Farmer-N-Dell Learning Center, LLC

10A NCAC 09 .0803 · Violation

Name of Operation: FARMER-N-DELL LEARNING CENTER, LLC Facility ID: 54000328 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 3/19/2026 Number Present: 100 Completed Date: 3/19/2026 Age: From 0 To 11 Total Minutes: 375 Time In: 09:00 AM Time Out: 01:00 PM Time In: 01:30 PM Time Out: 03:45 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable requirements during an Annual Compliance visit. A checklist was used to note the requirements I monitored today. The staff and training worksheets were submitted prior to the visit. Kim Barnes, Child Care Consultant, assisted with today’s visit. Currently this center operates with a Five Star License, issued December 12, 2018, earning six (6) points in the Education Component, six (6) points in the Program Component and one (1) Quality point based on the program having a staff benefits package and an infrastructure of parental involvement. You, M. Aldridge, Administrator, were present and available for consultation at the conclusion of the visit. S. Wolmarans, the second Administrator, was also present and assisted with today’s visit. Children were observed participating in group activities, free play in centers, completing transitions, completing routines such as handwashing and toileting and participating in outdoor free play. The teachers supervised and interacted with the children in a positive manner. Infants were observed participating in tummy time, interacting with caregivers, and napping. Sleep checks were in compliance with child care requirements. The last Annual Compliance visit was completed on April 1, 2025. The last sanitation inspection was completed today, March 19, 2025, with a “Superior” classification. The last fire inspection was completed May 6, 2025. This facility is owned by Farmer-N-Dell Learning Center, LLC (Limited Liability Company). As of today, the status is listed as “Current-Active” on the NC Secretary of State website. Prior to any changes with the corporation, please contact me to discuss change of ownership procedures. Prior to today’s visit, the facility has earned a Compliance History score of 98% over an 18 - month time- period. A copy of the compliance history was provided to you. I used the Annual Compliance Monitoring Checklist for Child Care and the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. The computer-generated visit summary was reviewed with you, including all documented violations, and a copy was provided to you. The following violations of child care requirements were documented: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space B2-4, bottles were not labeled with today's date. 15A NCAC 18A .2804(d) 847 Parent's medication authorization did not include required information. In space B2-2 and in space B-5, the parents medication authorization had expired. 10A NCAC 09 .0803(4)(6-9) CONSULTATION AND TECHNICAL ASSISTANCE: Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the child care laws and rules on the Division of Child Development and Early Education’s website. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. TECHNICAL ASSISTANCE: QRIS- Frequently Asked Questions We have received a lot of questions about the changes in section .3200. We’ve compiled those questions and answers in this updated FAQ document on the QRIS Modernization page. The questions and answers within the FAQ are categorized by different QRIS topics, including each of the pathway options outlined within the new system. As you continue to navigate these changes, please take a moment to look through the FAQ. If you have additional questions, please reach out to your licensing consultant. PROFESSIONAL DEVELOPMENT: Offerings from Early Years Early Years offers a variety of live and on-demand virtual trainings. Upcoming classes include: • Nurturing Little Minds: Interactions and Language Development on March 12 • Building Relationships with Infants & Toddlers on March 18 • Creating a YES Environment: Safe Spaces for Infants & Toddlers on March 25 • Healthy Behaviors on March 26 • Applying NCFELD to Infant-Toddler Planning on March 31 FREE ADULT MENTAL HEALTH FIRST AID TRAINING Be prepared to support those around you by getting certified in Mental Health First Aid. Mental Health First Aid teaches the skills needed to recognize and respond to signs and symptoms of mental health and substance use challenges, as well as how to provide someone with initial support until they are connected with appropriate professional help. In the free course, you learn risk factors and warning signs for mental health and addiction concerns, strategies to help someone in both crisis and non-crisis situations, and where to turn for help. Offered by UNC School of Social Work and the NCDHHS Division of Child Development and Early Education. To register visit: https://ncmhfa.unc.edu/adult-mhfa-for-child-development-and-early-educators/ For a list of trainings and dates, visit https://acrobat.adobe.com/id/urn:aaid:sc:VA6C2:1e43735b-e609-414f-a946-ef316e09edae For Questions, Please Email nccommunitymhfa@ssw.unc.edu PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. The NC child care rules were last updated as of July 1, 2025. • The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov • NC Child Care Health & Safety Resource Center www.healthychildcare.unc.edu. CONTACT INFORMATION: Thank you for your time today – if you have any questions concerning today’s visit or any child care requirement, you may contact me at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Licensing Supervisor Susan Fuller at 252-373-9809. