Home › NC › Kernersville › Caleb'S Creek Elementary Pre-K
Caleb'S Creek Elementary Pre-K
1109 Salem Crossing Road, Kernersville NC 27284 · License #34001233 · Child Care Center
Contact
- Phone
- (336) 703-6757
- Website
- Add via profile claim
- Address
- 1109 Salem Crossing Road, Kernersville NC 27284 · Directions
Hours
Not published by the state. Owners can add hours via profile claim.
Care & schedule
When they operate
Schedule type not published.
Ages served
- 4-Star quality rating
- Does not accept subsidy
- Licensed for 36 children
Inspection history & violations
Source: North Carolina's child care licensing agency- Violation
10A NCAC 09 .0601 · Violation
Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 4/15/2026 Number Present: 31 Completed Date: 4/15/2026 Age: From 4 To 5 Total Minutes: 145 Time In: 08:30 AM Time Out: 10:55 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in spaces 111 and 113, where children participating in the NC Pre-K program are cared for. This visit was conducted with Christine Bryson and Tontesia Flythe, Lead Teachers and Brandi Inzar and Jeanette Corbett, Assistant Teachers, and Laquetta Williams, DCDEE Licensure Support. The program currently operates with a four-star license re-issued 8/12/22. Restrictions include daytime care only; meets enhanced space; meets enhanced ratios; meets all enhanced requirements and reduced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is operated by Winston Salem Forsyth County Schools. Rooms 111 and 113 are designated NCPK. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children eating breakfast, engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 5/12/25. A sanitation inspection was completed 4/8/2026 with a superior classification. The last fire inspection was conducted 2/19/2026. A copy of this inspection was received during the visit. Program records and required postings were monitored. A fire drill was conducted on 03/23/2026. A lockdown drill was documented on 3/24/2026. An outdoor inspection was documented on 3/30/2026. Staff files and children’s records were monitored per DCDEE procedures. I observed staff record and children’s records offsite verification forms dated for 9/10/2025 and 8/7/2025. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation at this time. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Christine Bryson and Tontesia Flythe, and teachers, Brandi Inzar and Jeanette Corbett. A selection of files was monitored for completed health assessments and developmental screenings. Your 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. Your facility uses the Creative Curriculum. You stated the parents completed the ASQ screenings during the late spring and early summer of 2025. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was 08/13/2025. The classroom operates from 8:25 a.m. to 2:55 p.m. Parent conferences are held two times per year. You stated that you use Class Dojo to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about special events and reminders. You verified that you incorporate family engagement by sending home monthly newsletters, study newsletters, holding special events, and having parent meetings. The environment rating scale score received on 02/01/2018 was 5.92. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I observed two (2) metal stakes that were exposed on the landscaping borders next to the ramp on the playground designated for preschool children. 10A NCAC 09 .0601(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. During the visit, I observed the ABCMS Provider Portal that did not have the four (4) current teachers at the facility documented. G.S. 110-90.2 & .2703(r) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/29/26. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We discussed that the ABCMS Provider Portal must be maintained and current at all times. Ms. Williams updated the Provider Portal during the visit to reflect all of the current staff at the facility. • We discussed that the stakes that hold down landscaping borders must be flush at all times to prevent tripping hazards or potential injuries. Ms. Williams stated she would put in a work order to have the two (2) stakes at the ramp put back into the ground. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • 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 printed, reviewed, and a copy was left with you. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor (336) 317-5003 pamela.hauser@dhhs.nc.gov Thank you for your time and assistance during the visit. 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
- Violation
10A NCAC 09 .3009 · Violation
Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 4/15/2026 Number Present: 31 Completed Date: 4/15/2026 Age: From 4 To 5 Total Minutes: 145 Time In: 08:30 AM Time Out: 10:55 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in spaces 111 and 113, where children participating in the NC Pre-K program are cared for. This visit was conducted with Christine Bryson and Tontesia Flythe, Lead Teachers and Brandi Inzar and Jeanette Corbett, Assistant Teachers, and Laquetta Williams, DCDEE Licensure Support. The program currently operates with a four-star license re-issued 8/12/22. Restrictions include daytime care only; meets enhanced space; meets enhanced ratios; meets all enhanced requirements and reduced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is operated by Winston Salem Forsyth County Schools. Rooms 111 and 113 are designated NCPK. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children eating breakfast, engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 5/12/25. A sanitation inspection was completed 4/8/2026 with a superior classification. The last fire inspection was conducted 2/19/2026. A copy of this inspection was received during the visit. Program records and required postings were monitored. A fire drill was conducted on 03/23/2026. A lockdown drill was documented on 3/24/2026. An outdoor inspection was documented on 3/30/2026. Staff files and children’s records were monitored per DCDEE procedures. I observed staff record and children’s records offsite verification forms dated for 9/10/2025 and 8/7/2025. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation at this time. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Christine Bryson and Tontesia Flythe, and teachers, Brandi Inzar and Jeanette Corbett. A selection of files was monitored for completed health assessments and developmental screenings. Your 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. Your facility uses the Creative Curriculum. You stated the parents completed the ASQ screenings during the late spring and early summer of 2025. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was 08/13/2025. The classroom operates from 8:25 a.m. to 2:55 p.m. Parent conferences are held two times per year. You stated that you use Class Dojo to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about special events and reminders. You verified that you incorporate family engagement by sending home monthly newsletters, study newsletters, holding special events, and having parent meetings. The environment rating scale score received on 02/01/2018 was 5.92. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I observed two (2) metal stakes that were exposed on the landscaping borders next to the ramp on the playground designated for preschool children. 10A NCAC 09 .0601(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. During the visit, I observed the ABCMS Provider Portal that did not have the four (4) current teachers at the facility documented. G.S. 110-90.2 & .2703(r) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/29/26. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We discussed that the ABCMS Provider Portal must be maintained and current at all times. Ms. Williams updated the Provider Portal during the visit to reflect all of the current staff at the facility. • We discussed that the stakes that hold down landscaping borders must be flush at all times to prevent tripping hazards or potential injuries. Ms. Williams stated she would put in a work order to have the two (2) stakes at the ramp put back into the ground. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • 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 printed, reviewed, and a copy was left with you. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor (336) 317-5003 pamela.hauser@dhhs.nc.gov Thank you for your time and assistance during the visit. 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
- Violation
G.S. 110-90 · Violation
Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 4/15/2026 Number Present: 31 Completed Date: 4/15/2026 Age: From 4 To 5 Total Minutes: 145 Time In: 08:30 AM Time Out: 10:55 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in spaces 111 and 113, where children participating in the NC Pre-K program are cared for. This visit was conducted with Christine Bryson and Tontesia Flythe, Lead Teachers and Brandi Inzar and Jeanette Corbett, Assistant Teachers, and Laquetta Williams, DCDEE Licensure Support. The program currently operates with a four-star license re-issued 8/12/22. Restrictions include daytime care only; meets enhanced space; meets enhanced ratios; meets all enhanced requirements and reduced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is operated by Winston Salem Forsyth County Schools. Rooms 111 and 113 are designated NCPK. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children eating breakfast, engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 5/12/25. A sanitation inspection was completed 4/8/2026 with a superior classification. The last fire inspection was conducted 2/19/2026. A copy of this inspection was received during the visit. Program records and required postings were monitored. A fire drill was conducted on 03/23/2026. A lockdown drill was documented on 3/24/2026. An outdoor inspection was documented on 3/30/2026. Staff files and children’s records were monitored per DCDEE procedures. I observed staff record and children’s records offsite verification forms dated for 9/10/2025 and 8/7/2025. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation at this time. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Christine Bryson and Tontesia Flythe, and teachers, Brandi Inzar and Jeanette Corbett. A selection of files was monitored for completed health assessments and developmental screenings. Your 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. Your facility uses the Creative Curriculum. You stated the parents completed the ASQ screenings during the late spring and early summer of 2025. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was 08/13/2025. The classroom operates from 8:25 a.m. to 2:55 p.m. Parent conferences are held two times per year. You stated that you use Class Dojo to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about special events and reminders. You verified that you incorporate family engagement by sending home monthly newsletters, study newsletters, holding special events, and having parent meetings. The environment rating scale score received on 02/01/2018 was 5.92. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I observed two (2) metal stakes that were exposed on the landscaping borders next to the ramp on the playground designated for preschool children. 10A NCAC 09 .0601(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. During the visit, I observed the ABCMS Provider Portal that did not have the four (4) current teachers at the facility documented. G.S. 110-90.2 & .2703(r) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/29/26. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We discussed that the ABCMS Provider Portal must be maintained and current at all times. Ms. Williams updated the Provider Portal during the visit to reflect all of the current staff at the facility. • We discussed that the stakes that hold down landscaping borders must be flush at all times to prevent tripping hazards or potential injuries. Ms. Williams stated she would put in a work order to have the two (2) stakes at the ramp put back into the ground. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • 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 printed, reviewed, and a copy was left with you. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor (336) 317-5003 pamela.hauser@dhhs.nc.gov Thank you for your time and assistance during the visit. 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
- Violation
NC GS 110-90 · Violation
Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 4/15/2026 Number Present: 31 Completed Date: 4/15/2026 Age: From 4 To 5 Total Minutes: 145 Time In: 08:30 AM Time Out: 10:55 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in spaces 111 and 113, where children participating in the NC Pre-K program are cared for. This visit was conducted with Christine Bryson and Tontesia Flythe, Lead Teachers and Brandi Inzar and Jeanette Corbett, Assistant Teachers, and Laquetta Williams, DCDEE Licensure Support. The program currently operates with a four-star license re-issued 8/12/22. Restrictions include daytime care only; meets enhanced space; meets enhanced ratios; meets all enhanced requirements and reduced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is operated by Winston Salem Forsyth County Schools. Rooms 111 and 113 are designated NCPK. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children eating breakfast, engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 5/12/25. A sanitation inspection was completed 4/8/2026 with a superior classification. The last fire inspection was conducted 2/19/2026. A copy of this inspection was received during the visit. Program records and required postings were monitored. A fire drill was conducted on 03/23/2026. A lockdown drill was documented on 3/24/2026. An outdoor inspection was documented on 3/30/2026. Staff files and children’s records were monitored per DCDEE procedures. I observed staff record and children’s records offsite verification forms dated for 9/10/2025 and 8/7/2025. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation at this time. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Christine Bryson and Tontesia Flythe, and teachers, Brandi Inzar and Jeanette Corbett. A selection of files was monitored for completed health assessments and developmental screenings. Your 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. Your facility uses the Creative Curriculum. You stated the parents completed the ASQ screenings during the late spring and early summer of 2025. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was 08/13/2025. The classroom operates from 8:25 a.m. to 2:55 p.m. Parent conferences are held two times per year. You stated that you use Class Dojo to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about special events and reminders. You verified that you incorporate family engagement by sending home monthly newsletters, study newsletters, holding special events, and having parent meetings. The environment rating scale score received on 02/01/2018 was 5.92. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I observed two (2) metal stakes that were exposed on the landscaping borders next to the ramp on the playground designated for preschool children. 10A NCAC 09 .0601(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. During the visit, I observed the ABCMS Provider Portal that did not have the four (4) current teachers at the facility documented. G.S. 110-90.2 & .2703(r) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/29/26. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We discussed that the ABCMS Provider Portal must be maintained and current at all times. Ms. Williams updated the Provider Portal during the visit to reflect all of the current staff at the facility. • We discussed that the stakes that hold down landscaping borders must be flush at all times to prevent tripping hazards or potential injuries. Ms. Williams stated she would put in a work order to have the two (2) stakes at the ramp put back into the ground. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • 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 printed, reviewed, and a copy was left with you. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor (336) 317-5003 pamela.hauser@dhhs.nc.gov Thank you for your time and assistance during the visit. 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
- Violation
10A NCAC 09 .0802 · Violation
Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 5/12/2025 Number Present: 28 Completed Date: 5/12/2025 Age: From 4 To 5 Total Minutes: 140 Time In: 09:00 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in spaces 111 and 113, where children participating in the NC Pre-K program are cared for. This visit was conducted with Christine Bryson and Tontesia Flythe, Lead Teachers and Brandi Inzar and Jeanette Corbett, Assistant Teachers. The program currently operates with a four-star license re-issued 8/12/22. Restrictions include daytime care only; meets enhanced space; meets enhanced ratios; meets all enhanced requirements and reduced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is operated by Winston Salem Forsyth County Schools. Rooms 111 and 113 are designated NCPK. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children eating breakfast, engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 06/04/2024. A sanitation inspection was completed 12/12/2024 with a superior classification. The last fire inspection was conducted 02/12/2025. Program records and required postings were monitored. A fire drill was conducted on 04/19/2025. A lockdown drill was documented on 05/01/2025. An outdoor inspection was documented on 05/05/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Christine Bryson and Tontesia Flythe, and teachers, Brandi Inzar and Jeanette Corbett. A selection of files was monitored for completed health assessments and developmental screenings. Your 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. Your facility uses the Creative Curriculum. You stated the parents completed the ASQ screenings during the late spring and early summer of 2024. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was 08/12/2024. The classroom operates from 8:25 a.m. to 2:55 p.m. Parent conferences are held three times per year. You stated that you use Class Dojo to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about special events and reminders. You verified that you incorporate family engagement by sending home monthly newsletters, study newsletters, holding special events, and having parent meetings. The environment rating scale score received on 02/01/2018 was 5.92. The following violations were cited during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. During the visit, I observed one employee file that did not have confirmation of reviewing the EMC plan annually. 10A NCAC 09 .0802(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. During the visit, I observed one employee file that did not have confirmation of reviewing the EPR plan annually. .0607(e) 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 two violations cited today were corrected during the visit. A compliance letter is not due at this time. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We discussed making sure that documentation is on file for each employee’s review of the EPR and EMC plan each year. You updated the form during the visit. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Make sure you are using the training log to record your on-going training. Trainings must be approved by DCDEE. You can find this log on DCDEE’s website under the Provider Documents tab. • I will be sending an email before fall with a reminder of what must be on file for your principal. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
- Violation
10A NCAC 09 .3009 · Violation
Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 5/12/2025 Number Present: 28 Completed Date: 5/12/2025 Age: From 4 To 5 Total Minutes: 140 Time In: 09:00 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in spaces 111 and 113, where children participating in the NC Pre-K program are cared for. This visit was conducted with Christine Bryson and Tontesia Flythe, Lead Teachers and Brandi Inzar and Jeanette Corbett, Assistant Teachers. The program currently operates with a four-star license re-issued 8/12/22. Restrictions include daytime care only; meets enhanced space; meets enhanced ratios; meets all enhanced requirements and reduced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is operated by Winston Salem Forsyth County Schools. Rooms 111 and 113 are designated NCPK. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children eating breakfast, engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 06/04/2024. A sanitation inspection was completed 12/12/2024 with a superior classification. The last fire inspection was conducted 02/12/2025. Program records and required postings were monitored. A fire drill was conducted on 04/19/2025. A lockdown drill was documented on 05/01/2025. An outdoor inspection was documented on 05/05/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Christine Bryson and Tontesia Flythe, and teachers, Brandi Inzar and Jeanette Corbett. A selection of files was monitored for completed health assessments and developmental screenings. Your 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. Your facility uses the Creative Curriculum. You stated the parents completed the ASQ screenings during the late spring and early summer of 2024. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was 08/12/2024. The classroom operates from 8:25 a.m. to 2:55 p.m. Parent conferences are held three times per year. You stated that you use Class Dojo to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about special events and reminders. You verified that you incorporate family engagement by sending home monthly newsletters, study newsletters, holding special events, and having parent meetings. The environment rating scale score received on 02/01/2018 was 5.92. The following violations were cited during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. During the visit, I observed one employee file that did not have confirmation of reviewing the EMC plan annually. 10A NCAC 09 .0802(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. During the visit, I observed one employee file that did not have confirmation of reviewing the EPR plan annually. .0607(e) 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 two violations cited today were corrected during the visit. A compliance letter is not due at this time. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We discussed making sure that documentation is on file for each employee’s review of the EPR and EMC plan each year. You updated the form during the visit. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Make sure you are using the training log to record your on-going training. Trainings must be approved by DCDEE. You can find this log on DCDEE’s website under the Provider Documents tab. • I will be sending an email before fall with a reminder of what must be on file for your principal. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
- Violation
NC GS 110-90 · Violation
Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 5/12/2025 Number Present: 28 Completed Date: 5/12/2025 Age: From 4 To 5 Total Minutes: 140 Time In: 09:00 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in spaces 111 and 113, where children participating in the NC Pre-K program are cared for. This visit was conducted with Christine Bryson and Tontesia Flythe, Lead Teachers and Brandi Inzar and Jeanette Corbett, Assistant Teachers. The program currently operates with a four-star license re-issued 8/12/22. Restrictions include daytime care only; meets enhanced space; meets enhanced ratios; meets all enhanced requirements and reduced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is operated by Winston Salem Forsyth County Schools. Rooms 111 and 113 are designated NCPK. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children eating breakfast, engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 06/04/2024. A sanitation inspection was completed 12/12/2024 with a superior classification. The last fire inspection was conducted 02/12/2025. Program records and required postings were monitored. A fire drill was conducted on 04/19/2025. A lockdown drill was documented on 05/01/2025. An outdoor inspection was documented on 05/05/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Christine Bryson and Tontesia Flythe, and teachers, Brandi Inzar and Jeanette Corbett. A selection of files was monitored for completed health assessments and developmental screenings. Your 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. Your facility uses the Creative Curriculum. You stated the parents completed the ASQ screenings during the late spring and early summer of 2024. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was 08/12/2024. The classroom operates from 8:25 a.m. to 2:55 p.m. Parent conferences are held three times per year. You stated that you use Class Dojo to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about special events and reminders. You verified that you incorporate family engagement by sending home monthly newsletters, study newsletters, holding special events, and having parent meetings. The environment rating scale score received on 02/01/2018 was 5.92. The following violations were cited during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. During the visit, I observed one employee file that did not have confirmation of reviewing the EMC plan annually. 10A NCAC 09 .0802(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. During the visit, I observed one employee file that did not have confirmation of reviewing the EPR plan annually. .0607(e) 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 two violations cited today were corrected during the visit. A compliance letter is not due at this time. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We discussed making sure that documentation is on file for each employee’s review of the EPR and EMC plan each year. You updated the form during the visit. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • Make sure you are using the training log to record your on-going training. Trainings must be approved by DCDEE. You can find this log on DCDEE’s website under the Provider Documents tab. • I will be sending an email before fall with a reminder of what must be on file for your principal. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
- Violation
10A NCAC 09 .0601 · Violation
Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 11/25/2024 Number Present: 32 Completed Date: 11/25/2024 Age: From 4 To 5 Total Minutes: 95 Time In: 09:55 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Whitney Parker, Childcare Consultant, with Christine Bryson, Lead Teacher, Tontesia Flythe, Lead Teacher, Brandi Inzar, Assistant Teacher, and Jeanette Corbett, Assistant Teacher. The program currently operates with a four-star license re-issued 8/12/22. Restrictions include daytime care only; meets enhanced space; meets enhanced ratios; meets all enhanced requirements and reduced ratios minus one. This program is operated by Winston Salem Forsyth County Schools. Rooms 111 and 113 are designated NCPK. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. One new staff was reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. No medications were observed nor reported. Storage hazardous items was monitored today. A playground inspection was recorded 11/22/2024. A fire drill was recorded 11/21/2024. A lock down drill for the facility was recorded 09/12/2024. The most recent fire inspection was on 09/16/2024. A copy of this inspection was received during the visit. I observed a sanitation inspection was last conducted on 3/21/24 earning a superior classification. The program does not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I did not observe any safety concerns indoors. On the playground, I observed two brown playhouse structures that had broken stove and cabinet doors. The broken areas exposed sharp plastic on the house and left broken sharp plastic pieces on the ground surrounding the area. 10A NCAC 09 .0601(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 12/9/24. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that the outdoor environment should be scanned for hazards prior to children using the area. There are two brown toy houses with broken doors that are exposing sharp plastic and could post a harm to children. Ms. Bryson stated they do not typically use these houses and that the playground is shared with the kindergarten classrooms. We discussed that even though this area may not be used it is accessible and that you would need to maintain it the same as the rest of the playground area. Ms. Bryson stated they would place a work order to have these items removed. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Make sure you complete an emergency drill in December 2024. • We discussed that if the cafeteria brings you something different than what is listed on the menu, make sure you change the menu to reflect the meal that was served. • Make sure to have Ms. Inzar complete the last health and safety training by 08/01/2025. The permission to administer medication training should be completed within one year. • There is a beehive located under a window of space 111 that needs to be removed. • The mulch at the base of the slides need to be fluffed. You have plenty of mulch but it needs to be fluffed to ensure depth requirements are maintained. • Keep a check on the tricycles. A couple of them are showing signs of wear and the handle bars are beginning to rust. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
- Violation
NC GS 110-90 · Violation
Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 11/25/2024 Number Present: 32 Completed Date: 11/25/2024 Age: From 4 To 5 Total Minutes: 95 Time In: 09:55 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Whitney Parker, Childcare Consultant, with Christine Bryson, Lead Teacher, Tontesia Flythe, Lead Teacher, Brandi Inzar, Assistant Teacher, and Jeanette Corbett, Assistant Teacher. The program currently operates with a four-star license re-issued 8/12/22. Restrictions include daytime care only; meets enhanced space; meets enhanced ratios; meets all enhanced requirements and reduced ratios minus one. This program is operated by Winston Salem Forsyth County Schools. Rooms 111 and 113 are designated NCPK. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. One new staff was reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. No medications were observed nor reported. Storage hazardous items was monitored today. A playground inspection was recorded 11/22/2024. A fire drill was recorded 11/21/2024. A lock down drill for the facility was recorded 09/12/2024. The most recent fire inspection was on 09/16/2024. A copy of this inspection was received during the visit. I observed a sanitation inspection was last conducted on 3/21/24 earning a superior classification. The program does not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I did not observe any safety concerns indoors. On the playground, I observed two brown playhouse structures that had broken stove and cabinet doors. The broken areas exposed sharp plastic on the house and left broken sharp plastic pieces on the ground surrounding the area. 10A NCAC 09 .0601(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 12/9/24. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that the outdoor environment should be scanned for hazards prior to children using the area. There are two brown toy houses with broken doors that are exposing sharp plastic and could post a harm to children. Ms. Bryson stated they do not typically use these houses and that the playground is shared with the kindergarten classrooms. We discussed that even though this area may not be used it is accessible and that you would need to maintain it the same as the rest of the playground area. Ms. Bryson stated they would place a work order to have these items removed. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Make sure you complete an emergency drill in December 2024. • We discussed that if the cafeteria brings you something different than what is listed on the menu, make sure you change the menu to reflect the meal that was served. • Make sure to have Ms. Inzar complete the last health and safety training by 08/01/2025. The permission to administer medication training should be completed within one year. • There is a beehive located under a window of space 111 that needs to be removed. • The mulch at the base of the slides need to be fluffed. You have plenty of mulch but it needs to be fluffed to ensure depth requirements are maintained. • Keep a check on the tricycles. A couple of them are showing signs of wear and the handle bars are beginning to rust. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
- Violation
NC GS 110-90 · Violation
Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: 1124-134L Visit Date: 11/14/2024 Number Present: 34 Completed Date: 11/14/2024 Age: From 4 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant with Irma McPhatter, Principal, Tontesia Flythe, Lead Teacher, and Jeanette Corbett, Assistant Teacher. The allegations are as follows: There is a concern of inadequate supervision. A child was left outside on the playground unattended for an unknown amount of time. During today’s visit, the allegations were discussed with you. You had the opportunity to respond. Information shared during this visit are documented in this visit summary. The program currently operates with a four-star license re-issued 8/12/22. Restrictions include daytime care only; meets enhanced space; meets enhanced ratios; meets all enhanced requirements and reduced ratios minus one. This program is operated by Winston Salem Forsyth County Schools. Rooms 111 and 113 are designated NCPK. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • License Posted • Permit Restrictions Allegation #1: There is a concern of inadequate supervision. A child was left outside on the playground unattended for an unknown amount of time. Observation #1: On 11/12/2024, an employee from Winston-Salem Forsyth County schools called the DCDEE to self-report an incident that occurred on 11/06/2024 at approximately 2:02 p.m. During today’s visit, I visited spaces 111 and 113. I interviewed five employees, including two lead teachers, two assistant teachers, and the principal. The teachers in space 113 did not have any knowledge about the allegation and did not have any additional information about the incident. I interviewed the two teachers in space 111 where the child in question is enrolled. Ms. Flythe and Ms. Corbett stated that they came in from the playground and immediately sent the children to the bathroom to wash their hands. Both teachers stated that Ms. Corbett was positioned at the exterior door watching the children wash their hands. Both teachers stated that there was one child that was outside and that the child wiggled the door handle to come inside at which time Ms. Corbett let her in the classroom. Ms. Corbett stated that when the child came to the door, she asked the child why she did not come to the door with the rest of the class and the child did not respond. Ms. Flythe and Ms. Corbett both stated they make sure all children are accounted for by visibly counting children during transitions. Ms. Corbett stated they engage the children in counting to make it a learning activity as well. Ms. Flythe stated they blow a whistle to alert the children that it is time to go inside when they are coming inside from outdoor play. Both teachers stated they supervise children by constantly walking around and monitoring the children. I also interview the principal of the school. Ms. McPhatter stated that both teachers in space 111 approached her after school on 11/06/2024 stating that a parent had contacted the assistant teacher by the Class Dojo application stating that her child was dirty and had been left outside. Ms. McPhatter stated that the lead teacher called the parent back to discuss the message and that the conversation escalated on both parts. Ms. McPhatter stated the parent came to visit her the next day (11/07/2024) and expressed the same concerns to her that she expressed to the teachers the previous day. Ms. McPhatter told the parent she would look into the situation. Ms. McPhatter also stated that the parent contacted Ms. Tonya Love at Winston-Salem Forsyth County Schools to discuss the matter. Ms. McPhatter stated that after talking to the parent and Winston-Salem Forsyth County School employees, she decided to look at the video footage from 11/06/2024. Ms. McPhatter stated that when she watched the video footage, she observed the children enrolled in space 111 playing on the playground and then going inside the building at approximately 2:36 p.m. Ms. McPhatter stated that she immediately noticed a child on the opposite end of the playground near the home living equipment by herself. Ms. McPhatter stated she observed the child walk up the sidewalk and pull on the door. Ms. McPhatter stated that at approximately 2:38 p.m. the child appears to be walking away from the door but that the camera glitches and does not come back on until 2:42 p.m. Ms. McPhatter stated after she watched the video, she asked the teachers to write a statement and met with them after school that afternoon to discuss the incident and show the teachers the video footage. Ms. McPhatter stated the teachers stated that Ms. Corbett was positioned at the exterior door. Ms. McPhatter stated the child came back to school on the 7th but did not stay. Ms. McPhatter stated that after speaking to the family, the child did return to school on the 8th and has been in attendance regularly since. Ms. McPhatter stated that at this time she requested a hold on the video to ensure the footage was accessible to DCDEE employees. She also stated that she has contacted their legal team and HR to discuss the incident and has worked with the employees to get statements of the incident. Ms. McPhatter also stated she discussed some localize plans of methods to be discussed to implement strategies in the classroom with Winston-Salem Forsyth County School employees. I observed classroom schedules and staff/child interactions in space 111. The classroom schedule reflects that children have outdoor play time from 2:05 p.m. to 2:35 p.m. daily. Teachers were positioned in the classroom where they were engaging with the children during indoor gross motor activities. Teachers were positioned where they could see and hear the children. Supervision was adequate during the visit. I observed the playground during the visit. The playground is a large open area with various learning stations set up for children enrolled in the pre-kindergarten classroom as well as children enrolled in Kindergarten in the school. The exterior door of space 111 is located at the opposite end of the playground where the home living equipment is located. During the visit, I looked out the exterior door window and attempted to see the opposite end of the playground where the home living equipment is located. I was not able to see the opposite end of the playground from the window of the exterior door. I observed the arrival and departure of sheet from 11/06/2024. There were five (5) children documented as present between 2:35 p.m. and 2:52 p.m. on 11/06/2024. The child in question was signed out by the child’s parent at 2:39 p.m. on 11/06/2024. I was also able to view video footage from 11/06/2024. I observed footage from 2:00 p.m. to 2:43 p.m. During the video observation, I observed the children enrolled in space 111, Ms. Flythe, and Ms. Corbett enter the playground area at approximately 2:01 p.m. I observed the children engaging in free play outdoors until approximately 2:35 p.m. when the children began walking to the exterior door to go back into the classroom. I observed the teachers in space 111 standing by the exterior door, holding the door open, and waiting on the children to go inside. I observed the teachers positioned with their backs toward the back of the playground where the home living equipment is set up. I observed the assistant teacher use a key to lock the exterior door handle prior to entering the building. I observed four (4) children enter the exterior door to enter space 111. At approximately 2:36 p.m., after the four children entered the exterior door to enter space 111, I observe the two teachers walk in the door and the door appeared to shut behind them. At 2:36 p.m. on the video footage, I observed a child on the opposite end of the playground where the home living equipment is set up. I observed the child approach the sidewalk and walk to the exterior door of space 111 at approximately 2:37 p.m. I observed the child looking at the door for approximately forty-five (45) seconds. I observed the child reach for the door handle and attempt to manipulate the door handle for approximately fifteen (15) more seconds. At approximately 2:38 p.m., I observed the child let the door hand go and turn her body away from the door. At approximately 2:38 p.m., I observed the camera system glitch out. The camera footage returned at approximately 2:42 p.m. at which time the child could no longer be seen on the playground footage. I also observed video footage from the playground area from 11/13/2024 from approximately 2:30 p.m. to 2:35 p.m. I observed the teachers in space 111 have the children gather at the exterior door and then entered in space 111. I observed the assistant teacher look at the back of the playground prior to entering space 111. Conclusion #1: Based on the above information and observations during today’s visit, there was enough information to support the allegation. This allegation was substantiated. The following violation was cited during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 11/06/2024, a child was left outside on the playground unattended for a minimum of two (2) minutes. .1801(a)(1-5) 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. You must correct the violation cited during today's visit immediately and send me documentation verifying compliance on or before 11/28/24. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced monitoring visit will be conducted to verify correction of the violation cited during today’s visit. Technical assistance discussed during today’s visit related to the violation: • We discussed that children must be supervised at all times. You must be able to render assistance if needed at all times. We discussed that based on the video footage; the child appeared to be out of view for approximately one (1) minute prior to approaching the classroom door where the child could have been visible from the exterior door window. We also discussed that the child was looking in the window of the exterior door and manipulating the door handle for approximately one (1) additional minute prior to the video footage cutting off. I recommend implementing a plan to transition from inside to outside and outside to inside to ensure that all children are accounted for at all times. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • During the visit, Ms. Corbett inquired about the rated license process. The hold harmless was extended until the QRIS modernization has been completed. The previous cohort model is no longer in effect. 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. You can find more information at this link: https://ncrlap.org/Resources/pages/get-ready-for-3s/ • During the visit, Ms. Inzar inquired about her WORKS letter. I will follow up with Ms. Inzar by email after the visit. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
- Violation
10A NCAC 09 .0601 · Violation
Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 6/4/2024 Number Present: 32 Completed Date: 6/4/2024 Age: From 4 To 5 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant, with Christine Bryson, Lead Teacher, Tontesia Flythe, Lead Teacher, Lezly Peralta, Assistant Teacher, and Jeanette Corbett, Assistant Teacher. The program currently operates with a four-star license re-issued 8/12/22. Restrictions include daytime care only; meets enhanced space; meets enhanced ratios; meets all enhanced requirements and reduced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is operated by Winston Salem Forsyth County Schools. Rooms 111 and 113 are designated NCPK. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, group time, and eating lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 09/06/2023. A sanitation inspection was completed 03/21/2024 with a superior classification. The last fire inspection was conducted 09/14/2023. Program records and required postings were monitored. A fire drill was conducted on 05/22/2024. A shelter in place drill was documented on 04/30/2024. An outdoor inspection was documented on 05/23/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation at this time. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Christine Bryson and Tontesia Flythe, and teachers, Lezly Peralta and Jeanette Corbett. A selection of files was monitored for completed health assessments and developmental screenings. Your 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. Your facility uses the Creative Curriculum. You stated you parents completed the ASQ screenings during the summer. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was 08/28/2023. The classroom operates from 8:25 a.m. to 2:55 p.m. Parent conferences are held three times per year. You stated that you use Class Dojo to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about special events and reminders. You verified that you incorporate family engagement by sending home monthly newsletters, study newsletters, holding special events, and having parent meetings. The environment rating scale score received on 02/01/2018 was 5.92. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I observed a two shelf rolling cart that was rusted with peeling paint and rust chipping off. I also observed a toy car with an exposed rusted bolt. 10A NCAC 09 .0601(a) 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. During the visit, in space 113, I observed a bottle of liquid white out on a child sized table. .2820(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violations cited during today’s visit were corrected during the visit. A compliance letter is not due at this time. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We discussed rule 15A NCAC 18A .2820(b). All hazardous materials must be kept in locked storage. You locked the white out up during the visit. • We discussed rule .0601(a). Playgrounds should be free of hazards prior to children using them. You removed the rusted cart and the toy car with an exposed rusted bolt during the visit. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 02/21/2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Bryson confirmed during today’s visit that the email was received and provided information that she was instructed to not complete this process because it was being handled at a district level. All programs were required to enroll in this program by May 1st. I recommend reaching out to your environmental health inspector for guidance. • Make sure you complete a fire drill and a playground inspection this week. • Make sure any substitute that is in either NC Pre-K classroom is documented on the staff and training worksheet if they will serve more than ten days in the classroom throughout the school year. They are required to have the information on file like regular teaching staff. • I will reach out to you regarding assessments when I receive more information. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
- Violation
10A NCAC 09 .3009 · Violation
Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 6/4/2024 Number Present: 32 Completed Date: 6/4/2024 Age: From 4 To 5 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant, with Christine Bryson, Lead Teacher, Tontesia Flythe, Lead Teacher, Lezly Peralta, Assistant Teacher, and Jeanette Corbett, Assistant Teacher. The program currently operates with a four-star license re-issued 8/12/22. Restrictions include daytime care only; meets enhanced space; meets enhanced ratios; meets all enhanced requirements and reduced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is operated by Winston Salem Forsyth County Schools. Rooms 111 and 113 are designated NCPK. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, group time, and eating lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 09/06/2023. A sanitation inspection was completed 03/21/2024 with a superior classification. The last fire inspection was conducted 09/14/2023. Program records and required postings were monitored. A fire drill was conducted on 05/22/2024. A shelter in place drill was documented on 04/30/2024. An outdoor inspection was documented on 05/23/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation at this time. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Christine Bryson and Tontesia Flythe, and teachers, Lezly Peralta and Jeanette Corbett. A selection of files was monitored for completed health assessments and developmental screenings. Your 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. Your facility uses the Creative Curriculum. You stated you parents completed the ASQ screenings during the summer. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was 08/28/2023. The classroom operates from 8:25 a.m. to 2:55 p.m. Parent conferences are held three times per year. You stated that you use Class Dojo to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about special events and reminders. You verified that you incorporate family engagement by sending home monthly newsletters, study newsletters, holding special events, and having parent meetings. The environment rating scale score received on 02/01/2018 was 5.92. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I observed a two shelf rolling cart that was rusted with peeling paint and rust chipping off. I also observed a toy car with an exposed rusted bolt. 10A NCAC 09 .0601(a) 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. During the visit, in space 113, I observed a bottle of liquid white out on a child sized table. .2820(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violations cited during today’s visit were corrected during the visit. A compliance letter is not due at this time. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We discussed rule 15A NCAC 18A .2820(b). All hazardous materials must be kept in locked storage. You locked the white out up during the visit. • We discussed rule .0601(a). Playgrounds should be free of hazards prior to children using them. You removed the rusted cart and the toy car with an exposed rusted bolt during the visit. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 02/21/2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Bryson confirmed during today’s visit that the email was received and provided information that she was instructed to not complete this process because it was being handled at a district level. All programs were required to enroll in this program by May 1st. I recommend reaching out to your environmental health inspector for guidance. • Make sure you complete a fire drill and a playground inspection this week. • Make sure any substitute that is in either NC Pre-K classroom is documented on the staff and training worksheet if they will serve more than ten days in the classroom throughout the school year. They are required to have the information on file like regular teaching staff. • I will reach out to you regarding assessments when I receive more information. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
