic play. All but art must be available daily for infants. Music/movement, science/nature, and sand and water play must be provided weekly (closely supervised water play only must be available to infants and toddlers). For preschoolers, each activity area should contain enough materials to allow three related activities to occur at the same time, and there must also be enough materials and equipment available to allow at least three children to use the area whether or not the children choose the same or different activities. Outside Play-Using tricycles, scooters, water table, wagons, and push toys, children experience speed, negotiate pathways, cooperate with others, engage in role play, and develop large-muscle groups. Offering a variety of wheeled toys challenges children with different ability levels. A high-quality outdoor play space includes decorative elements, such as banners, wind chimes, wind socks, statues, flags, cultural artifacts, or decorative objects (e.g., wreaths, fence weavings, murals, weather vanes, pinwheels, whimsical signs, garlands, or sculptures) that add visual and auditory interest and appeal. To enhance children’s cognitive development, add “sciencing” items to the outdoor play area, and fill your birdfeeders. You can also add collections of shells, pieces of wood, rocks and leaves; they can serve as play food outside, and can be kept in clear plastic containers with screw on lids. Just ensure the shells and rocks are large enough that they are not choking hazards for the toddlers and twos. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #4, used by the one year olds, there were four wooden planks missing from the children's walking path and there was a large hole next the concrete pad. The bottom of the chain link fence, the metal ties were were open, sharp and accessible to the children. 10A NCAC 09 .0601(a) There was one violation documented today and must be corrected immediately. Submit a correction letter to me by April 12, 2025. If the letter is not received by the date, a return visit will be conducted. Concerns related to materials and the implementation of lesson plans are not documented today but must be corrected. Continued compliance with applicable child care requirements is required at all times. Child Care programs are expected to always achieve and maintain compliance with child care rules, 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. Technical Assistance: A violation related to safety in child care rule .0601was documented. On the outdoor play space (4), which is used by the one-year-olds, the following concerns were observed: The four wooden planks missing from the children's walking path and a large hole next the concrete pad, both causing potential tripping hazards. The bottom of the chain link fence, the metal ties were open, sharp and accessible to the children. ABCMS- You must complete this process by April 12, 2025. Provider Portal for ABCMS (the criminal records check database): As stated in G.S. 110-90.2 & .2703(r), child care captured in ABCMS. Once you receive your Star Rated License, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance with the portal or the training, please contact the Criminal Background Check Unit at (919) 814-6401and someone will assist you. This is a requirement for all child care centers. Rated License Information- Rated License Information - New rules are expected to include different pathways towards earning stars, so I urge you to review any information shared to prepare for the changes. Communications will be sent via email directly from DCDEE, and I will continue to keep you informed. If you are interested in having the Environment Rating Scales-Revised (ITERS- 3’s, ECERS-3’s & SACERS-U) conducted as part of your reassessment process, you may wish to review information on the new version of this tools for operators whochoose the “program assessment” pathway. I have scheduled an upcoming training on the new scales for April 10, 2025. The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit The visit summary was emailed to the provider, and a signed copy was returned. If you need further assistance, you may contact me at (910)824-0470 or email me at 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

G.S. 110-90 · Violation

Name of Operation: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 79 Completed Date: 4/2/2025 Age: From 0 To 5 Total Minutes: 220 Time In: 09:35 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine Unannounced visit was to monitor compliance with applicable child care requirements. This facility currently operates with a 5 Star License, issued April 30, 2018, earning 6 points in Education, 6 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 205 during the first shift with an age range of 0-12 years old, daytime care only, and meets enhanced space and ratios. The program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled; this program uses the Creative Curriculum for Preschool, Fifth Edition. The last annual compliance visit conducted at this facility on September 17, 2024. As of April 2, 2025, the facility’s eighteen-month compliance history is 93%. The center is owned by New Beginnings Child Care Center II, Inc. and as of April 2, 2025, the corporation is current and active with the NC Secretary of State. The center completed the last Fire Inspection on October 23, 2024. The center was approved for daytime care only. The last Sanitation inspection was completed on December 27, 2024, with a Superior Classification. The license was posted, and the restrictions were in compliance. You, administrator, Carisa Kraft, was on site and available for consultation. You accompanied me during the walk through and observations. There were one hundred and one children enrolled, and seventy-nine children ages 0- 5 were present today. All approved indoor and outdoor spaces were monitored today and found supervision and staff/child ratios to be in compliance. Infants in space #12 received care based on their individual needs. Two staff members interacted with five infants on the floor for tummy time and/or exploration around the classroom. They played with a rabbit and balls. Two of the infants were napping, safe sleep checks were documented as required. Two of the groups of toddlers were engaged in outdoor free play activities. There were limited materials outdoors. During the observation, you moved materials from an unused playground to this space. Children were interested in riding toys, trikes, and push and riding toys. You are placing an order so there are a variety of materials for the children, as several children tried to ride one of the riding toys at the same time. The group of two-year-olds was having groups time, they were sitting and listening to a teacher read the book, ’Oh’. The three year olds were playing dress up with hats, building with blocks, playing farm and the animals, stacking manipulatives and other age appropriate activities. The NC Pre-k group were outdoors engaged in free play activities such as digging in the sand, climbing, running around, sliding, and swinging. Staff were positioned throughout the playground to ensure visual supervision. The last group was the older preschoolers. They were molding playdough, putting together puzzles, connecting Legos, and other age appropriate activities. Staff were sitting with the children and engaged in play. Lunch served consisted of meatballs, mashed potatoes, pineapple/peas, and milk. Technical assistance: I recommend that caregiving staff are not notified that a representative from DCDEE is on-site. Staff should prioritize staff interactions with children over solely focusing on teacher tasks is crucial for fostering positive development and strong relationships, leading to better outcomes for children's learning and well-being. Engaging children is a key component of active supervision, which ensures children's safety and well-being. ACTIVITY PLANS AND AREAS- Lesson plans were current; although, evidence was not seen where they were being implemented. When conducting walk-throughs, ensure staff are following their less plans and activities are being implemented, such as art, language, etc. Today we discussed adding to the materials in the one-year-old classroom to ensure that multiple children have opportunities to engage in the same activity. When children under three years old are in care, each learning center shall have developmentally appropriate toys and activities for each child to promote the child’s emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development. In rooms for infants and toddlers, toys must be organized by type. Be sure to label the toys bins and shelves with words so adults can easily sort and put away toys; toys can be grouped in the following categories: dolls, blocks, pretend play, books, sensory and musical. Materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers. The following activity areas must be available daily for children ages 1-5 years: art and other creative play, children's books, blocks and block building, manipulatives, and family living and dramatic play. All but art must be available daily for infants. Music/movement, science/nature, and sand and water play must be provided weekly (closely supervised water play only must be available to infants and toddlers). For preschoolers, each activity area should contain enough materials to allow three related activities to occur at the same time, and there must also be enough materials and equipment available to allow at least three children to use the area whether or not the children choose the same or different activities. Outside Play-Using tricycles, scooters, water table, wagons, and push toys, children experience speed, negotiate pathways, cooperate with others, engage in role play, and develop large-muscle groups. Offering a variety of wheeled toys challenges children with different ability levels. A high-quality outdoor play space includes decorative elements, such as banners, wind chimes, wind socks, statues, flags, cultural artifacts, or decorative objects (e.g., wreaths, fence weavings, murals, weather vanes, pinwheels, whimsical signs, garlands, or sculptures) that add visual and auditory interest and appeal. To enhance children’s cognitive development, add “sciencing” items to the outdoor play area, and fill your birdfeeders. You can also add collections of shells, pieces of wood, rocks and leaves; they can serve as play food outside, and can be kept in clear plastic containers with screw on lids. Just ensure the shells and rocks are large enough that they are not choking hazards for the toddlers and twos. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #4, used by the one year olds, there were four wooden planks missing from the children's walking path and there was a large hole next the concrete pad. The bottom of the chain link fence, the metal ties were were open, sharp and accessible to the children. 10A NCAC 09 .0601(a) There was one violation documented today and must be corrected immediately. Submit a correction letter to me by April 12, 2025. If the letter is not received by the date, a return visit will be conducted. Concerns related to materials and the implementation of lesson plans are not documented today but must be corrected. Continued compliance with applicable child care requirements is required at all times. Child Care programs are expected to always achieve and maintain compliance with child care rules, 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. Technical Assistance: A violation related to safety in child care rule .0601was documented. On the outdoor play space (4), which is used by the one-year-olds, the following concerns were observed: The four wooden planks missing from the children's walking path and a large hole next the concrete pad, both causing potential tripping hazards. The bottom of the chain link fence, the metal ties were open, sharp and accessible to the children. ABCMS- You must complete this process by April 12, 2025. Provider Portal for ABCMS (the criminal records check database): As stated in G.S. 110-90.2 & .2703(r), child care captured in ABCMS. Once you receive your Star Rated License, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance with the portal or the training, please contact the Criminal Background Check Unit at (919) 814-6401and someone will assist you. This is a requirement for all child care centers. Rated License Information- Rated License Information - New rules are expected to include different pathways towards earning stars, so I urge you to review any information shared to prepare for the changes. Communications will be sent via email directly from DCDEE, and I will continue to keep you informed. If you are interested in having the Environment Rating Scales-Revised (ITERS- 3’s, ECERS-3’s & SACERS-U) conducted as part of your reassessment process, you may wish to review information on the new version of this tools for operators whochoose the “program assessment” pathway. I have scheduled an upcoming training on the new scales for April 10, 2025. The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit The visit summary was emailed to the provider, and a signed copy was returned. If you need further assistance, you may contact me at (910)824-0470 or email me at 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

NC GS 110-90 · Violation