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: FARMER-N-DELL LEARNING CENTER, LLC Facility ID: 54000328 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 10/9/2024 Number Present: 92 Completed Date: 10/9/2024 Age: From 0 To 5 Total Minutes: 135 Time In: 09:30 AM Time Out: 11:45 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 compliance with applicable requirements during a Routine Unannounced visit. Today’s visit was completed with both administrators, M. Aldridge and S. Wolmarans. You were notified of the purpose of the visit, and you were available for consultation at the conclusion of the visit. Currently this center operates with a Five Star License, issued December 12, 2018, earning six (6) points in the Education Component, six (6) points in the Program Component and one (1) Quality point based on the program having a staff benefits package and an infrastructure of parental involvement. The last Annual Compliance visit was completed on April 2, 2024. The last sanitation inspection was completed March 14, 2024, with a “Superior” classification. The last fire inspection was completed May 7, 2024. This facility is owned by Farmer-N-Dell Learning Center, LLC (Limited Liability Company). As of today, the status is listed as “Current-Active” on the NC Secretary of State website. Prior to any changes with the corporation, please contact me to discuss change of ownership procedures. Prior to today’s visit, the facility has earned a Compliance History score of 92% over an 18 - month time- period. A copy of the compliance history was provided to you. Six (6) new staff members have been hired since your last Annual Compliance visit completed on April 2, 2024. Although a staff/training worksheet was not available for the new staff members, the personnel files were monitored and were found to be in compliance. Children were observed participating in group activities, free play in centers, completing transitions, and completing routines such as handwashing and toileting. There were adequate staff supervising the enrolled children. The teachers supervised and interacted with the children in a positive manner. I used the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. Due to technical issues, a one-page visit summary was reviewed, and a copy was provided to you. A computer-generated visit summary will be emailed to you. The following violation of a child care requirement was documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In space B1-1, a teacher's personal handbag/storage bag was stored on a cabinet that was not five feet from the floor. 10A NCAC 09 .0601(a) CONSULTATION AND TECHNICAL ASSISTANCE: Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the child care laws and rules on the Division of Child Development and Early Education’s website. RESOURCES: QRIS MODERNIZATION: PATHWAYS TO THE STARS: North Carolina led the nation in 1999 when it launched its Quality Rating and Improvement System (QRIS), a star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality. It encourages early care and learning programs to engage in continuous quality improvement, and families may use the star rating to make informed decisions when choosing a child care facility. Listening to and communicating with early childhood professionals, families, communities and businesses is a critical component to ensure a successful QRIS modernization. The Commission began the modernization process by seeking public comment, and the Commission invites and welcomes public comment as we move towards finalizing rules. Some QRIS Modernization changes are still in draft form. To learn more about the Commission’s QRIS work, please note these upcoming opportunities for participation: • December 9, 2024 – Quarterly Commission meeting, with a public comment period for any topic. The Commission may decide to publish proposed QRIS rules, with publication occurring in January 2025. • Public Comment Period for QRIS Rules – After publication in the new year, DCDEE will announce a 60-day public comment period regarding QRIS Modernization, including a public hearing and the opportunity to submit written comments. Email your feedback to DCDEE_QRIS@dhhs.nc.gov at any time. ABCMS: CRIMINAL BACKGROUND CHECK SYSTEM INFORMATION: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective January 2024. The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. 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

10A NCAC 09 .0510 · Violation