- Violation
NC GS 110-90 · Violation
Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 6/4/2024 Number Present: 32 Completed Date: 6/4/2024 Age: From 4 To 5 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant, with Christine Bryson, Lead Teacher, Tontesia Flythe, Lead Teacher, Lezly Peralta, Assistant Teacher, and Jeanette Corbett, Assistant Teacher. The program currently operates with a four-star license re-issued 8/12/22. Restrictions include daytime care only; meets enhanced space; meets enhanced ratios; meets all enhanced requirements and reduced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is operated by Winston Salem Forsyth County Schools. Rooms 111 and 113 are designated NCPK. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, group time, and eating lunch. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 09/06/2023. A sanitation inspection was completed 03/21/2024 with a superior classification. The last fire inspection was conducted 09/14/2023. Program records and required postings were monitored. A fire drill was conducted on 05/22/2024. A shelter in place drill was documented on 04/30/2024. An outdoor inspection was documented on 05/23/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation at this time. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Christine Bryson and Tontesia Flythe, and teachers, Lezly Peralta and Jeanette Corbett. A selection of files was monitored for completed health assessments and developmental screenings. Your 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. Your facility uses the Creative Curriculum. You stated you parents completed the ASQ screenings during the summer. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year. The first day of school was 08/28/2023. The classroom operates from 8:25 a.m. to 2:55 p.m. Parent conferences are held three times per year. You stated that you use Class Dojo to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about special events and reminders. You verified that you incorporate family engagement by sending home monthly newsletters, study newsletters, holding special events, and having parent meetings. The environment rating scale score received on 02/01/2018 was 5.92. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I observed a two shelf rolling cart that was rusted with peeling paint and rust chipping off. I also observed a toy car with an exposed rusted bolt. 10A NCAC 09 .0601(a) 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. During the visit, in space 113, I observed a bottle of liquid white out on a child sized table. .2820(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violations cited during today’s visit were corrected during the visit. A compliance letter is not due at this time. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We discussed rule 15A NCAC 18A .2820(b). All hazardous materials must be kept in locked storage. You locked the white out up during the visit. • We discussed rule .0601(a). Playgrounds should be free of hazards prior to children using them. You removed the rusted cart and the toy car with an exposed rusted bolt during the visit. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 02/21/2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Bryson confirmed during today’s visit that the email was received and provided information that she was instructed to not complete this process because it was being handled at a district level. All programs were required to enroll in this program by May 1st. I recommend reaching out to your environmental health inspector for guidance. • Make sure you complete a fire drill and a playground inspection this week. • Make sure any substitute that is in either NC Pre-K classroom is documented on the staff and training worksheet if they will serve more than ten days in the classroom throughout the school year. They are required to have the information on file like regular teaching staff. • I will reach out to you regarding assessments when I receive more information. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
- Violation
10A NCAC 09 .0601 · Violation
Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 30 Completed Date: 9/6/2023 Age: From 4 To 4 Total Minutes: 240 Time In: 08:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant, with Christine Bryson, Lead Teacher. Ms. McPhatter, Principal, was offsite during the visit. Mr. Rose, Assistant Principal assisted me during the visit. The program currently operates with a four-star license re-issued 8/12/22. Restrictions include daytime care only; meets enhanced space; meets enhanced ratios; meets all enhanced requirements and reduced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is operated by Winston Salem Forsyth County Schools. Rooms 111 and 113 are designated NCPK. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. I observed exposed torn, black tarp on the playground in the rock area. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children engaging in free play, routine activities, and group time. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your 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. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 10/26/2022. A sanitation inspection was completed 03/20/2023 with a superior classification. The last fire inspection was conducted 09/09/2022. A copy of this inspection was received during this visit. Program records and required postings were monitored. A fire drill was conducted on 08/31/2023. A shelter in place or lock down drill has not been documented at this time due to the classroom opening last week. Please make sure to document an emergency drill so that you have one every three months. An outdoor inspection was documented on 08/29/2023. Staff files and children’s records were monitored per DCDEE procedures. I observed three employee files that did not have updated emergency information sheets on file. I observed that the administrator did not recognizing and responding to child abuse and maltreatment training on file. I observed three employees who did not have documentation of reviewing the EPR and EMC plans annually. I observed three employee files that did not have documentation of the required number of on-going training hours. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. In space 113, I observed a bottle of hand sanitizer and several containers of disinfecting wipes stored on child sized tables not five vertical feet. In the bathroom shared by both classrooms, I observed an aerosol can of air freshener that was on an unlocked shelf at least five vertical feet. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There were no safety concerns indoors. On the playground, I observed exposed torn, black tarp in the rock area. 10A NCAC 09 .0601(a) 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. I observed a can of air freshener located in the shared bathroom stored on a shelf rather than in locked storage. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. I observed three employee files that did not have current documentation of an EMC review. 10A NCAC 09 .0802(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. I observed three employee files that did not include a current emergency information form on file. .0701(a) 1054 Documentation of staff's on-going training was not on file and/or was not current . I observed three employees that did not have a current log for on-going training hours. 10A NCAC 09 .1106(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. I observed three employee files that did not have current documentation of an EPR Plan review. .0607(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I observed the administrator's file that did not include a Recognizing and Responding to Suspicions of Child Maltreatment certificate. .1102(g) 9995 A violation was found for which there is no item number. I observed hand sanitizer and several containers of disinfectant wipes stored on a child sized table in space 113. This is a violation of 15A NCAC 18A .2820 (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 09/20/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. We discussed during today's visit, since your facility only operates ten months throughout the year, your facility may receive a second annual compliance visit this fiscal year. Technical assistance provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. •Update your off-site verification forms to reflect all current staff, including the administrator and substitutes, by 10/04/2023. •Make sure all employees review the emergency medical care plan and emergency preparedness and response plan annually. Document this in each employee’s file or on a staff meeting roster to verify this has been reviewed annually. •All employees, including the administrator, must renew emergency information sheets annually. •All employees, including the administrator, must keep current documentation reflecting all health and safety training, including Recognizing and Responding to Suspicions of Child Maltreatment, and on-going training hours. •Black tarp on the playground must be covered at all times. •Any supplies in pressurized cans must be kept in locked storage. •All hand sanitizer and disinfecting wipes must be stored at least five vertical feet high. •You need to have a fire inspection by 09/09/2023. Please email me a copy of this inspection once it has been received. •Make sure the centers are filled with enough materials for the children in each space. •I am sending you a copy of the staff file checklist. This checklist can be found on our website. All other required forms can be found on our website as well. Visit this site for more information: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms •If you use lesson plans from the curriculum books, you will need to scan, print, date, and post them for your families. •Your facility is in cohort one. Beginning in July and throughout the next few months I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024, and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. -Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS). -Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted. -Request technical assistance with your local partners. -Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. -Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways. -Visit this website for more information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