Name of Operation: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: KIM SHERRY Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 79 Completed Date: 4/2/2025 Age: From 0 To 5 Total Minutes: 220 Time In: 09:35 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine Unannounced visit was to monitor compliance with applicable child care requirements. This facility currently operates with a 5 Star License, issued April 30, 2018, earning 6 points in Education, 6 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 205 during the first shift with an age range of 0-12 years old, daytime care only, and meets enhanced space and ratios. The program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled; this program uses the Creative Curriculum for Preschool, Fifth Edition. The last annual compliance visit conducted at this facility on September 17, 2024. As of April 2, 2025, the facility’s eighteen-month compliance history is 93%. The center is owned by New Beginnings Child Care Center II, Inc. and as of April 2, 2025, the corporation is current and active with the NC Secretary of State. The center completed the last Fire Inspection on October 23, 2024. The center was approved for daytime care only. The last Sanitation inspection was completed on December 27, 2024, with a Superior Classification. The license was posted, and the restrictions were in compliance. You, administrator, Carisa Kraft, was on site and available for consultation. You accompanied me during the walk through and observations. There were one hundred and one children enrolled, and seventy-nine children ages 0- 5 were present today. All approved indoor and outdoor spaces were monitored today and found supervision and staff/child ratios to be in compliance. Infants in space #12 received care based on their individual needs. Two staff members interacted with five infants on the floor for tummy time and/or exploration around the classroom. They played with a rabbit and balls. Two of the infants were napping, safe sleep checks were documented as required. Two of the groups of toddlers were engaged in outdoor free play activities. There were limited materials outdoors. During the observation, you moved materials from an unused playground to this space. Children were interested in riding toys, trikes, and push and riding toys. You are placing an order so there are a variety of materials for the children, as several children tried to ride one of the riding toys at the same time. The group of two-year-olds was having groups time, they were sitting and listening to a teacher read the book, ’Oh’. The three year olds were playing dress up with hats, building with blocks, playing farm and the animals, stacking manipulatives and other age appropriate activities. The NC Pre-k group were outdoors engaged in free play activities such as digging in the sand, climbing, running around, sliding, and swinging. Staff were positioned throughout the playground to ensure visual supervision. The last group was the older preschoolers. They were molding playdough, putting together puzzles, connecting Legos, and other age appropriate activities. Staff were sitting with the children and engaged in play. Lunch served consisted of meatballs, mashed potatoes, pineapple/peas, and milk. Technical assistance: I recommend that caregiving staff are not notified that a representative from DCDEE is on-site. Staff should prioritize staff interactions with children over solely focusing on teacher tasks is crucial for fostering positive development and strong relationships, leading to better outcomes for children's learning and well-being. Engaging children is a key component of active supervision, which ensures children's safety and well-being. ACTIVITY PLANS AND AREAS- Lesson plans were current; although, evidence was not seen where they were being implemented. When conducting walk-throughs, ensure staff are following their less plans and activities are being implemented, such as art, language, etc. Today we discussed adding to the materials in the one-year-old classroom to ensure that multiple children have opportunities to engage in the same activity. When children under three years old are in care, each learning center shall have developmentally appropriate toys and activities for each child to promote the child’s emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development. In rooms for infants and toddlers, toys must be organized by type. Be sure to label the toys bins and shelves with words so adults can easily sort and put away toys; toys can be grouped in the following categories: dolls, blocks, pretend play, books, sensory and musical. Materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers. The following activity areas must be available daily for children ages 1-5 years: art and other creative play, children's books, blocks and block building, manipulatives, and family living and dramatic play. All but art must be available daily for infants. Music/movement, science/nature, and sand and water play must be provided weekly (closely supervised water play only must be available to infants and toddlers). For preschoolers, each activity area should contain enough materials to allow three related activities to occur at the same time, and there must also be enough materials and equipment available to allow at least three children to use the area whether or not the children choose the same or different activities. Outside Play-Using tricycles, scooters, water table, wagons, and push toys, children experience speed, negotiate pathways, cooperate with others, engage in role play, and develop large-muscle groups. Offering a variety of wheeled toys challenges children with different ability levels. A high-quality outdoor play space includes decorative elements, such as banners, wind chimes, wind socks, statues, flags, cultural artifacts, or decorative objects (e.g., wreaths, fence weavings, murals, weather vanes, pinwheels, whimsical signs, garlands, or sculptures) that add visual and auditory interest and appeal. To enhance children’s cognitive development, add “sciencing” items to the outdoor play area, and fill your birdfeeders. You can also add collections of shells, pieces of wood, rocks and leaves; they can serve as play food outside, and can be kept in clear plastic containers with screw on lids. Just ensure the shells and rocks are large enough that they are not choking hazards for the toddlers and twos. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In outdoor space #4, used by the one year olds, there were four wooden planks missing from the children's walking path and there was a large hole next the concrete pad. The bottom of the chain link fence, the metal ties were were open, sharp and accessible to the children. 10A NCAC 09 .0601(a) There was one violation documented today and must be corrected immediately. Submit a correction letter to me by April 12, 2025. If the letter is not received by the date, a return visit will be conducted. Concerns related to materials and the implementation of lesson plans are not documented today but must be corrected. Continued compliance with applicable child care requirements is required at all times. Child Care programs are expected to always achieve and maintain compliance with child care rules, 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. Technical Assistance: A violation related to safety in child care rule .0601was documented. On the outdoor play space (4), which is used by the one-year-olds, the following concerns were observed: The four wooden planks missing from the children's walking path and a large hole next the concrete pad, both causing potential tripping hazards. The bottom of the chain link fence, the metal ties were open, sharp and accessible to the children. ABCMS- You must complete this process by April 12, 2025. Provider Portal for ABCMS (the criminal records check database): As stated in G.S. 110-90.2 & .2703(r), child care captured in ABCMS. Once you receive your Star Rated License, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance with the portal or the training, please contact the Criminal Background Check Unit at (919) 814-6401and someone will assist you. This is a requirement for all child care centers. Rated License Information- Rated License Information - New rules are expected to include different pathways towards earning stars, so I urge you to review any information shared to prepare for the changes. Communications will be sent via email directly from DCDEE, and I will continue to keep you informed. If you are interested in having the Environment Rating Scales-Revised (ITERS- 3’s, ECERS-3’s & SACERS-U) conducted as part of your reassessment process, you may wish to review information on the new version of this tools for operators whochoose the “program assessment” pathway. I have scheduled an upcoming training on the new scales for April 10, 2025. The DCDEE has a new initiative – Natural Outdoor Learning Initiative. Through this initiative, we hope to increase knowledge and confidence for everyone in developing and implementing best practices to support the creation, programming, and safe use of naturalized outdoor spaces in child care facilities. You can learn more by visiting the NLI website, where you will also find many resources, including an updated Toolkit designed to help you enhance your outdoor learning environment. The downloadable NLI Toolkit is available at: https://naturalearning.org/preschool-outdoor-toolkit The visit summary was emailed to the provider, and a signed copy was returned. If you need further assistance, you may contact me at (910)824-0470 or email me at 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

NC GS 110-90 · Violation

Name of Operation: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: TAMMY ROSS Operation Type: Center Case Number: 0125-008L Visit Date: 1/13/2025 Number Present: 65 Completed Date: 1/13/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 11:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate a report alleging violations of child care requirements. Limited monitoring of child care requirements occurred during today’s visit. The program currently operates with a 5 Star License, issued April 30, 2018, earning 6 points in Education, 6 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 205 during first shift with an age range of 0-12 years old, daytime care only, and meets enhanced space and ratios. The last annual compliance visit was conducted on September 17, 2024. As of today, the facility’s 18-month compliance history is 94%. 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 center completed the last Fire Inspection on October 23, 2024, the center was approved for daytime care only. The latest sanitation inspection was completed on December 27, 2024, and received a Superior classification. A walk through was conducted throughout the indoor facility. Administrator, Carisa Kraft was present and accompanied me as I visited each classroom. There are eight out of twelve classrooms operating at this facility. There were eighty-four children enrolled and sixty-five children, aged 0-4, were present today. Infants and one year old children received care based on their individual needs. All other preschool children were finishing up lunch and preparing for nap/rest time. Lunch consisted of spaghetti with meatballs, green beans, peaches, and milk. At nap/rest time, I observed lights off, covered mats with blankets were appropriately spaced, and soft music played making the area conducive to nap time. School age children are enrolled but none were present during my visit. Staff/child ratios for all spaces were monitored and found to be in compliance. All children were adequately supervised, and caregivers interacted in a positive and appropriate manner. The allegation of this report was discussed with Administrator, Carisa Kraft and teacher for school age children, Alexus Daniels. You were given the opportunity to state your perceptions of the allegation and to share any pertinent information. Ms. Kraft stated preschool children are not allowed to have any screen time; school age children are allowed thirty (30) minutes per day and allowed to exceed the thirty (30) minutes when completing home work. Ms. Kraft also stated no parent or staff have brought any concerns to her regarding electronics/screen time recently. However, Ms. Alexus stated a parent had brought concerns to her regarding not allowing her children to have any access to screen time/electronics. Ms. Daniels stated she monitored the request of the parent to the best of her ability, but children were sneaking and playing with other children electronics when she was not looking. When incidents like this happened, she would address the children, return the device to the rightful owner, and also inform the parent of the incident. Allegation There is a concern that staff are not providing developmentally appropriate activities at all times and are not following the screen time guidelines. Daily schedules and activity plans were observed posted for each classroom. For each group of children in care, the activity plan included activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development - emotional and social development, health and physical development, approaches to play and learning, language development and communication, and cognitive development. Ms. Kraft and Ms. Daniels states school age children are allowed to be on their electronics during nap/rest/quiet time which has a duration of 1.5 hours. Ms. Daniels states she usually allows the children to be on their electronics for 30 minutes then they go outside for the remainder of the nap/rest/quiet time. This facility does have cameras. Ms. Kraft and I reviewed video footage of the school age classroom for January 2, 2025. I observed school age children on their electronic devices - tablets, laptops, cell phones – for an hour. Ms. Daniels stated this is usually not the norm but during break, they are allowed to stay on electronic devices longer. Based on observations and information received, this allegation is substantiated. Technical assistance was provided today regarding children’s use of personal electronic devices while they are at your program. As discussed, when screen time is offered on any visual device, it must be used to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development (NCFELD), limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child, and documented on a cumulative log or activity plan available for review by the Division. When needed to complete homework assignments, however, school age children may exceed 30 minutes per day of screen time. I also reminded you that screen time is prohibited for children under the age of three years old. Classroom schedules should prioritize physical activity and increased personal social interactions and engagement during the day. It is important for young children to have active social interactions with adults and children. Screen time can distract children (and adults), limit conversations and play, and reduce healthy physical activity, increasing the risk for overweight and obesity. Overuse of screen time can also be associated with problems with behavior, limit-setting, and emotional and behavioral self-regulation; therefore, staff should avoid using screen time to calm a child down. Screen time is not without benefits, including learning from high-quality content, creative engagement, and social interactions. However, especially in young children, real-life social interactions promote greater learning and retention of knowledge and skills. During this visit, Ms. Kraft composed a memo restricting electronics in classrooms effective today, January 13, 2025. This memo was posted on the entrance door to the facility, included in the newsletter that is emailed to parents, and teachers for school age children will physically hand out to parents today. A copy of the memo was received during this visit. There was one violation observed and cited today. Violation must be corrected immediately. Continued compliance with applicable child care requirements is required at all times. Violation Number Comment Rule 539 When screen time was provided to school-aged children, it was not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and was not documented on a cumulative log or the activity plan that is available for review. While on holiday break, school age children were allowed to use electronic devices for an hour daily and teachers did not document on a cumulative log when school age children are using electronic devices with the exception of completing school work/homework. .2508(e)(1-5) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received January 27, 2025, describing how each violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. 