Name of Operation: FARMER-N-DELL LEARNING CENTER, LLC Facility ID: 54000328 Consultant: TINA JONES Operation Type: Center Case Number: 0824-179L Visit Date: 8/16/2024 Number Present: 147 Completed Date: 8/16/2024 Age: From 0 To 11 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate a report alleging violations of child care requirements regarding adequate supervision. The allegation report was reviewed with you, Michelle Aldridge, Administrator. You were given the opportunity to discuss the allegations and ask questions. An additional staff member was interviewed, and they were given the opportunity to discuss the allegations and ask questions. One hundred and forty-seven children ages infant to five (5) years of age were present. Children were observed participating in free choice activities in the outdoor and indoor environment, completing transitions, and completing routine care needs. I observed children in the classroom for infants interacting with caregivers, participating in tummy time, and completing routine care needs. Enrollment was not completed. Prior to today’s visit, the compliance history score was 97%. A copy of the compliance history report was provided to you. FINDINGS/OBSERVATIONS: Limited but required sections of child care requirements were monitored. Supervision, staff/child ratio, adequate approved space, and permit restrictions were monitored. Allegation 1: There is a concern that a child was adequately supervised. When speaking with M. Aldridge, it was stated that on Monday, August 12, 2024, a five (5) month old infant was taken to the doctor due to an infant rubbing his face on a boppy pillow and the carpet while participating in tummy time. It was stated that the child has a severe case of eczema. It was stated that the parent of the infant is very peculiar of the child and has stated that “no one can take care of her children the way she can”. Ms. Aldridge stated that the infant was able to hold his head up. When speaking with both teachers, it was stated the child was placed on his stomach, propped up on a boppy pillow. The child slipped off the boppy pillow causing his face to be in contact with the carpet, along with the boppy pillow. One teacher stated that the child has a previous spot on their nose prior to Monday’s incident. There were two teachers in the classroom with seven (7) children present. During the time of the incident, one teacher began changing a diaper at the time the child was placed on the boppy pillow One teacher was feeding an infant. It was stated that the infant did not like tummy time. During tummy time, the infant began rubbing his face back and forth across the pillow. The infant became agitated and began crying. The teacher feeding an infant noticed some blood on the pillow but did not pick up the infant on the pillow. During this time of agitation, the infant slid off the pillow, causing the infant to be in contact with the floor. Both teachers stated that although they saw the infant agitated, crying, and no longer on the pillow, they did not pick up the infant until after one teacher completed the diaper change. After completing the diaper change, the teacher immediately picked up the child on the floor. When the child was picked up from the floor, the parent entered the classroom. An incident report was not completed at the time of the incident due to the parent picking up the child and leaving. A meeting was requested by the parent for Tuesday, August 13, 2024. During this time, an incident report was not provided to the parent. The parent received an email with the incident report on Wednesday, August 14, 2024. The parent did not have the opportunity to sign the incident report. The child received medical treatment at the pediatrics. I received a copy of the unsigned incident report today. The facility does have video footage of the incident; however, the footage was not available during the visit. Based on my observations and the information provided, the allegation regarding adequate supervision is unsubstantiated. Due to connection issues, a one-page visit summary was reviewed, and a copy was provided to you. All violations were reviewed with you. A computer-generated visit summary will be emailed to you. Although the allegation of supervision is unsubstantiated, the facility received the following child care requirement violations: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report was not presented to the parent to sign. The incident report was emailed to the parent two days after the incident occurred. .0802 (e) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. An infant became agitated during tummy time. The child began to cry. The child was not attended to when he began rubbing his face on a boppy pillow and the floor which caused abrasions on their face. G.S. 110-91(10) 1417 The equipment and materials were not age-appropriate for the children in care. An infant was placed on a nursing pillow during tummy time. The infant slid off the nursing pillow due to the size of the pillow. 