- Violation
10A NCAC 09 .0802 · Violation
Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 30 Completed Date: 9/6/2023 Age: From 4 To 4 Total Minutes: 240 Time In: 08:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant, with Christine Bryson, Lead Teacher. Ms. McPhatter, Principal, was offsite during the visit. Mr. Rose, Assistant Principal assisted me during the visit. The program currently operates with a four-star license re-issued 8/12/22. Restrictions include daytime care only; meets enhanced space; meets enhanced ratios; meets all enhanced requirements and reduced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is operated by Winston Salem Forsyth County Schools. Rooms 111 and 113 are designated NCPK. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. I observed exposed torn, black tarp on the playground in the rock area. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children engaging in free play, routine activities, and group time. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your 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. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 10/26/2022. A sanitation inspection was completed 03/20/2023 with a superior classification. The last fire inspection was conducted 09/09/2022. A copy of this inspection was received during this visit. Program records and required postings were monitored. A fire drill was conducted on 08/31/2023. A shelter in place or lock down drill has not been documented at this time due to the classroom opening last week. Please make sure to document an emergency drill so that you have one every three months. An outdoor inspection was documented on 08/29/2023. Staff files and children’s records were monitored per DCDEE procedures. I observed three employee files that did not have updated emergency information sheets on file. I observed that the administrator did not recognizing and responding to child abuse and maltreatment training on file. I observed three employees who did not have documentation of reviewing the EPR and EMC plans annually. I observed three employee files that did not have documentation of the required number of on-going training hours. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. In space 113, I observed a bottle of hand sanitizer and several containers of disinfecting wipes stored on child sized tables not five vertical feet. In the bathroom shared by both classrooms, I observed an aerosol can of air freshener that was on an unlocked shelf at least five vertical feet. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There were no safety concerns indoors. On the playground, I observed exposed torn, black tarp in the rock area. 10A NCAC 09 .0601(a) 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. I observed a can of air freshener located in the shared bathroom stored on a shelf rather than in locked storage. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. I observed three employee files that did not have current documentation of an EMC review. 10A NCAC 09 .0802(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. I observed three employee files that did not include a current emergency information form on file. .0701(a) 1054 Documentation of staff's on-going training was not on file and/or was not current . I observed three employees that did not have a current log for on-going training hours. 10A NCAC 09 .1106(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. I observed three employee files that did not have current documentation of an EPR Plan review. .0607(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I observed the administrator's file that did not include a Recognizing and Responding to Suspicions of Child Maltreatment certificate. .1102(g) 9995 A violation was found for which there is no item number. I observed hand sanitizer and several containers of disinfectant wipes stored on a child sized table in space 113. This is a violation of 15A NCAC 18A .2820 (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 09/20/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. We discussed during today's visit, since your facility only operates ten months throughout the year, your facility may receive a second annual compliance visit this fiscal year. Technical assistance provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. •Update your off-site verification forms to reflect all current staff, including the administrator and substitutes, by 10/04/2023. •Make sure all employees review the emergency medical care plan and emergency preparedness and response plan annually. Document this in each employee’s file or on a staff meeting roster to verify this has been reviewed annually. •All employees, including the administrator, must renew emergency information sheets annually. •All employees, including the administrator, must keep current documentation reflecting all health and safety training, including Recognizing and Responding to Suspicions of Child Maltreatment, and on-going training hours. •Black tarp on the playground must be covered at all times. •Any supplies in pressurized cans must be kept in locked storage. •All hand sanitizer and disinfecting wipes must be stored at least five vertical feet high. •You need to have a fire inspection by 09/09/2023. Please email me a copy of this inspection once it has been received. •Make sure the centers are filled with enough materials for the children in each space. •I am sending you a copy of the staff file checklist. This checklist can be found on our website. All other required forms can be found on our website as well. Visit this site for more information: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms •If you use lesson plans from the curriculum books, you will need to scan, print, date, and post them for your families. •Your facility is in cohort one. Beginning in July and throughout the next few months I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024, and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. -Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS). -Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted. -Request technical assistance with your local partners. -Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. -Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways. -Visit this website for more information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
- Violation
10A NCAC 09 .1106 · Violation
Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 30 Completed Date: 9/6/2023 Age: From 4 To 4 Total Minutes: 240 Time In: 08:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant, with Christine Bryson, Lead Teacher. Ms. McPhatter, Principal, was offsite during the visit. Mr. Rose, Assistant Principal assisted me during the visit. The program currently operates with a four-star license re-issued 8/12/22. Restrictions include daytime care only; meets enhanced space; meets enhanced ratios; meets all enhanced requirements and reduced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is operated by Winston Salem Forsyth County Schools. Rooms 111 and 113 are designated NCPK. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. I observed exposed torn, black tarp on the playground in the rock area. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children engaging in free play, routine activities, and group time. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your 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. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 10/26/2022. A sanitation inspection was completed 03/20/2023 with a superior classification. The last fire inspection was conducted 09/09/2022. A copy of this inspection was received during this visit. Program records and required postings were monitored. A fire drill was conducted on 08/31/2023. A shelter in place or lock down drill has not been documented at this time due to the classroom opening last week. Please make sure to document an emergency drill so that you have one every three months. An outdoor inspection was documented on 08/29/2023. Staff files and children’s records were monitored per DCDEE procedures. I observed three employee files that did not have updated emergency information sheets on file. I observed that the administrator did not recognizing and responding to child abuse and maltreatment training on file. I observed three employees who did not have documentation of reviewing the EPR and EMC plans annually. I observed three employee files that did not have documentation of the required number of on-going training hours. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. In space 113, I observed a bottle of hand sanitizer and several containers of disinfecting wipes stored on child sized tables not five vertical feet. In the bathroom shared by both classrooms, I observed an aerosol can of air freshener that was on an unlocked shelf at least five vertical feet. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There were no safety concerns indoors. On the playground, I observed exposed torn, black tarp in the rock area. 10A NCAC 09 .0601(a) 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. I observed a can of air freshener located in the shared bathroom stored on a shelf rather than in locked storage. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. I observed three employee files that did not have current documentation of an EMC review. 10A NCAC 09 .0802(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. I observed three employee files that did not include a current emergency information form on file. .0701(a) 1054 Documentation of staff's on-going training was not on file and/or was not current . I observed three employees that did not have a current log for on-going training hours. 