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 will be conducted. Based on a Substantiated complaint, an administrative action may be issued. Child care 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 meet all requirements is to periodically review the child care law and rules. Documentation was completed electronically, signed, and emailed to you. Please remember it is your responsibility to always comply with all child care rules and requirements. If I can be of further assistance, please do not hesitate to contact me at Tammy.Ross@dhhs.nc.gov at (910)824-1143 with any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: TAMMY ROSS Operation Type: Center Case Number: Visit Date: 9/17/2024 Number Present: 71 Completed Date: 9/17/2024 Age: From 0 To 4 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements monitored today. Child Care Consultant, Andrea Johnson, accompanied and assisted me with this visit. This facility currently operates with a 5 Star License, issued April 30, 2018, earning 6 points in Education, 6 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 205 during the first shift with an age range of 0-12 years old, daytime care only, and meets enhanced space and ratios. The program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled; this program uses the Creative Curriculum for Preschool, Fifth Edition. The last annual compliance visit conducted at this facility on September 20, 2023. As of September 13, 2024, the facility’s eighteen-month compliance history is 94%. The center is owned by New Beginnings Child Care Center II, Inc. and as of September 16, 2024, the corporation is current and active with the NC Secretary of State. Fire Inspection – 10/10/2023 – Approved for day time care only - Satisfactory Sanitation – 06/11/2024 – 11 Demerits – Superior Administrator, Carisa Kraft, was on site and available for consultation. Ms. Kraft accompanied Ms. Johnson as she completed a walk-through of the facility; all indoor and outdoor areas were monitored. There were one hundred four children enrolled and seventy one children, ages 0-4, were present. There are twelve classrooms located at this facility; children are enrolled in nine out of the twelve classrooms. Ms. Johnson observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Infants in spaces #11 and #12 received care based on their individual needs. Routine care included, feeding, napping, and being held. Two staff members interacted with four infants on the floor for tummy time and one staff member was seated at the infant table with three infants as they ate their lunch. Toddlers assigned to indoor spaces #9 and #10 were observed transitioning to lunch. Staff members were singing songs during diapering and handwashing routines. Lunch consisted of chicken tenders, mixed vegetables, applesauce, and milk. Food service, diapering, and handwashing routines were monitored, and requirements were met. Younger preschool children in space #7 were engaged in a variety of free play activities which included stacking foam blocks, cooking, and puzzles. Older preschool children in spaces #2, #3, and #8 were observed reading in the library, connecting gears, counting small animals, creating patterns with bears, and dancing in group activities. There were two violations observed today. Violations must be corrected immediately. Continued compliance with applicable child care requirements is required at all times. Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. In indoor space #7, a diaper cream, Boudereaux's Butt Paste, had an expiration date of August 2024. 10A NCAC 09 .0803(1)(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One (1) diaper cream, Aquaphor Healing Cream, did not have a medication permission slip with a parent signature and the length of time the authorization was valid. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received September 30, 2024, describing how each violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. If I can be of further assistance, please do not hesitate to contact me at (910)824-1143 or you can email me at Tammy.Ross@dhhs.nc.gov. You may email me your verification or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541 Technical assistance regarding violations cited: Today there was an expired diaper cream Space #7 dated August 2024, and one diaper cream without a permission slip. Once diaper cream forms are completed, you should frequently check that the expiration date on the topical ointment permission form and the expiration date on the medication are not expired. Setting a reminder on your calendar for staff to check medications and permission slips weekly will help prevent having expired medication/permission slips. 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. Reminder: Medical Action Plans - 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. 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. Child care 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. Other Information Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1703(b) must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. Certificates will need to be attached to the training record for verification purposes. During today visit, all existing staff and some new staff have completed these trainings and trainings are documented on the required form. Other new staff are in the process of completed these trainings within the required timeframe. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Rated License Reassessment Information - Your facility’s three-year rated license reassessment was due to be completed in April 2021. There are no longer any cohorts. The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you may not be required to have a reassessment according to timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your additional caregivers on new assessment tools if you are still interested in Environment Rating Scales assessments. The new tools are the “3” versions, and I will share more information about training opportunities as they become available. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Ensure all information and education has been submitted to DCDEE WORKS as you hire new staff or as staff complete additional coursework. Keep in mind, it is expected that compliance with Education standards is maintained at all times, so you must ensure you monitor staff qualifications and percentages in advance of your upcoming reassessment. Clean Classrooms for Kids Program – All child care programs must have their water tested for lead and your building tested for lead and asbestos hazards. May 1, 2024, was the initial deadline 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. Facilities that have not yet enrolled should complete the process by November 1, 2024. 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(centers) 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 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-leadbased-paint-reimbursement-program-arpa The information above is from https://www.cleanwaterforuskids.org/en/carolina/, which is also where you enroll in the program. Remember, centers must have their water tested every three years. Family child care homes, as of now, are only required to do it once, and the water testing must be completed by January 1, 2025. DPI Pre-K programs do not need to enroll separately as public schools will be tested as a whole. Please refer to the website if you have specific questions! Criminal Background Check Information - DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Documentation was completed and reviewed on site, printed and signed. Remember it is your responsibility to comply with all child care rules and requirements at all times. Contact me at Tammy.Ross@dhhs.nc.gov at (910)824-1143 with any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: TAMMY ROSS Operation Type: Center Case Number: Visit Date: 9/17/2024 Number Present: 71 Completed Date: 9/17/2024 Age: From 0 To 4 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements monitored today. Child Care Consultant, Andrea Johnson, accompanied and assisted me with this visit. This facility currently operates with a 5 Star License, issued April 30, 2018, earning 6 points in Education, 6 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 205 during the first shift with an age range of 0-12 years old, daytime care only, and meets enhanced space and ratios. The program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled; this program uses the Creative Curriculum for Preschool, Fifth Edition. The last annual compliance visit conducted at this facility on September 20, 2023. As of September 13, 2024, the facility’s eighteen-month compliance history is 94%. The center is owned by New Beginnings Child Care Center II, Inc. and as of September 16, 2024, the corporation is current and active with the NC Secretary of State. Fire Inspection – 10/10/2023 – Approved for day time care only - Satisfactory Sanitation – 06/11/2024 – 11 Demerits – Superior Administrator, Carisa Kraft, was on site and available for consultation. Ms. Kraft accompanied Ms. Johnson as she completed a walk-through of the facility; all indoor and outdoor areas were monitored. There were one hundred four children enrolled and seventy one children, ages 0-4, were present. There are twelve classrooms located at this facility; children are enrolled in nine out of the twelve classrooms. Ms. Johnson observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Infants in spaces #11 and #12 received care based on their individual needs. Routine care included, feeding, napping, and being held. Two staff members interacted with four infants on the floor for tummy time and one staff member was seated at the infant table with three infants as they ate their lunch. Toddlers assigned to indoor spaces #9 and #10 were observed transitioning to lunch. Staff members were singing songs during diapering and handwashing routines. Lunch consisted of chicken tenders, mixed vegetables, applesauce, and milk. Food service, diapering, and handwashing routines were monitored, and requirements were met. Younger preschool children in space #7 were engaged in a variety of free play activities which included stacking foam blocks, cooking, and puzzles. Older preschool children in spaces #2, #3, and #8 were observed reading in the library, connecting gears, counting small animals, creating patterns with bears, and dancing in group activities. There were two violations observed today. Violations must be corrected immediately. Continued compliance with applicable child care requirements is required at all times. Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. In indoor space #7, a diaper cream, Boudereaux's Butt Paste, had an expiration date of August 2024. 10A NCAC 09 .0803(1)(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One (1) diaper cream, Aquaphor Healing Cream, did not have a medication permission slip with a parent signature and the length of time the authorization was valid. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received September 30, 2024, describing how each violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. If I can be of further assistance, please do not hesitate to contact me at (910)824-1143 or you can email me at Tammy.Ross@dhhs.nc.gov. You may email me your verification or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541 Technical assistance regarding violations cited: Today there was an expired diaper cream Space #7 dated August 2024, and one diaper cream without a permission slip. Once diaper cream forms are completed, you should frequently check that the expiration date on the topical ointment permission form and the expiration date on the medication are not expired. Setting a reminder on your calendar for staff to check medications and permission slips weekly will help prevent having expired medication/permission slips. 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. Reminder: Medical Action Plans - 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. 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. Child care 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. Other Information Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1703(b) must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. Certificates will need to be attached to the training record for verification purposes. During today visit, all existing staff and some new staff have completed these trainings and trainings are documented on the required form. Other new staff are in the process of completed these trainings within the required timeframe. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Rated License Reassessment Information - Your facility’s three-year rated license reassessment was due to be completed in April 2021. There are no longer any cohorts. The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you may not be required to have a reassessment according to timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your additional caregivers on new assessment tools if you are still interested in Environment Rating Scales assessments. The new tools are the “3” versions, and I will share more information about training opportunities as they become available. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Ensure all information and education has been submitted to DCDEE WORKS as you hire new staff or as staff complete additional coursework. Keep in mind, it is expected that compliance with Education standards is maintained at all times, so you must ensure you monitor staff qualifications and percentages in advance of your upcoming reassessment. Clean Classrooms for Kids Program – All child care programs must have their water tested for lead and your building tested for lead and asbestos hazards. May 1, 2024, was the initial deadline 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. Facilities that have not yet enrolled should complete the process by November 1, 2024. 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(centers) 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 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-leadbased-paint-reimbursement-program-arpa The information above is from https://www.cleanwaterforuskids.org/en/carolina/, which is also where you enroll in the program. Remember, centers must have their water tested every three years. Family child care homes, as of now, are only required to do it once, and the water testing must be completed by January 1, 2025. DPI Pre-K programs do not need to enroll separately as public schools will be tested as a whole. Please refer to the website if you have specific questions! Criminal Background Check Information - DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Documentation was completed and reviewed on site, printed and signed. Remember it is your responsibility to comply with all child care rules and requirements at all times. Contact me at Tammy.Ross@dhhs.nc.gov at (910)824-1143 with any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: TAMMY ROSS Operation Type: Center Case Number: Visit Date: 9/17/2024 Number Present: 71 Completed Date: 9/17/2024 Age: From 0 To 4 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements monitored today. Child Care Consultant, Andrea Johnson, accompanied and assisted me with this visit. This facility currently operates with a 5 Star License, issued April 30, 2018, earning 6 points in Education, 6 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 205 during the first shift with an age range of 0-12 years old, daytime care only, and meets enhanced space and ratios. The program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled; this program uses the Creative Curriculum for Preschool, Fifth Edition. The last annual compliance visit conducted at this facility on September 20, 2023. As of September 13, 2024, the facility’s eighteen-month compliance history is 94%. The center is owned by New Beginnings Child Care Center II, Inc. and as of September 16, 2024, the corporation is current and active with the NC Secretary of State. Fire Inspection – 10/10/2023 – Approved for day time care only - Satisfactory Sanitation – 06/11/2024 – 11 Demerits – Superior Administrator, Carisa Kraft, was on site and available for consultation. Ms. Kraft accompanied Ms. Johnson as she completed a walk-through of the facility; all indoor and outdoor areas were monitored. There were one hundred four children enrolled and seventy one children, ages 0-4, were present. There are twelve classrooms located at this facility; children are enrolled in nine out of the twelve classrooms. Ms. Johnson observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Infants in spaces #11 and #12 received care based on their individual needs. Routine care included, feeding, napping, and being held. Two staff members interacted with four infants on the floor for tummy time and one staff member was seated at the infant table with three infants as they ate their lunch. Toddlers assigned to indoor spaces #9 and #10 were observed transitioning to lunch. Staff members were singing songs during diapering and handwashing routines. Lunch consisted of chicken tenders, mixed vegetables, applesauce, and milk. Food service, diapering, and handwashing routines were monitored, and requirements were met. Younger preschool children in space #7 were engaged in a variety of free play activities which included stacking foam blocks, cooking, and puzzles. Older preschool children in spaces #2, #3, and #8 were observed reading in the library, connecting gears, counting small animals, creating patterns with bears, and dancing in group activities. There were two violations observed today. Violations must be corrected immediately. Continued compliance with applicable child care requirements is required at all times. Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. In indoor space #7, a diaper cream, Boudereaux's Butt Paste, had an expiration date of August 2024. 10A NCAC 09 .0803(1)(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One (1) diaper cream, Aquaphor Healing Cream, did not have a medication permission slip with a parent signature and the length of time the authorization was valid. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) In order for your facility to remain in compliance with NC Child Care Requirements, violations must be corrected immediately. A signed and dated letter of compliance must be received September 30, 2024, describing how each violation was corrected and how compliance will be maintained in the future. A time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. If I can be of further assistance, please do not hesitate to contact me at (910)824-1143 or you can email me at Tammy.Ross@dhhs.nc.gov. You may email me your verification or mail it to me at: Tammy Ross, Child Care Licensing Consultant, P.O. Box 278, Jacksonville, NC 28541 Technical assistance regarding violations cited: Today there was an expired diaper cream Space #7 dated August 2024, and one diaper cream without a permission slip. Once diaper cream forms are completed, you should frequently check that the expiration date on the topical ointment permission form and the expiration date on the medication are not expired. Setting a reminder on your calendar for staff to check medications and permission slips weekly will help prevent having expired medication/permission slips. 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. Reminder: Medical Action Plans - 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. 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. Child care 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. Other Information Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1703(b) must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. Certificates will need to be attached to the training record for verification purposes. During today visit, all existing staff and some new staff have completed these trainings and trainings are documented on the required form. Other new staff are in the process of completed these trainings within the required timeframe. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Rated License Reassessment Information - Your facility’s three-year rated license reassessment was due to be completed in April 2021. There are no longer any cohorts. The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you may not be required to have a reassessment according to timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your additional caregivers on new assessment tools if you are still interested in Environment Rating Scales assessments. The new tools are the “3” versions, and I will share more information about training opportunities as they become available. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Ensure all information and education has been submitted to DCDEE WORKS as you hire new staff or as staff complete additional coursework. Keep in mind, it is expected that compliance with Education standards is maintained at all times, so you must ensure you monitor staff qualifications and percentages in advance of your upcoming reassessment. Clean Classrooms for Kids Program – All child care programs must have their water tested for lead and your building tested for lead and asbestos hazards. May 1, 2024, was the initial deadline 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. Facilities that have not yet enrolled should complete the process by November 1, 2024. 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(centers) 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 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-leadbased-paint-reimbursement-program-arpa The information above is from https://www.cleanwaterforuskids.org/en/carolina/, which is also where you enroll in the program. Remember, centers must have their water tested every three years. Family child care homes, as of now, are only required to do it once, and the water testing must be completed by January 1, 2025. DPI Pre-K programs do not need to enroll separately as public schools will be tested as a whole. Please refer to the website if you have specific questions! Criminal Background Check Information - DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to see applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster, see the real-time background check status of staff/household members, and run a printable report of the staff roster to assist with compliance visits. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Documentation was completed and reviewed on site, printed and signed. Remember it is your responsibility to comply with all child care rules and requirements at all times. Contact me at Tammy.Ross@dhhs.nc.gov at (910)824-1143 with any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: TAMMY ROSS Operation Type: Center Case Number: Visit Date: 9/20/2023 Number Present: 43 Completed Date: 9/20/2023 Age: From 0 To 4 Total Minutes: 254 Time In: 08:53 AM Time Out: 01:07 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Child Care Consultant, Andrea Johnson, accompanied and assisted me with this visit. This facility currently operates with a 5 Star License, issued April 30, 2018, earning 6 points in Education, 6 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 205 during first shift with an age range of 0-12 years old, daytime care only, and meets enhanced space and ratios. The program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled; this program uses the Creative Curriculum for Preschool, Fifth Edition. The last annual compliance visit conducted at this facility on October 26, 2022. As of today, the facility’s eighteen-month compliance history is 92%. The center is owned by New Beginnings Child Care Center II, Inc. The corporation is current and active with the NC Secretary of State. Fire Inspection – 10/14/2022 – Approved for day time care only - Satisfactory Sanitation – 05/11/2023 – 11 Demerits – Superior Administrator, Carisa Kraft, was on site and available for consultation. Ms. Kraft accompanied Ms. Johnson as she observed all areas, indoors and outdoors, used by the children. There were sixty six children enrolled and forty three children, ages 0-4, were present. There are twelve classrooms located at this facility; children are enrolled in seven out of the twelve classrooms. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in all classrooms. Age-appropriate materials and activities were provided for all children. Preschool children assigned to indoor spaces #2, #7, and #8 were observed in the outdoor space. The children were climbing, running, sliding, swinging, drawing with chalk on the sidewalks, and playing with sand toys in the sandbox. One staff member was blowing bubbles for the children. Toddlers assigned to indoor spaces #9 and #10 were transitioning from the outdoor space. Handwashing and diaper changing routines were monitored, and requirements were met. After routine care, the toddlers engaged in a variety of free play activities which included musical drums, large bead maze, trucks, cars, books, food, large soft blocks, and climbing and sliding on indoor gross motor equipment. One staff member was seated on the carpet reading a book to a group of toddlers. Infants assigned to indoor space #11 were receiving care based on their individual needs. Six infants were seated in low high chairs eating lunch. Lunch consisted of meatballs with gravy, mashed potatoes, applesauce, bread, and milk. Food service and safe sleep checks were monitored and found to be in compliance. All staff members were actively engaged with the children. The outdoor spaces had a variety of gross motor equipment including riding cars, push toys, push cars, covered sand boxes and sand toys, small tunnel, swing sets, large climbers with slides and rock-climbing walls, and a large basketball goal. Picnic tables and shade structures were also in the outdoor spaces. There were three violations documented today. All violations were corrected during the visit; therefore, a letter of compliance is not required. Continued compliance with applicable child care requirements is required at all times. Violation Number Comment Rule 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. Two (2) infant bottles were not dated and two (2) infant bottles were dated September 18, 2023. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space one (1) had a hole in the grass area adjacent to the sidewalk. The hole was eleven (11) inches deep and nine (9) inches wide. This was a tripping hazard for the children. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non-prescription diaper creams in indoor space seven (7) were stored under the diaper changing table. The diaper changing storage did not have a lock on it. 15A NCAC 18A .2820(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. Child care 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. Technical Assistance Ensuring Correct bottle for each child - Each infant shall be served only formula, breast milk, and bottles labeled with their individual name and the current date. As we discussed today, staff members should ensure each infant’s bottle has a name and the correct date on it by checking each bottle when received from parents. Before feeding a bottle to an infant, use name to face recognition to ensure you are giving the correct bottle to the correct child. Diaper Creams Storage - Please review child care rules regarding storage of prescription and non-prescription medications. Diaper cream must be stored at a minimum of five feet off the floor unless in locked storage. As we discussed today, you may store the diaper creams under the diaper changing table; however, the door to the storage must have an operable lock. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Outdoor Play Area - Facility is in the process of installing a new drain system for the outdoor play areas to alleviate the water, from rain, creating holes in the playground areas. Keep me abreast of the progress and completion of this task. Other Information: On March 13, 2023, the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative launched in North Carolina to make it easier for military families to access and afford quality child care from community providers. Licensed child care facilities are now able to participate in MCCYN-PLUS based on their star rating. If you are interested in participating in the military fee assistance program, please visit https://www.childcareaware.org/fee-assistancerespite/feeassistancerespiteproviders/feeassistance/ to review the application process. Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1703(b) must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. During today visit, all existing staff and some new staff have completed these trainings and trainings are documented on the required form. Other new staff are in the process of completed these trainings within the required timeframe. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Rated License Reassessment Information Your facility’s three-year rated license reassessment was due to be completed in April 2021. DCDEE has developed a 3-Cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. You are in the 1st Cohort system. We will be working together through this process, and I will provide guidance along the way. As discussed today, reassessments will not become mandatory again until July 1, 2024, and your facility has been placed into “Cohort 1.” Placement in this cohort means you will have from July 1, 2023 to June 30, 2024 to plan and prepare for your reassessment, with your reassessment being due between July 1, 2024 and June 30, 2025. You are in your planning year and should be reviewing resources available at www.ncrlap.org and contacting One Place of Onslow County for any assistance. Administrative Action Discussion A Final Notice of Administrative Action in the form of a Written Warning was dated and issued to New Beginnings Child Care Center II, Inc, on October 12, 2022. The action was based on violations of child care requirements regarding supervision. The facility was required to complete training related to supporting positive transitions and develop a written plan for supervision that ensured compliance with the facilities policies related to supervision. These items were completed and approved on January 11, 2023. The facility has completed all of the Corrective Action Plan items of the Written Warning, however, due to the repeat violation of supervision being documented during a visit conducted on November 30, 2022, the facility continues to demonstrate a pattern of non-compliance as evidenced by repeated violations. A Provisional License for six (6) months was issued to allow the operator additional time to further understand the child care requirements and be able to attain and maintain compliance with all child care regulations. The Notice of Administrative Action, cover letter, and Corrective Action Plan was observed posted in a location visible to parents and visitors until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. This information was observed posted near the entrance visible to parents and visitors as required. The Provisional License was also observed posted. A courtesy call was placed to the facility on March 28, 2023. During the call I told you to expect the notice of Administrative Action to be delivered via certified mail in the coming days. I explained the Basis for Action and invited you to call me once you had a chance to review it so I could go over the CAP with you. You stated you could read it and would contact me if you had any questions. I shared that unannounced visits will continue to be conducted and I could go over the information with you during the next visit if you preferred. You confirmed receipt of the Notice of Administrative Action on April 3, 2023, and stated you have read it. You stated you understood the requirements and did not have any questions at this time. CAP stipulations were reviewed, and updates were provided as followed: Stipulation #1 - The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, Child Care Rule 10A NCAC 09 .1801 (a)(1-5) regarding supervision. During today’s visit, there were three violations observed and documented; violations were corrected during the visit. Your facility will continue to be monitored for all applicable child care requirements during all visits. Stipulation #2 - Within one (1) week after this Notice is received Carisa Kraft, administrator, shall contact Colleen Leonard of One Place, formerly known as the Onslow County Partnership for Children (OCPC), telephone number 910-938-0336, email Colleen.Leonard@oneplaceonslow.org, to arrange for Supervision and Safe Environments training. The training shall include, but not be limited to, procedures for ensuring supervision during transitions from one area to another and routines. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff shall participate in the mandatory training. Within three (3) days of the training, which is April 16, 2023, documentation of the training shall be submitted to Tammy Ross, Child Care Consultant, PO Box 278, Jacksonville, NC 28541, telephone number 910-824-1143, email tammy.ross@dhhs.nc.gov. The documentation shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. Additionally, these documents must be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In preparation of this Administrative Action, a training entitled Supervision and Safe Environments was scheduled and completed on April 13, 2023 from 615pm-730pm with Rachelle Gardner, Training and Technical Assistant Coordinator from One Place. A training roster with required information was received on April 26, 2023. Three staff who were unable to attend the training on the scheduled date completed the training on May 31, 2023; verification was also received on this date. Stipulation #3 - Within one (1) week after this Notice is received, Ms. Kraft, shall contact Jennifer Dempsey, Lead Child Care Consultant, PO Box 2234, Shallotte, NC 28459, telephone number 910-824-1447, email Jennifer.Dempsey@dhhs.nc.gov, to arrange for a complete review of applicable child care requirements with a special emphasis on the requirement addressed in Item #1, as well as, each staff person’s responsibility for assuring compliance with all applicable child care requirements. No children shall be present or in care during the training. All staff members, including full-time, part-time, and auxiliary staff, with responsibilities for caring for children shall attend the mandatory training. Documentation of the training shall include a training roster with the names and signatures of the participants and the trainer, as well as the title of the training and date and time the training was conducted. Within three (3) business days of completing the training, which is May 1, 2023, Ms. Kraft shall submit a copy of the training roster to Ms. Ross. A copy of the roster shall be maintained in the facility records for review by representatives of the Division of Child Development and Early Education upon request. Ms. Kraft contacted Jennifer Dempsey, Child Care Lead Consultant, on April 4, 2023 and scheduled a complete review of applicable child care requirements. The rules review was initially scheduled for April 26, 2023 at 615pm at the facility; however, due to some staff being unable to attend, it was rescheduled and completed on Monday, May 22, 2023 from 9am-1130am. Training roster with required information for this mandatory training was received May 22, 2023. Stipulation #4 - Within one (1) week after completing the training in Item #2, Ms. Kraft shall amend the facility’s approved supervision plan to include, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to the following: •When children are arriving and departing from the facility each day •When children are toileting, preparing for and eating meals, napping/resting, and on the playground When children are transitioned from one area to another •Procedures for staff members to notify administrators and parents when an incident occurs •When children are transitioned from one caregiver to another •When staff members need to complete tasks outside the classroom •Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities. Orientation for new staff must include training, mentoring, and coaching in the classroom by Administrative staff. •Routine observations and evaluations of each staff member to ensure compliance with child care requirements and facility policies/procedures regarding supervision of children. Documentation of the observations shall include the date, time, and location of each observation, the name and signature of the person(s) observed, the signature of the observer, a summary of each observation, the observer’s feedback/guidance to the staff members, and the staff member’s response. •Communication between staff when staff are being relieved of their duties for any reason (breaks, retrieving material, end of work day, etc.) •Communication between staff when assistance is needed during transitions to and from the playground •Consequences of staff members’ non-compliance with policies and procedures The amended written plan shall be submitted to Ms. Ross for approval. Ms. Ross shall notify Ms. Kraft, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s permanent operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Kraft submitted amended policies on April 5, 2023. The stipulation required they be submitted after completing the training in Item #2. The training in Item #2 was scheduled and completed on May 22, 2023. Your amended policies were reviewed on May 30, 2023 but were not approved. Revisions were made and amended policies were resubmitted on July 10, 2023 but were not approved. Each time the revised policies were not approved, Ms. Kraft was notified orally, in writing, and feedback was provided. Revised amended policies were resubmitted on July 27, 2023. The policies were approved August 8, 2023 and Ms. Kraft was notified orally and in writing. Per upper management, two child maltreatment cases were substantiated, and it was determined that the current corrective action plan(CAP) addresses supervision, the violations for these cases. The information regarding the child maltreatment cases was discussed with Ms. Kraft via a telephone conference with Investigations Consultant, Heather Binder and me on June 23, 2023. During this conversation, it was discussed what needed to be included in the amended policies regarding supervision on the playground. The amended policies must include detailed information regarding the supervision of children while on the playground, including supervision zones, per Ms. Binder and Investigations Supervisor, Corrie Davenport. Ms. Binder also informed Ms. Kraft that if the facility received another substantiation of child maltreatment within the next 3 years, a revocation may be issued. A playground supervision policy was submitted to Investigation Consultant, Heather Binder and Investigations Supervisor, Corrie Davenport on July 10, 2023; however, revisions were needed. Revisions were completed and submitted to Ms. Binder on July 24, 2023 and the playground supervision policy was approved on July 25, 2023. Ms. Binder notified Ms. Kraft, orally and in writing, on July 26, 2023. Stipulation #5 - Within two (2) weeks after the approval of the amended written plan in Item #4 Ms. Kraft shall conduct a mandatory staff meeting with all staff members to discuss supervision requirements and the approved amended written plan. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. Ms. Kraft shall email documentation of the meeting to Ms. Ross within one (1) week of the meeting. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A mandatory staff meeting was held on August 17, 2023 and amended supervision policy/plan and playground supervision policy/plan were discussed and reviewed with all staff. The required documentation for staff meeting was received and is on file and available for review at the facility. Your facility has completed all the stipulations of your corrective action plan regarding your Provisional License. Paperwork will be completed to reissue your Five Star License with an effective date of October 1, 2023. Documentation was completed electronically, signed, and emailed to you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Contact me at Tammy.Ross@dhhs.nc.gov at (910)824-1143 with any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: TAMMY ROSS Operation Type: Center Case Number: Visit Date: 9/20/2023 Number Present: 43 Completed Date: 9/20/2023 Age: From 0 To 4 Total Minutes: 254 Time In: 08:53 AM Time Out: 01:07 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Child Care Consultant, Andrea Johnson, accompanied and assisted me with this visit. This facility currently operates with a 5 Star License, issued April 30, 2018, earning 6 points in Education, 6 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 205 during first shift with an age range of 0-12 years old, daytime care only, and meets enhanced space and ratios. The program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled; this program uses the Creative Curriculum for Preschool, Fifth Edition. The last annual compliance visit conducted at this facility on October 26, 2022. As of today, the facility’s eighteen-month compliance history is 92%. The center is owned by New Beginnings Child Care Center II, Inc. The corporation is current and active with the NC Secretary of State. Fire Inspection – 10/14/2022 – Approved for day time care only - Satisfactory Sanitation – 05/11/2023 – 11 Demerits – Superior Administrator, Carisa Kraft, was on site and available for consultation. Ms. Kraft accompanied Ms. Johnson as she observed all areas, indoors and outdoors, used by the children. There were sixty six children enrolled and forty three children, ages 0-4, were present. There are twelve classrooms located at this facility; children are enrolled in seven out of the twelve classrooms. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in all classrooms. Age-appropriate materials and activities were provided for all children. Preschool children assigned to indoor spaces #2, #7, and #8 were observed in the outdoor space. The children were climbing, running, sliding, swinging, drawing with chalk on the sidewalks, and playing with sand toys in the sandbox. One staff member was blowing bubbles for the children. Toddlers assigned to indoor spaces #9 and #10 were transitioning from the outdoor space. Handwashing and diaper changing routines were monitored, and requirements were met. After routine care, the toddlers engaged in a variety of free play activities which included musical drums, large bead maze, trucks, cars, books, food, large soft blocks, and climbing and sliding on indoor gross motor equipment. One staff member was seated on the carpet reading a book to a group of toddlers. Infants assigned to indoor space #11 were receiving care based on their individual needs. Six infants were seated in low high chairs eating lunch. Lunch consisted of meatballs with gravy, mashed potatoes, applesauce, bread, and milk. Food service and safe sleep checks were monitored and found to be in compliance. All staff members were actively engaged with the children. The outdoor spaces had a variety of gross motor equipment including riding cars, push toys, push cars, covered sand boxes and sand toys, small tunnel, swing sets, large climbers with slides and rock-climbing walls, and a large basketball goal. Picnic tables and shade structures were also in the outdoor spaces. There were three violations documented today. All violations were corrected during the visit; therefore, a letter of compliance is not required. Continued compliance with applicable child care requirements is required at all times. Violation Number Comment Rule 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. Two (2) infant bottles were not dated and two (2) infant bottles were dated September 18, 2023. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space one (1) had a hole in the grass area adjacent to the sidewalk. The hole was eleven (11) inches deep and nine (9) inches wide. This was a tripping hazard for the children. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non-prescription diaper creams in indoor space seven (7) were stored under the diaper changing table. The diaper changing storage did not have a lock on it. 15A NCAC 18A .2820(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. Child care 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. Technical Assistance Ensuring Correct bottle for each child - Each infant shall be served only formula, breast milk, and bottles labeled with their individual name and the current date. As we discussed today, staff members should ensure each infant’s bottle has a name and the correct date on it by checking each bottle when received from parents. Before feeding a bottle to an infant, use name to face recognition to ensure you are giving the correct bottle to the correct child. Diaper Creams Storage - Please review child care rules regarding storage of prescription and non-prescription medications. Diaper cream must be stored at a minimum of five feet off the floor unless in locked storage. As we discussed today, you may store the diaper creams under the diaper changing table; however, the door to the storage must have an operable lock. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Outdoor Play Area - Facility is in the process of installing a new drain system for the outdoor play areas to alleviate the water, from rain, creating holes in the playground areas. Keep me abreast of the progress and completion of this task. Other Information: On March 13, 2023, the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative launched in North Carolina to make it easier for military families to access and afford quality child care from community providers. Licensed child care facilities are now able to participate in MCCYN-PLUS based on their star rating. If you are interested in participating in the military fee assistance program, please visit https://www.childcareaware.org/fee-assistancerespite/feeassistancerespiteproviders/feeassistance/ to review the application process. Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1703(b) must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. During today visit, all existing staff and some new staff have completed these trainings and trainings are documented on the required form. Other new staff are in the process of completed these trainings within the required timeframe. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Rated License Reassessment Information Your facility’s three-year rated license reassessment was due to be completed in April 2021. DCDEE has developed a 3-Cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. You are in the 1st Cohort system. We will be working together through this process, and I will provide guidance along the way. As discussed today, reassessments will not become mandatory again until July 1, 2024, and your facility has been placed into “Cohort 1.” Placement in this cohort means you will have from July 1, 2023 to June 30, 2024 to plan and prepare for your reassessment, with your reassessment being due between July 1, 2024 and June 30, 2025. You are in your planning year and should be reviewing resources available at www.ncrlap.org and contacting One Place of Onslow County for any assistance. Administrative Action Discussion A Final Notice of Administrative Action in the form of a Written Warning was dated and issued to New Beginnings Child Care Center II, Inc, on October 12, 2022. The action was based on violations of child care requirements regarding supervision. The facility was required to complete training related to supporting positive transitions and develop a written plan for supervision that ensured compliance with the facilities policies related to supervision. These items were completed and approved on January 11, 2023. The facility has completed all of the Corrective Action Plan items of the Written Warning, however, due to the repeat violation of supervision being documented during a visit conducted on November 30, 2022, the facility continues to demonstrate a pattern of non-compliance as evidenced by repeated violations. A Provisional License for six (6) months was issued to allow the operator additional time to further understand the child care requirements and be able to attain and maintain compliance with all child care regulations. The Notice of Administrative Action, cover letter, and Corrective Action Plan was observed posted in a location visible to parents and visitors until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. This information was observed posted near the entrance visible to parents and visitors as required. The Provisional License was also observed posted. A courtesy call was placed to the facility on March 28, 2023. During the call I told you to expect the notice of Administrative Action to be delivered via certified mail in the coming days. I explained the Basis for Action and invited you to call me once you had a chance to review it so I could go over the CAP with you. You stated you could read it and would contact me if you had any questions. I shared that unannounced visits will continue to be conducted and I could go over the information with you during the next visit if you preferred. You confirmed receipt of the Notice of Administrative Action on April 3, 2023, and stated you have read it. You stated you understood the requirements and did not have any questions at this time. CAP stipulations were reviewed, and updates were provided as followed: Stipulation #1 - The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, Child Care Rule 10A NCAC 09 .1801 (a)(1-5) regarding supervision. During today’s visit, there were three violations observed and documented; violations were corrected during the visit. Your facility will continue to be monitored for all applicable child care requirements during all visits. Stipulation #2 - Within one (1) week after this Notice is received Carisa Kraft, administrator, shall contact Colleen Leonard of One Place, formerly known as the Onslow County Partnership for Children (OCPC), telephone number 910-938-0336, email Colleen.Leonard@oneplaceonslow.org, to arrange for Supervision and Safe Environments training. The training shall include, but not be limited to, procedures for ensuring supervision during transitions from one area to another and routines. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff shall participate in the mandatory training. Within three (3) days of the training, which is April 16, 2023, documentation of the training shall be submitted to Tammy Ross, Child Care Consultant, PO Box 278, Jacksonville, NC 28541, telephone number 910-824-1143, email tammy.ross@dhhs.nc.gov. The documentation shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. Additionally, these documents must be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In preparation of this Administrative Action, a training entitled Supervision and Safe Environments was scheduled and completed on April 13, 2023 from 615pm-730pm with Rachelle Gardner, Training and Technical Assistant Coordinator from One Place. A training roster with required information was received on April 26, 2023. Three staff who were unable to attend the training on the scheduled date completed the training on May 31, 2023; verification was also received on this date. Stipulation #3 - Within one (1) week after this Notice is received, Ms. Kraft, shall contact Jennifer Dempsey, Lead Child Care Consultant, PO Box 2234, Shallotte, NC 28459, telephone number 910-824-1447, email Jennifer.Dempsey@dhhs.nc.gov, to arrange for a complete review of applicable child care requirements with a special emphasis on the requirement addressed in Item #1, as well as, each staff person’s responsibility for assuring compliance with all applicable child care requirements. No children shall be present or in care during the training. All staff members, including full-time, part-time, and auxiliary staff, with responsibilities for caring for children shall attend the mandatory training. Documentation of the training shall include a training roster with the names and signatures of the participants and the trainer, as well as the title of the training and date and time the training was conducted. Within three (3) business days of completing the training, which is May 1, 2023, Ms. Kraft shall submit a copy of the training roster to Ms. Ross. A copy of the roster shall be maintained in the facility records for review by representatives of the Division of Child Development and Early Education upon request. Ms. Kraft contacted Jennifer Dempsey, Child Care Lead Consultant, on April 4, 2023 and scheduled a complete review of applicable child care requirements. The rules review was initially scheduled for April 26, 2023 at 615pm at the facility; however, due to some staff being unable to attend, it was rescheduled and completed on Monday, May 22, 2023 from 9am-1130am. Training roster with required information for this mandatory training was received May 22, 2023. Stipulation #4 - Within one (1) week after completing the training in Item #2, Ms. Kraft shall amend the facility’s approved supervision plan to include, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to the following: •When children are arriving and departing from the facility each day •When children are toileting, preparing for and eating meals, napping/resting, and on the playground When children are transitioned from one area to another •Procedures for staff members to notify administrators and parents when an incident occurs •When children are transitioned from one caregiver to another •When staff members need to complete tasks outside the classroom •Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities. Orientation for new staff must include training, mentoring, and coaching in the classroom by Administrative staff. •Routine observations and evaluations of each staff member to ensure compliance with child care requirements and facility policies/procedures regarding supervision of children. Documentation of the observations shall include the date, time, and location of each observation, the name and signature of the person(s) observed, the signature of the observer, a summary of each observation, the observer’s feedback/guidance to the staff members, and the staff member’s response. •Communication between staff when staff are being relieved of their duties for any reason (breaks, retrieving material, end of work day, etc.) •Communication between staff when assistance is needed during transitions to and from the playground •Consequences of staff members’ non-compliance with policies and procedures The amended written plan shall be submitted to Ms. Ross for approval. Ms. Ross shall notify Ms. Kraft, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s permanent operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Kraft submitted amended policies on April 5, 2023. The stipulation required they be submitted after completing the training in Item #2. The training in Item #2 was scheduled and completed on May 22, 2023. Your amended policies were reviewed on May 30, 2023 but were not approved. Revisions were made and amended policies were resubmitted on July 10, 2023 but were not approved. Each time the revised policies were not approved, Ms. Kraft was notified orally, in writing, and feedback was provided. Revised amended policies were resubmitted on July 27, 2023. The policies were approved August 8, 2023 and Ms. Kraft was notified orally and in writing. Per upper management, two child maltreatment cases were substantiated, and it was determined that the current corrective action plan(CAP) addresses supervision, the violations for these cases. The information regarding the child maltreatment cases was discussed with Ms. Kraft via a telephone conference with Investigations Consultant, Heather Binder and me on June 23, 2023. During this conversation, it was discussed what needed to be included in the amended policies regarding supervision on the playground. The amended policies must include detailed information regarding the supervision of children while on the playground, including supervision zones, per Ms. Binder and Investigations Supervisor, Corrie Davenport. Ms. Binder also informed Ms. Kraft that if the facility received another substantiation of child maltreatment within the next 3 years, a revocation may be issued. A playground supervision policy was submitted to Investigation Consultant, Heather Binder and Investigations Supervisor, Corrie Davenport on July 10, 2023; however, revisions were needed. Revisions were completed and submitted to Ms. Binder on July 24, 2023 and the playground supervision policy was approved on July 25, 2023. Ms. Binder notified Ms. Kraft, orally and in writing, on July 26, 2023. Stipulation #5 - Within two (2) weeks after the approval of the amended written plan in Item #4 Ms. Kraft shall conduct a mandatory staff meeting with all staff members to discuss supervision requirements and the approved amended written plan. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. Ms. Kraft shall email documentation of the meeting to Ms. Ross within one (1) week of the meeting. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A mandatory staff meeting was held on August 17, 2023 and amended supervision policy/plan and playground supervision policy/plan were discussed and reviewed with all staff. The required documentation for staff meeting was received and is on file and available for review at the facility. Your facility has completed all the stipulations of your corrective action plan regarding your Provisional License. Paperwork will be completed to reissue your Five Star License with an effective date of October 1, 2023. Documentation was completed electronically, signed, and emailed to you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Contact me at Tammy.Ross@dhhs.nc.gov at (910)824-1143 with any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: TAMMY ROSS Operation Type: Center Case Number: Visit Date: 9/20/2023 Number Present: 43 Completed Date: 9/20/2023 Age: From 0 To 4 Total Minutes: 254 Time In: 08:53 AM Time Out: 01:07 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Child Care Consultant, Andrea Johnson, accompanied and assisted me with this visit. This facility currently operates with a 5 Star License, issued April 30, 2018, earning 6 points in Education, 6 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 205 during first shift with an age range of 0-12 years old, daytime care only, and meets enhanced space and ratios. The program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled; this program uses the Creative Curriculum for Preschool, Fifth Edition. The last annual compliance visit conducted at this facility on October 26, 2022. As of today, the facility’s eighteen-month compliance history is 92%. The center is owned by New Beginnings Child Care Center II, Inc. The corporation is current and active with the NC Secretary of State. Fire Inspection – 10/14/2022 – Approved for day time care only - Satisfactory Sanitation – 05/11/2023 – 11 Demerits – Superior Administrator, Carisa Kraft, was on site and available for consultation. Ms. Kraft accompanied Ms. Johnson as she observed all areas, indoors and outdoors, used by the children. There were sixty six children enrolled and forty three children, ages 0-4, were present. There are twelve classrooms located at this facility; children are enrolled in seven out of the twelve classrooms. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in all classrooms. Age-appropriate materials and activities were provided for all children. Preschool children assigned to indoor spaces #2, #7, and #8 were observed in the outdoor space. The children were climbing, running, sliding, swinging, drawing with chalk on the sidewalks, and playing with sand toys in the sandbox. One staff member was blowing bubbles for the children. Toddlers assigned to indoor spaces #9 and #10 were transitioning from the outdoor space. Handwashing and diaper changing routines were monitored, and requirements were met. After routine care, the toddlers engaged in a variety of free play activities which included musical drums, large bead maze, trucks, cars, books, food, large soft blocks, and climbing and sliding on indoor gross motor equipment. One staff member was seated on the carpet reading a book to a group of toddlers. Infants assigned to indoor space #11 were receiving care based on their individual needs. Six infants were seated in low high chairs eating lunch. Lunch consisted of meatballs with gravy, mashed potatoes, applesauce, bread, and milk. Food service and safe sleep checks were monitored and found to be in compliance. All staff members were actively engaged with the children. The outdoor spaces had a variety of gross motor equipment including riding cars, push toys, push cars, covered sand boxes and sand toys, small tunnel, swing sets, large climbers with slides and rock-climbing walls, and a large basketball goal. Picnic tables and shade structures were also in the outdoor spaces. There were three violations documented today. All violations were corrected during the visit; therefore, a letter of compliance is not required. Continued compliance with applicable child care requirements is required at all times. Violation Number Comment Rule 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. Two (2) infant bottles were not dated and two (2) infant bottles were dated September 18, 2023. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space one (1) had a hole in the grass area adjacent to the sidewalk. The hole was eleven (11) inches deep and nine (9) inches wide. This was a tripping hazard for the children. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non-prescription diaper creams in indoor space seven (7) were stored under the diaper changing table. The diaper changing storage did not have a lock on it. 15A NCAC 18A .2820(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. Child care 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. Technical Assistance Ensuring Correct bottle for each child - Each infant shall be served only formula, breast milk, and bottles labeled with their individual name and the current date. As we discussed today, staff members should ensure each infant’s bottle has a name and the correct date on it by checking each bottle when received from parents. Before feeding a bottle to an infant, use name to face recognition to ensure you are giving the correct bottle to the correct child. Diaper Creams Storage - Please review child care rules regarding storage of prescription and non-prescription medications. Diaper cream must be stored at a minimum of five feet off the floor unless in locked storage. As we discussed today, you may store the diaper creams under the diaper changing table; however, the door to the storage must have an operable lock. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Outdoor Play Area - Facility is in the process of installing a new drain system for the outdoor play areas to alleviate the water, from rain, creating holes in the playground areas. Keep me abreast of the progress and completion of this task. Other Information: On March 13, 2023, the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative launched in North Carolina to make it easier for military families to access and afford quality child care from community providers. Licensed child care facilities are now able to participate in MCCYN-PLUS based on their star rating. If you are interested in participating in the military fee assistance program, please visit https://www.childcareaware.org/fee-assistancerespite/feeassistancerespiteproviders/feeassistance/ to review the application process. Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1703(b) must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. During today visit, all existing staff and some new staff have completed these trainings and trainings are documented on the required form. Other new staff are in the process of completed these trainings within the required timeframe. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Rated License Reassessment Information Your facility’s three-year rated license reassessment was due to be completed in April 2021. DCDEE has developed a 3-Cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. You are in the 1st Cohort system. We will be working together through this process, and I will provide guidance along the way. As discussed today, reassessments will not become mandatory again until July 1, 2024, and your facility has been placed into “Cohort 1.” Placement in this cohort means you will have from July 1, 2023 to June 30, 2024 to plan and prepare for your reassessment, with your reassessment being due between July 1, 2024 and June 30, 2025. You are in your planning year and should be reviewing resources available at www.ncrlap.org and contacting One Place of Onslow County for any assistance. Administrative Action Discussion A Final Notice of Administrative Action in the form of a Written Warning was dated and issued to New Beginnings Child Care Center II, Inc, on October 12, 2022. The action was based on violations of child care requirements regarding supervision. The facility was required to complete training related to supporting positive transitions and develop a written plan for supervision that ensured compliance with the facilities policies related to supervision. These items were completed and approved on January 11, 2023. The facility has completed all of the Corrective Action Plan items of the Written Warning, however, due to the repeat violation of supervision being documented during a visit conducted on November 30, 2022, the facility continues to demonstrate a pattern of non-compliance as evidenced by repeated violations. A Provisional License for six (6) months was issued to allow the operator additional time to further understand the child care requirements and be able to attain and maintain compliance with all child care regulations. The Notice of Administrative Action, cover letter, and Corrective Action Plan was observed posted in a location visible to parents and visitors until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. This information was observed posted near the entrance visible to parents and visitors as required. The Provisional License was also observed posted. A courtesy call was placed to the facility on March 28, 2023. During the call I told you to expect the notice of Administrative Action to be delivered via certified mail in the coming days. I explained the Basis for Action and invited you to call me once you had a chance to review it so I could go over the CAP with you. You stated you could read it and would contact me if you had any questions. I shared that unannounced visits will continue to be conducted and I could go over the information with you during the next visit if you preferred. You confirmed receipt of the Notice of Administrative Action on April 3, 2023, and stated you have read it. You stated you understood the requirements and did not have any questions at this time. CAP stipulations were reviewed, and updates were provided as followed: Stipulation #1 - The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, Child Care Rule 10A NCAC 09 .1801 (a)(1-5) regarding supervision. During today’s visit, there were three violations observed and documented; violations were corrected during the visit. Your facility will continue to be monitored for all applicable child care requirements during all visits. Stipulation #2 - Within one (1) week after this Notice is received Carisa Kraft, administrator, shall contact Colleen Leonard of One Place, formerly known as the Onslow County Partnership for Children (OCPC), telephone number 910-938-0336, email Colleen.Leonard@oneplaceonslow.org, to arrange for Supervision and Safe Environments training. The training shall include, but not be limited to, procedures for ensuring supervision during transitions from one area to another and routines. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff shall participate in the mandatory training. Within three (3) days of the training, which is April 16, 2023, documentation of the training shall be submitted to Tammy Ross, Child Care Consultant, PO Box 278, Jacksonville, NC 28541, telephone number 910-824-1143, email tammy.ross@dhhs.nc.gov. The documentation shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. Additionally, these documents must be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In preparation of this Administrative Action, a training entitled Supervision and Safe Environments was scheduled and completed on April 13, 2023 from 615pm-730pm with Rachelle Gardner, Training and Technical Assistant Coordinator from One Place. A training roster with required information was received on April 26, 2023. Three staff who were unable to attend the training on the scheduled date completed the training on May 31, 2023; verification was also received on this date. Stipulation #3 - Within one (1) week after this Notice is received, Ms. Kraft, shall contact Jennifer Dempsey, Lead Child Care Consultant, PO Box 2234, Shallotte, NC 28459, telephone number 910-824-1447, email Jennifer.Dempsey@dhhs.nc.gov, to arrange for a complete review of applicable child care requirements with a special emphasis on the requirement addressed in Item #1, as well as, each staff person’s responsibility for assuring compliance with all applicable child care requirements. No children shall be present or in care during the training. All staff members, including full-time, part-time, and auxiliary staff, with responsibilities for caring for children shall attend the mandatory training. Documentation of the training shall include a training roster with the names and signatures of the participants and the trainer, as well as the title of the training and date and time the training was conducted. Within three (3) business days of completing the training, which is May 1, 2023, Ms. Kraft shall submit a copy of the training roster to Ms. Ross. A copy of the roster shall be maintained in the facility records for review by representatives of the Division of Child Development and Early Education upon request. Ms. Kraft contacted Jennifer Dempsey, Child Care Lead Consultant, on April 4, 2023 and scheduled a complete review of applicable child care requirements. The rules review was initially scheduled for April 26, 2023 at 615pm at the facility; however, due to some staff being unable to attend, it was rescheduled and completed on Monday, May 22, 2023 from 9am-1130am. Training roster with required information for this mandatory training was received May 22, 2023. Stipulation #4 - Within one (1) week after completing the training in Item #2, Ms. Kraft shall amend the facility’s approved supervision plan to include, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to the following: •When children are arriving and departing from the facility each day •When children are toileting, preparing for and eating meals, napping/resting, and on the playground When children are transitioned from one area to another •Procedures for staff members to notify administrators and parents when an incident occurs •When children are transitioned from one caregiver to another •When staff members need to complete tasks outside the classroom •Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities. Orientation for new staff must include training, mentoring, and coaching in the classroom by Administrative staff. •Routine observations and evaluations of each staff member to ensure compliance with child care requirements and facility policies/procedures regarding supervision of children. Documentation of the observations shall include the date, time, and location of each observation, the name and signature of the person(s) observed, the signature of the observer, a summary of each observation, the observer’s feedback/guidance to the staff members, and the staff member’s response. •Communication between staff when staff are being relieved of their duties for any reason (breaks, retrieving material, end of work day, etc.) •Communication between staff when assistance is needed during transitions to and from the playground •Consequences of staff members’ non-compliance with policies and procedures The amended written plan shall be submitted to Ms. Ross for approval. Ms. Ross shall notify Ms. Kraft, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s permanent operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Kraft submitted amended policies on April 5, 2023. The stipulation required they be submitted after completing the training in Item #2. The training in Item #2 was scheduled and completed on May 22, 2023. Your amended policies were reviewed on May 30, 2023 but were not approved. Revisions were made and amended policies were resubmitted on July 10, 2023 but were not approved. Each time the revised policies were not approved, Ms. Kraft was notified orally, in writing, and feedback was provided. Revised amended policies were resubmitted on July 27, 2023. The policies were approved August 8, 2023 and Ms. Kraft was notified orally and in writing. Per upper management, two child maltreatment cases were substantiated, and it was determined that the current corrective action plan(CAP) addresses supervision, the violations for these cases. The information regarding the child maltreatment cases was discussed with Ms. Kraft via a telephone conference with Investigations Consultant, Heather Binder and me on June 23, 2023. During this conversation, it was discussed what needed to be included in the amended policies regarding supervision on the playground. The amended policies must include detailed information regarding the supervision of children while on the playground, including supervision zones, per Ms. Binder and Investigations Supervisor, Corrie Davenport. Ms. Binder also informed Ms. Kraft that if the facility received another substantiation of child maltreatment within the next 3 years, a revocation may be issued. A playground supervision policy was submitted to Investigation Consultant, Heather Binder and Investigations Supervisor, Corrie Davenport on July 10, 2023; however, revisions were needed. Revisions were completed and submitted to Ms. Binder on July 24, 2023 and the playground supervision policy was approved on July 25, 2023. Ms. Binder notified Ms. Kraft, orally and in writing, on July 26, 2023. Stipulation #5 - Within two (2) weeks after the approval of the amended written plan in Item #4 Ms. Kraft shall conduct a mandatory staff meeting with all staff members to discuss supervision requirements and the approved amended written plan. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. Ms. Kraft shall email documentation of the meeting to Ms. Ross within one (1) week of the meeting. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A mandatory staff meeting was held on August 17, 2023 and amended supervision policy/plan and playground supervision policy/plan were discussed and reviewed with all staff. The required documentation for staff meeting was received and is on file and available for review at the facility. Your facility has completed all the stipulations of your corrective action plan regarding your Provisional License. Paperwork will be completed to reissue your Five Star License with an effective date of October 1, 2023. Documentation was completed electronically, signed, and emailed to you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Contact me at Tammy.Ross@dhhs.nc.gov at (910)824-1143 with any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: NEW BEGINNINGS CHILD CARE CENTER II, INC. Facility ID: 67000961 Consultant: TAMMY ROSS Operation Type: Center Case Number: Visit Date: 9/20/2023 Number Present: 43 Completed Date: 9/20/2023 Age: From 0 To 4 Total Minutes: 254 Time In: 08:53 AM Time Out: 01:07 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s annual compliance visit was to monitor compliance with applicable child care requirements. A checklist was used to note the requirements I monitored today. Child Care Consultant, Andrea Johnson, accompanied and assisted me with this visit. This facility currently operates with a 5 Star License, issued April 30, 2018, earning 6 points in Education, 6 points in Program Standards and 1 Quality Point in the Programmatic Option. Restrictions on the permit include: a capacity of 205 during first shift with an age range of 0-12 years old, daytime care only, and meets enhanced space and ratios. The program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled; this program uses the Creative Curriculum for Preschool, Fifth Edition. The last annual compliance visit conducted at this facility on October 26, 2022. As of today, the facility’s eighteen-month compliance history is 92%. The center is owned by New Beginnings Child Care Center II, Inc. The corporation is current and active with the NC Secretary of State. Fire Inspection – 10/14/2022 – Approved for day time care only - Satisfactory Sanitation – 05/11/2023 – 11 Demerits – Superior Administrator, Carisa Kraft, was on site and available for consultation. Ms. Kraft accompanied Ms. Johnson as she observed all areas, indoors and outdoors, used by the children. There were sixty six children enrolled and forty three children, ages 0-4, were present. There are twelve classrooms located at this facility; children are enrolled in seven out of the twelve classrooms. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in all classrooms. Age-appropriate materials and activities were provided for all children. Preschool children assigned to indoor spaces #2, #7, and #8 were observed in the outdoor space. The children were climbing, running, sliding, swinging, drawing with chalk on the sidewalks, and playing with sand toys in the sandbox. One staff member was blowing bubbles for the children. Toddlers assigned to indoor spaces #9 and #10 were transitioning from the outdoor space. Handwashing and diaper changing routines were monitored, and requirements were met. After routine care, the toddlers engaged in a variety of free play activities which included musical drums, large bead maze, trucks, cars, books, food, large soft blocks, and climbing and sliding on indoor gross motor equipment. One staff member was seated on the carpet reading a book to a group of toddlers. Infants assigned to indoor space #11 were receiving care based on their individual needs. Six infants were seated in low high chairs eating lunch. Lunch consisted of meatballs with gravy, mashed potatoes, applesauce, bread, and milk. Food service and safe sleep checks were monitored and found to be in compliance. All staff members were actively engaged with the children. The outdoor spaces had a variety of gross motor equipment including riding cars, push toys, push cars, covered sand boxes and sand toys, small tunnel, swing sets, large climbers with slides and rock-climbing walls, and a large basketball goal. Picnic tables and shade structures were also in the outdoor spaces. There were three violations documented today. All violations were corrected during the visit; therefore, a letter of compliance is not required. Continued compliance with applicable child care requirements is required at all times. Violation Number Comment Rule 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. Two (2) infant bottles were not dated and two (2) infant bottles were dated September 18, 2023. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. Outdoor space one (1) had a hole in the grass area adjacent to the sidewalk. The hole was eleven (11) inches deep and nine (9) inches wide. This was a tripping hazard for the children. 10A NCAC 09 .0601(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Non-prescription diaper creams in indoor space seven (7) were stored under the diaper changing table. The diaper changing storage did not have a lock on it. 15A NCAC 18A .2820(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. Child care 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. Technical Assistance Ensuring Correct bottle for each child - Each infant shall be served only formula, breast milk, and bottles labeled with their individual name and the current date. As we discussed today, staff members should ensure each infant’s bottle has a name and the correct date on it by checking each bottle when received from parents. Before feeding a bottle to an infant, use name to face recognition to ensure you are giving the correct bottle to the correct child. Diaper Creams Storage - Please review child care rules regarding storage of prescription and non-prescription medications. Diaper cream must be stored at a minimum of five feet off the floor unless in locked storage. As we discussed today, you may store the diaper creams under the diaper changing table; however, the door to the storage must have an operable lock. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Outdoor Play Area - Facility is in the process of installing a new drain system for the outdoor play areas to alleviate the water, from rain, creating holes in the playground areas. Keep me abreast of the progress and completion of this task. Other Information: On March 13, 2023, the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative launched in North Carolina to make it easier for military families to access and afford quality child care from community providers. Licensed child care facilities are now able to participate in MCCYN-PLUS based on their star rating. If you are interested in participating in the military fee assistance program, please visit https://www.childcareaware.org/fee-assistancerespite/feeassistancerespiteproviders/feeassistance/ to review the application process. Health and Safety Training- These training topics outlined in Child Care Rule 10A NCAC 09 .1703(b) must be completed within the first year of employment for new staff, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment – it must be completed within 90 days of hire. After initial completion of Health and Safety Trainings, they must be completed every five years. Use the Health and Safety Training Record which is found on the DCDEE website under Provider Documents and Forms to track the completion of these trainings. During today visit, all existing staff and some new staff have completed these trainings and trainings are documented on the required form. Other new staff are in the process of completed these trainings within the required timeframe. Completing, refreshing, and updating the required Health and Safety Training increases your awareness and knowledge regarding child development and safety. Rated License Reassessment Information Your facility’s three-year rated license reassessment was due to be completed in April 2021. DCDEE has developed a 3-Cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. You are in the 1st Cohort system. We will be working together through this process, and I will provide guidance along the way. As discussed today, reassessments will not become mandatory again until July 1, 2024, and your facility has been placed into “Cohort 1.” Placement in this cohort means you will have from July 1, 2023 to June 30, 2024 to plan and prepare for your reassessment, with your reassessment being due between July 1, 2024 and June 30, 2025. You are in your planning year and should be reviewing resources available at www.ncrlap.org and contacting One Place of Onslow County for any assistance. Administrative Action Discussion A Final Notice of Administrative Action in the form of a Written Warning was dated and issued to New Beginnings Child Care Center II, Inc, on October 12, 2022. The action was based on violations of child care requirements regarding supervision. The facility was required to complete training related to supporting positive transitions and develop a written plan for supervision that ensured compliance with the facilities policies related to supervision. These items were completed and approved on January 11, 2023. The facility has completed all of the Corrective Action Plan items of the Written Warning, however, due to the repeat violation of supervision being documented during a visit conducted on November 30, 2022, the facility continues to demonstrate a pattern of non-compliance as evidenced by repeated violations. A Provisional License for six (6) months was issued to allow the operator additional time to further understand the child care requirements and be able to attain and maintain compliance with all child care regulations. The Notice of Administrative Action, cover letter, and Corrective Action Plan was observed posted in a location visible to parents and visitors until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. This information was observed posted near the entrance visible to parents and visitors as required. The Provisional License was also observed posted. A courtesy call was placed to the facility on March 28, 2023. During the call I told you to expect the notice of Administrative Action to be delivered via certified mail in the coming days. I explained the Basis for Action and invited you to call me once you had a chance to review it so I could go over the CAP with you. You stated you could read it and would contact me if you had any questions. I shared that unannounced visits will continue to be conducted and I could go over the information with you during the next visit if you preferred. You confirmed receipt of the Notice of Administrative Action on April 3, 2023, and stated you have read it. You stated you understood the requirements and did not have any questions at this time. CAP stipulations were reviewed, and updates were provided as followed: Stipulation #1 - The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, Child Care Rule 10A NCAC 09 .1801 (a)(1-5) regarding supervision. During today’s visit, there were three violations observed and documented; violations were corrected during the visit. Your facility will continue to be monitored for all applicable child care requirements during all visits. Stipulation #2 - Within one (1) week after this Notice is received Carisa Kraft, administrator, shall contact Colleen Leonard of One Place, formerly known as the Onslow County Partnership for Children (OCPC), telephone number 910-938-0336, email Colleen.Leonard@oneplaceonslow.org, to arrange for Supervision and Safe Environments training. The training shall include, but not be limited to, procedures for ensuring supervision during transitions from one area to another and routines. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff shall participate in the mandatory training. Within three (3) days of the training, which is April 16, 2023, documentation of the training shall be submitted to Tammy Ross, Child Care Consultant, PO Box 278, Jacksonville, NC 28541, telephone number 910-824-1143, email tammy.ross@dhhs.nc.gov. The documentation shall include a training roster with the names and signatures of the training participants, as well as the date and time the training was conducted. Additionally, these documents must be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. In preparation of this Administrative Action, a training entitled Supervision and Safe Environments was scheduled and completed on April 13, 2023 from 615pm-730pm with Rachelle Gardner, Training and Technical Assistant Coordinator from One Place. A training roster with required information was received on April 26, 2023. Three staff who were unable to attend the training on the scheduled date completed the training on May 31, 2023; verification was also received on this date. Stipulation #3 - Within one (1) week after this Notice is received, Ms. Kraft, shall contact Jennifer Dempsey, Lead Child Care Consultant, PO Box 2234, Shallotte, NC 28459, telephone number 910-824-1447, email Jennifer.Dempsey@dhhs.nc.gov, to arrange for a complete review of applicable child care requirements with a special emphasis on the requirement addressed in Item #1, as well as, each staff person’s responsibility for assuring compliance with all applicable child care requirements. No children shall be present or in care during the training. All staff members, including full-time, part-time, and auxiliary staff, with responsibilities for caring for children shall attend the mandatory training. Documentation of the training shall include a training roster with the names and signatures of the participants and the trainer, as well as the title of the training and date and time the training was conducted. Within three (3) business days of completing the training, which is May 1, 2023, Ms. Kraft shall submit a copy of the training roster to Ms. Ross. A copy of the roster shall be maintained in the facility records for review by representatives of the Division of Child Development and Early Education upon request. Ms. Kraft contacted Jennifer Dempsey, Child Care Lead Consultant, on April 4, 2023 and scheduled a complete review of applicable child care requirements. The rules review was initially scheduled for April 26, 2023 at 615pm at the facility; however, due to some staff being unable to attend, it was rescheduled and completed on Monday, May 22, 2023 from 9am-1130am. Training roster with required information for this mandatory training was received May 22, 2023. Stipulation #4 - Within one (1) week after completing the training in Item #2, Ms. Kraft shall amend the facility’s approved supervision plan to include, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to the following: •When children are arriving and departing from the facility each day •When children are toileting, preparing for and eating meals, napping/resting, and on the playground When children are transitioned from one area to another •Procedures for staff members to notify administrators and parents when an incident occurs •When children are transitioned from one caregiver to another •When staff members need to complete tasks outside the classroom •Procedures for periodic review of the supervision plan with all staff members, including the review of the plan in the orientation of new staff members before they assume child care responsibilities. Orientation for new staff must include training, mentoring, and coaching in the classroom by Administrative staff. •Routine observations and evaluations of each staff member to ensure compliance with child care requirements and facility policies/procedures regarding supervision of children. Documentation of the observations shall include the date, time, and location of each observation, the name and signature of the person(s) observed, the signature of the observer, a summary of each observation, the observer’s feedback/guidance to the staff members, and the staff member’s response. •Communication between staff when staff are being relieved of their duties for any reason (breaks, retrieving material, end of work day, etc.) •Communication between staff when assistance is needed during transitions to and from the playground •Consequences of staff members’ non-compliance with policies and procedures The amended written plan shall be submitted to Ms. Ross for approval. Ms. Ross shall notify Ms. Kraft, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and incorporated into the facility’s permanent operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Ms. Kraft submitted amended policies on April 5, 2023. The stipulation required they be submitted after completing the training in Item #2. The training in Item #2 was scheduled and completed on May 22, 2023. Your amended policies were reviewed on May 30, 2023 but were not approved. Revisions were made and amended policies were resubmitted on July 10, 2023 but were not approved. Each time the revised policies were not approved, Ms. Kraft was notified orally, in writing, and feedback was provided. Revised amended policies were resubmitted on July 27, 2023. The policies were approved August 8, 2023 and Ms. Kraft was notified orally and in writing. Per upper management, two child maltreatment cases were substantiated, and it was determined that the current corrective action plan(CAP) addresses supervision, the violations for these cases. The information regarding the child maltreatment cases was discussed with Ms. Kraft via a telephone conference with Investigations Consultant, Heather Binder and me on June 23, 2023. During this conversation, it was discussed what needed to be included in the amended policies regarding supervision on the playground. The amended policies must include detailed information regarding the supervision of children while on the playground, including supervision zones, per Ms. Binder and Investigations Supervisor, Corrie Davenport. Ms. Binder also informed Ms. Kraft that if the facility received another substantiation of child maltreatment within the next 3 years, a revocation may be issued. A playground supervision policy was submitted to Investigation Consultant, Heather Binder and Investigations Supervisor, Corrie Davenport on July 10, 2023; however, revisions were needed. Revisions were completed and submitted to Ms. Binder on July 24, 2023 and the playground supervision policy was approved on July 25, 2023. Ms. Binder notified Ms. Kraft, orally and in writing, on July 26, 2023. Stipulation #5 - Within two (2) weeks after the approval of the amended written plan in Item #4 Ms. Kraft shall conduct a mandatory staff meeting with all staff members to discuss supervision requirements and the approved amended written plan. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. Ms. Kraft shall email documentation of the meeting to Ms. Ross within one (1) week of the meeting. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. A mandatory staff meeting was held on August 17, 2023 and amended supervision policy/plan and playground supervision policy/plan were discussed and reviewed with all staff. The required documentation for staff meeting was received and is on file and available for review at the facility. Your facility has completed all the stipulations of your corrective action plan regarding your Provisional License. Paperwork will be completed to reissue your Five Star License with an effective date of October 1, 2023. Documentation was completed electronically, signed, and emailed to you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. Contact me at Tammy.Ross@dhhs.nc.gov at (910)824-1143 with any questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times