10A NCAC 09 .2508(d) CONSULTATION AND TECHNICAL ASSISTANCE: The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by August 30, 2024, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. CORRECTIVE ACTION PLAN: Due to the extent of the violations, I am requesting a corrective action plan be developed and implemented immediately. This corrective action plan is in addition to the letter of compliance correcting the violations of child care requirements. In the corrective action plan you must: -Explain how staff will provide responsive caregiving. -Explain what steps will be taken to ensure a safe and nurturing environment is provided for all enrolled infants. -Explain how the classroom environment will support the development of infants. -Provide trainings to staff members of children under 12 months of age that includes responsive caregiving, communication, and nurturing care. -Develop a plan for staff members that need additional assistance when completing routine care of infants. AGE-APPROPRIATE ACTIVITIES: Child care rule 10A NCAC 09 .0510 (e) (6) states each child under the age of 12 months shall be given supervised tummy time positioned on his or her stomach while awake and alert each day. We reviewed the use of boppy pillows. The boppy pillow that is being used in the classroom for infants is a nursing pillow. Infants should not be propped, or they should not lie face down on the pillow. Please visit the website https://www.boppy.com/pages/original-nursing-support-safe-use-and-product-care to review the warnings of the nursing boppy pillow. During the visit, you removed all nursing boppy pillows. For tummy time: Set-up a soft, safe space and lay baby down. A blanket or a tummy time mat on a firm, flat surface works well. The floor is an ideal spot, though you can also lay your infant tummy down on your stomach or chest or across your lap. INCIDENT REPORTS: Ensure that incident reports are completed each time a child is injured as a result of an incident occurring while you are providing care. The person completing the report shall sign the report and the parent must sign the report. The parent must initial if they decline to receive a copy of the report. Ensure a copy of the report is maintained in the child’s file. If medial treatments is required, a copy of the incident report must be mailed to your child care consultant within seven calendar days. RESOURCES: PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective January 2024. The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. 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

10A NCAC 09 .2508 · Violation

Name of Operation: FARMER-N-DELL LEARNING CENTER, LLC Facility ID: 54000328 Consultant: TINA JONES Operation Type: Center Case Number: 0824-179L Visit Date: 8/16/2024 Number Present: 147 Completed Date: 8/16/2024 Age: From 0 To 11 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate a report alleging violations of child care requirements regarding adequate supervision. The allegation report was reviewed with you, Michelle Aldridge, Administrator. You were given the opportunity to discuss the allegations and ask questions. An additional staff member was interviewed, and they were given the opportunity to discuss the allegations and ask questions. One hundred and forty-seven children ages infant to five (5) years of age were present. Children were observed participating in free choice activities in the outdoor and indoor environment, completing transitions, and completing routine care needs. I observed children in the classroom for infants interacting with caregivers, participating in tummy time, and completing routine care needs. Enrollment was not completed. Prior to today’s visit, the compliance history score was 97%. A copy of the compliance history report was provided to you. FINDINGS/OBSERVATIONS: Limited but required sections of child care requirements were monitored. Supervision, staff/child ratio, adequate approved space, and permit restrictions were monitored. Allegation 1: There is a concern that a child was adequately supervised. When speaking with M. Aldridge, it was stated that on Monday, August 12, 2024, a five (5) month old infant was taken to the doctor due to an infant rubbing his face on a boppy pillow and the carpet while participating in tummy time. It was stated that the child has a severe case of eczema. It was stated that the parent of the infant is very peculiar of the child and has stated that “no one can take care of her children the way she can”. Ms. Aldridge stated that the infant was able to hold his head up. When speaking with both teachers, it was stated the child was placed on his stomach, propped up on a boppy pillow. The child slipped off the boppy pillow causing his face to be in contact with the carpet, along with the boppy pillow. One teacher stated that the child has a previous spot on their nose prior to Monday’s incident. There were two teachers in the classroom with seven (7) children present. During the time of the incident, one teacher began changing a diaper at the time the child was placed on the boppy pillow One teacher was feeding an infant. It was stated that the infant did not like tummy time. During