10A NCAC 09 .1106(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. I observed three employee files that did not have current documentation of an EPR Plan review. .0607(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I observed the administrator's file that did not include a Recognizing and Responding to Suspicions of Child Maltreatment certificate. .1102(g) 9995 A violation was found for which there is no item number. I observed hand sanitizer and several containers of disinfectant wipes stored on a child sized table in space 113. This is a violation of 15A NCAC 18A .2820 (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 09/20/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. We discussed during today's visit, since your facility only operates ten months throughout the year, your facility may receive a second annual compliance visit this fiscal year. Technical assistance provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. •Update your off-site verification forms to reflect all current staff, including the administrator and substitutes, by 10/04/2023. •Make sure all employees review the emergency medical care plan and emergency preparedness and response plan annually. Document this in each employee’s file or on a staff meeting roster to verify this has been reviewed annually. •All employees, including the administrator, must renew emergency information sheets annually. •All employees, including the administrator, must keep current documentation reflecting all health and safety training, including Recognizing and Responding to Suspicions of Child Maltreatment, and on-going training hours. •Black tarp on the playground must be covered at all times. •Any supplies in pressurized cans must be kept in locked storage. •All hand sanitizer and disinfecting wipes must be stored at least five vertical feet high. •You need to have a fire inspection by 09/09/2023. Please email me a copy of this inspection once it has been received. •Make sure the centers are filled with enough materials for the children in each space. •I am sending you a copy of the staff file checklist. This checklist can be found on our website. All other required forms can be found on our website as well. Visit this site for more information: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms •If you use lesson plans from the curriculum books, you will need to scan, print, date, and post them for your families. •Your facility is in cohort one. Beginning in July and throughout the next few months I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024, and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. -Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS). -Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted. -Request technical assistance with your local partners. -Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. -Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways. -Visit this website for more information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
- Violation
NC GS 110-90 · Violation
Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 9/6/2023 Number Present: 30 Completed Date: 9/6/2023 Age: From 4 To 4 Total Minutes: 240 Time In: 08:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant, with Christine Bryson, Lead Teacher. Ms. McPhatter, Principal, was offsite during the visit. Mr. Rose, Assistant Principal assisted me during the visit. The program currently operates with a four-star license re-issued 8/12/22. Restrictions include daytime care only; meets enhanced space; meets enhanced ratios; meets all enhanced requirements and reduced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is operated by Winston Salem Forsyth County Schools. Rooms 111 and 113 are designated NCPK. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. I observed exposed torn, black tarp on the playground in the rock area. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children engaging in free play, routine activities, and group time. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your 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. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 10/26/2022. A sanitation inspection was completed 03/20/2023 with a superior classification. The last fire inspection was conducted 09/09/2022. A copy of this inspection was received during this visit. Program records and required postings were monitored. A fire drill was conducted on 08/31/2023. A shelter in place or lock down drill has not been documented at this time due to the classroom opening last week. Please make sure to document an emergency drill so that you have one every three months. An outdoor inspection was documented on 08/29/2023. Staff files and children’s records were monitored per DCDEE procedures. I observed three employee files that did not have updated emergency information sheets on file. I observed that the administrator did not recognizing and responding to child abuse and maltreatment training on file. I observed three employees who did not have documentation of reviewing the EPR and EMC plans annually. I observed three employee files that did not have documentation of the required number of on-going training hours. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. In space 113, I observed a bottle of hand sanitizer and several containers of disinfecting wipes stored on child sized tables not five vertical feet. In the bathroom shared by both classrooms, I observed an aerosol can of air freshener that was on an unlocked shelf at least five vertical feet. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There were no safety concerns indoors. On the playground, I observed exposed torn, black tarp in the rock area. 10A NCAC 09 .0601(a) 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. I observed a can of air freshener located in the shared bathroom stored on a shelf rather than in locked storage. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. I observed three employee files that did not have current documentation of an EMC review. 10A NCAC 09 .0802(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. I observed three employee files that did not include a current emergency information form on file. .0701(a) 1054 Documentation of staff's on-going training was not on file and/or was not current . I observed three employees that did not have a current log for on-going training hours. 10A NCAC 09 .1106(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. I observed three employee files that did not have current documentation of an EPR Plan review. .0607(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I observed the administrator's file that did not include a Recognizing and Responding to Suspicions of Child Maltreatment certificate. .1102(g) 9995 A violation was found for which there is no item number. I observed hand sanitizer and several containers of disinfectant wipes stored on a child sized table in space 113. This is a violation of 15A NCAC 18A .2820 (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 09/20/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. We discussed during today's visit, since your facility only operates ten months throughout the year, your facility may receive a second annual compliance visit this fiscal year. Technical assistance provided during today’s visit: •You must notify your consultant 30 days prior to changing the ownership status of your facility. •Update your off-site verification forms to reflect all current staff, including the administrator and substitutes, by 10/04/2023. •Make sure all employees review the emergency medical care plan and emergency preparedness and response plan annually. Document this in each employee’s file or on a staff meeting roster to verify this has been reviewed annually. •All employees, including the administrator, must renew emergency information sheets annually. •All employees, including the administrator, must keep current documentation reflecting all health and safety training, including Recognizing and Responding to Suspicions of Child Maltreatment, and on-going training hours. •Black tarp on the playground must be covered at all times. •Any supplies in pressurized cans must be kept in locked storage. •All hand sanitizer and disinfecting wipes must be stored at least five vertical feet high. •You need to have a fire inspection by 09/09/2023. Please email me a copy of this inspection once it has been received. •Make sure the centers are filled with enough materials for the children in each space. •I am sending you a copy of the staff file checklist. This checklist can be found on our website. All other required forms can be found on our website as well. Visit this site for more information: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms •If you use lesson plans from the curriculum books, you will need to scan, print, date, and post them for your families. •Your facility is in cohort one. Beginning in July and throughout the next few months I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024, and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. -Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS). -Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted. -Request technical assistance with your local partners. -Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. -Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways. -Visit this website for more information: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
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Generated from this facility's specific inspection record
- 1The Apr 15, 2026 inspection noted: “Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 4/15/2026 Num…” — what has changed since then?
- 2The May 12, 2025 inspection noted: “Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 5/12/2025 Num…” — what has changed since then?
- 3The Nov 25, 2024 inspection noted: “Name of Operation: CALEB'S CREEK ELEMENTARY PRE-K Facility ID: 34001233 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 11/25/2024 Nu…” — what has changed since then?
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