tummy time, the infant began rubbing his face back and forth across the pillow. The infant became agitated and began crying. The teacher feeding an infant noticed some blood on the pillow but did not pick up the infant on the pillow. During this time of agitation, the infant slid off the pillow, causing the infant to be in contact with the floor. Both teachers stated that although they saw the infant agitated, crying, and no longer on the pillow, they did not pick up the infant until after one teacher completed the diaper change. After completing the diaper change, the teacher immediately picked up the child on the floor. When the child was picked up from the floor, the parent entered the classroom. An incident report was not completed at the time of the incident due to the parent picking up the child and leaving. A meeting was requested by the parent for Tuesday, August 13, 2024. During this time, an incident report was not provided to the parent. The parent received an email with the incident report on Wednesday, August 14, 2024. The parent did not have the opportunity to sign the incident report. The child received medical treatment at the pediatrics. I received a copy of the unsigned incident report today. The facility does have video footage of the incident; however, the footage was not available during the visit. Based on my observations and the information provided, the allegation regarding adequate supervision is unsubstantiated. Due to connection issues, a one-page visit summary was reviewed, and a copy was provided to you. All violations were reviewed with you. A computer-generated visit summary will be emailed to you. Although the allegation of supervision is unsubstantiated, the facility received the following child care requirement violations: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report was not presented to the parent to sign. The incident report was emailed to the parent two days after the incident occurred. .0802 (e) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. An infant became agitated during tummy time. The child began to cry. The child was not attended to when he began rubbing his face on a boppy pillow and the floor which caused abrasions on their face. G.S. 110-91(10) 1417 The equipment and materials were not age-appropriate for the children in care. An infant was placed on a nursing pillow during tummy time. The infant slid off the nursing pillow due to the size of the pillow. 10A NCAC 09 .2508(d) CONSULTATION AND TECHNICAL ASSISTANCE: The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by August 30, 2024, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. CORRECTIVE ACTION PLAN: Due to the extent of the violations, I am requesting a corrective action plan be developed and implemented immediately. This corrective action plan is in addition to the letter of compliance correcting the violations of child care requirements. In the corrective action plan you must: -Explain how staff will provide responsive caregiving. -Explain what steps will be taken to ensure a safe and nurturing environment is provided for all enrolled infants. -Explain how the classroom environment will support the development of infants. -Provide trainings to staff members of children under 12 months of age that includes responsive caregiving, communication, and nurturing care. -Develop a plan for staff members that need additional assistance when completing routine care of infants. AGE-APPROPRIATE ACTIVITIES: Child care rule 10A NCAC 09 .0510 (e) (6) states each child under the age of 12 months shall be given supervised tummy time positioned on his or her stomach while awake and alert each day. We reviewed the use of boppy pillows. The boppy pillow that is being used in the classroom for infants is a nursing pillow. Infants should not be propped, or they should not lie face down on the pillow. Please visit the website https://www.boppy.com/pages/original-nursing-support-safe-use-and-product-care to review the warnings of the nursing boppy pillow. During the visit, you removed all nursing boppy pillows. For tummy time: Set-up a soft, safe space and lay baby down. A blanket or a tummy time mat on a firm, flat surface works well. The floor is an ideal spot, though you can also lay your infant tummy down on your stomach or chest or across your lap. INCIDENT REPORTS: Ensure that incident reports are completed each time a child is injured as a result of an incident occurring while you are providing care. The person completing the report shall sign the report and the parent must sign the report. The parent must initial if they decline to receive a copy of the report. Ensure a copy of the report is maintained in the child’s file. If medial treatments is required, a copy of the incident report must be mailed to your child care consultant within seven calendar days. RESOURCES: PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective January 2024. The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. 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

G.S. 110-91 · Violation

Name of Operation: FARMER-N-DELL LEARNING CENTER, LLC Facility ID: 54000328 Consultant: TINA JONES Operation Type: Center Case Number: 0824-179L Visit Date: 8/16/2024 Number Present: 147 Completed Date: 8/16/2024 Age: From 0 To 11 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate a report alleging violations of child care requirements regarding adequate supervision. The allegation report was reviewed with you, Michelle Aldridge, Administrator. You were given the opportunity to discuss the allegations and ask questions. An additional staff member was interviewed, and they were given the opportunity to discuss the allegations and ask questions. One hundred and forty-seven children ages infant to five (5) years of age were present. Children were observed participating in free choice activities in the outdoor and indoor environment, completing transitions, and completing routine care needs. I observed children in the classroom for infants interacting with caregivers, participating in tummy time, and completing routine care needs. Enrollment was not completed. Prior to today’s visit, the compliance history score was 97%. A copy of the compliance history report was provided to you. FINDINGS/OBSERVATIONS: Limited but required sections of child care requirements were monitored. Supervision, staff/child ratio, adequate approved space, and permit restrictions were monitored. Allegation 1: There is a concern that a child was adequately supervised. When speaking with M. Aldridge, it was stated that on Monday, August 12, 2024, a five (5) month old infant was taken to the doctor due to an infant rubbing his face on a boppy pillow and the carpet while participating in tummy time. It was stated that the child has a severe case of eczema. It was stated that the parent of the infant is very peculiar of the child and has stated that “no one can take care of her children the way she can”. Ms. Aldridge stated that the infant was able to hold his head up. When speaking with both teachers, it was stated the child was placed on his stomach, propped up on a boppy pillow. The child slipped off the boppy pillow causing his face to be in contact with the carpet, along with the boppy pillow. One teacher stated that the child has a previous spot on their nose prior to Monday’s incident. There were two teachers in the classroom with seven (7) children present. During the time of the incident, one teacher began changing a diaper at the time the child was placed on the boppy pillow One teacher was feeding an infant. It was stated that the infant did not like tummy time. During tummy time, the infant began rubbing his face back and forth across the pillow. The infant became agitated and began crying. The teacher feeding an infant noticed some blood on the pillow but did not pick up the infant on the pillow. During this time of agitation, the infant slid off the pillow, causing the infant to be in contact with the floor. Both teachers stated that although they saw the infant agitated, crying, and no longer on the pillow, they did not pick up the infant until after one teacher completed the diaper change. After completing the diaper change, the teacher immediately picked up the child on the floor. When the child was picked up from the floor, the parent entered the classroom. An incident report was not completed at the time of the incident due to the parent picking up the child and leaving. A meeting was requested by the parent for Tuesday, August 13, 2024. During this time, an incident report was not provided to the parent. The parent received an email with the incident report on Wednesday, August 14, 2024. The parent did not have the opportunity to sign the incident report. The child received medical treatment at the pediatrics. I received a copy of the unsigned incident report today. The facility does have video footage of the incident; however, the footage was not available during the visit. Based on my observations and the information provided, the allegation regarding adequate supervision is unsubstantiated. Due to connection issues, a one-page visit summary was reviewed, and a copy was provided to you. All violations were reviewed with you. A computer-generated visit summary will be emailed to you. Although the allegation of supervision is unsubstantiated, the facility received the following child care requirement violations: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report was not presented to the parent to sign. The incident report was emailed to the parent two days after the incident occurred. .0802 (e) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. An infant became agitated during tummy time. The child began to cry. The child was not attended to when he began rubbing his face on a boppy pillow and the floor which caused abrasions on their face. G.S. 110-91(10) 1417 The equipment and materials were not age-appropriate for the children in care. An infant was placed on a nursing pillow during tummy time. The infant slid off the nursing pillow due to the size of the pillow. 10A NCAC 09 .2508(d) CONSULTATION AND TECHNICAL ASSISTANCE: The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by August 30, 2024, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. CORRECTIVE ACTION PLAN: Due to the extent of the violations, I am requesting a corrective action plan be developed and implemented immediately. This corrective action plan is in addition to the letter of compliance correcting the violations of child care requirements. In the corrective action plan you must: -Explain how staff will provide responsive caregiving. -Explain what steps will be taken to ensure a safe and nurturing environment is provided for all enrolled infants. -Explain how the classroom environment will support the development of infants. -Provide trainings to staff members of children under 12 months of age that includes responsive caregiving, communication, and nurturing care. -Develop a plan for staff members that need additional assistance when completing routine care of infants. AGE-APPROPRIATE ACTIVITIES: Child care rule 10A NCAC 09 .0510 (e) (6) states each child under the age of 12 months shall be given supervised tummy time positioned on his or her stomach while awake and alert each day. We reviewed the use of boppy pillows. The boppy pillow that is being used in the classroom for infants is a nursing pillow. Infants should not be propped, or they should not lie face down on the pillow. Please visit the website https://www.boppy.com/pages/original-nursing-support-safe-use-and-product-care to review the warnings of the nursing boppy pillow. During the visit, you removed all nursing boppy pillows. For tummy time: Set-up a soft, safe space and lay baby down. A blanket or a tummy time mat on a firm, flat surface works well. The floor is an ideal spot, though you can also lay your infant tummy down on your stomach or chest or across your lap. INCIDENT REPORTS: Ensure that incident reports are completed each time a child is injured as a result of an incident occurring while you are providing care. The person completing the report shall sign the report and the parent must sign the report. The parent must initial if they decline to receive a copy of the report. Ensure a copy of the report is maintained in the child’s file. If medial treatments is required, a copy of the incident report must be mailed to your child care consultant within seven calendar days. RESOURCES: PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective January 2024. The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. 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

10A NCAC 09 .0803 · Violation

Name of Operation: FARMER-N-DELL LEARNING CENTER, LLC Facility ID: 54000328 Consultant: TINA JONES Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 125 Completed Date: 4/2/2024 Age: From 0 To 11 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable requirements during an Annual Compliance visit. A checklist was used to note the requirements I monitored today. The staff and training worksheets were submitted prior to the visit. Currently this center operates with a Five Star License, issued December 12, 2018, earning six (6) points in the Education Component, six (6) points in the Program Component and one (1) Quality point based on the program having a staff benefits package and an infrastructure of parental involvement. You, M. Aldridge, Administrator, were present and available for consultation at the conclusion of the visit. S. Wolmarans, the second Administrator was also present and assisted with today’s visit. Children were observed participating in group activities, free play in centers, completing transitions, completing routines such as handwashing and toileting and participating in outdoor free play. Proper hand washing techniques were observed throughout the facility. The teachers supervised and interacted with the children in a positive manner. The last Annual Compliance visit was completed on April 4, 2023. The last sanitation inspection was completed March 14, 2023, with a “Superior” classification. The last fire inspection was completed May 11, 2023. This facility is owned by Farmer-N-Dell Learning Center, LLC (Limited Liability Company). As of today, the status is listed as “Current-Active” on the NC Secretary of State website. Prior to any changes with the corporation, please contact me to discuss change of ownership procedures. Prior to today’s visit, the facility has earned a Compliance History score of 100% over an 18 - month time- period. A copy of the compliance history was provided to you. I used the Annual Compliance Monitoring Checklist for Child Care and the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements. Due to technical issues, a one-page visit summary was reviewed and a copy was provided to you. A computer-generated visit summary will be emailed to you. The following violations were documented: Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. In space B2-2, a container of Aquaphor expired 9/2023. In space B2-1, a container of Aquaphor expired 2/2024. 10A NCAC 09 .0803(1)(d) 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. Staff member K. Kimble, did not complete the required training within 90 days of employment. The employment date was 8/7/2023. The training was due by 11/7/2023. .1102(g) CONSULTATION AND TECHNICAL ASSISTANCE: The violations documented above must be corrected immediately. A signed and dated letter of compliance must be mailed to me by April 16, 2024, describing how and when the violations were corrected. This two-week time frame is established to allow you time for submitting your compliance letter and is not intended to be used as a guide for correcting violations, as they should be corrected immediately. The letter of compliance should be mailed or emailed to me, Tina Jones, PO Box 10194, Goldsboro, NC 27532. The compliance letter must be submitted from the email address on file for your program. If you have any questions related to this visit or if I can be of additional assistance, I can be reached at 252-361-3434 or tina.jones@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. Please be aware that any written information submitted by you regarding correction of violations documented is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. Childcare licensing requirements are established to ensure a safe and healthy childcare environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education’s website. STAR-RATED LICENSE STATUS: During today’s visit, we discussed your program is in Co-Hort 1; however, you are not required to complete the Environmental Rating Scale assessment in your planning year. Today you informed me that your program is going to wait until your Reassessment year to complete the assessment. The preparation year is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. So many changes and challenges for programs across the state have occurred due to the pandemic, it will likely be helpful to set aside dedicated time to consider areas where refresher information might be helpful. For the Education Component: First, since you do not plan to have the Environment Rating Scale (ERS) conducted as part of your Prep year reassessment, you only need to ensure your staff’s most updated education is in WORKS. I can only use the information in WORKS when computing the education of your staff. Here is the hyperlink to access the portal to WORKS on our website: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS For the Program Component: NCRLAP has the following resources and training available on their website: • Here is the hyperlink to the Thinking More About resources: https://ncrlap.org/Resources/ • Here is the hyperlink to videos you and your staff may find helpful: https://ncrlap.org/Resources/Videos/ • NCRLAP offers contact hour earning online training. Go to https://ncrlap.org/Resources/Training/Register/ to see their scale related training as well as additional trainings covering special topics such as language and interactions, outdoor learning environments, and requirements for materials in family child care homes. • Megan Porter, State Anchor, can provide personalized, on-site ERS focused trainings for programs upon request. She can be reached at meporter@uncg.edu Other Resources Available to You: Finally, be sure to reach out to your Quality Consultants at your local Partnership. They can also provide technical assistance on room arrangement, transitions, interactions, substantial portion of the day, schedules, etc. Stephanie Sullivan - ssullivan@lgpfc.org Taylor Bowen - tbowen@lgpfc.org RULES REVIEW: RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT: Staff member K. Kimble, did not complete the required training within 90 days of employment. The employment date was 8/7/2023. The training was due by 11/7/2023. Ensure all staff members complete the required trainings within the due dates. Ms. Kimble completed the Recognizing and Responding to Suspicions of Child Maltreatment in 2022. The rules state that the required training must be completed within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. EXPIRED MEDICATIONS: In space B2-2, a container of Aquaphor was not returned to the parent after the expiration date of 9/2023. In space B2-1, a container of Aquaphor was not returned to the parent after the expiration date of 2/2024. Ensure all medications are monitored to ensure the medications does not expire. LEAD/ASBESTOS TESTING: Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. PROVIDER ACCESS TO THE BACKGROUND CHECK MANAGEMENT SYSTEM: Beginning February 1, child care administrators can access the Automated Background Check Management System (ABCMS) This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. Links and additional details will be provided in the next issue of the newsletter provided by the Division. RESOURCES: PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules updated effective January 2024. The most current provider documents/ forms, checklists, resources related to child care, MOODLE trainings, and new child care requirements can be found on the Division of Child Development and Early Education website. 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