Mary Myers Children'S Center #2

10A NCAC 09 .0514 · Violation

Name of Operation: MARY MYERS CHILDREN'S CENTER #2 Facility ID: 29000591 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 10/15/2025 Number Present: 24 Completed Date: 10/15/2025 Age: From 4 To 5 Total Minutes: 180 Time In: 09:15 AM Time Out: 12:15 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 complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on November 5, 2024. The facility currently operates with a Five-Star Child Care License that was issued on May 15, 2018. The last Sanitation Inspection was completed on June 4, 2025, with a "Superior" classification and (7) demerits. The last Fire Inspection was conducted on April 10, 2025, and the facility was approved for daytime care only. The last Fire Drill was conducted on September 19, 2025. The last Lock Down/ Shelter-in-Place was on July 29, 2025. The last Playground Inspection was conducted on September 19, 2025. Upon arrival, I was greeted by the director, Mary Myers. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. The children were playing in centers and then went outside to play. A checklist was used to note the requirements I monitored today. The North Carolina Department of the Secretary’s website was used to check the status of (Mary Myers Day Care) the corporation on October 14, 2025. The facility’s corporation status is current/active. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records and Criminal Background Checks were also monitored. Children’s files were monitored as well as Emergency Drills, Medication, Playground Inspections and Transportation. Three (3) children’s records were monitored today. Currently two buses are in use. Both vehicles are insured by West Bend Mutual Insurance. 1. Chevrolet-1999- tag number EFD-7898 registration expires 10/31/2025. 2. GMC- 1999 tags number EJD-1029 registration expires on 10/31/2025. The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current lesson plan was not posted. The lesson plan did not have a date on it in the pre-k classroom. GS 110-91(12); .0508(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. On the orange school bus there was a bottle of Prestone power steering next to the driver seat. Next to the school bus on the sidewalk was a bottle of MXD motor oil, Miracle Grow fertilizers and deicer. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The orange school bus did not have a copy of registration or insurance on the bus. GS 110-91 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. M. Myers needs to complete 7.5 hours of training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. All staff did not have a staff evaluations completed this last year. This must be completed annually. 10A NCAC 09 .0514(f) 1314 Emergency information did not name child's health care professional. Two children did not have the hospital choice or child's doctor information listed on the main application. .0802(c)(2) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. All families need to sign and date permission to go outside of the fenced area in an emergency. .1005(b)(4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four staff needs to complete the health and safety trainings. The list of teachers is in the technical part of my summary. .1103(b) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before October 28, 2025. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received at my office by 5:00 PM October 28, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. TECHNICAL ASSISTANCE: Today we discussed that each staff member must have an evaluation completed annually. This last year no staff had an evaluation completed. All staff must complete Health and Safety training every five years. The following staff need to complete their Health and Safety trainings: C. Martin C. Tillotson T. Phillips M. Myers All staff must complete on-going training annually. M. Myers needs to complete 7.5 in-service hours. Please make sure you start a new Inservice form for each member of staff dated 2025/ 2026. All children must have a choice of hospital and name of their pediatrician’s name and phone numbers on the application. All families must have a statement for outside of the fenced area in an emergency. Parents must sign and date this statement. Please make sure all oil and chemicals around in and around the bus are kept locked up away from children. Today when I walked out to the buses there was a bottle of motor oil, deicer and miracle grow on the sidewalk where children pass. There was a bottle of Prestone power steering on the door by the driver seat. All buses must have a copy of registration and proof of insurance on it. Today the orange bus did not have either of these documents. Teachers’ purses should always be locked up away from children because they could contain medications or items that children could get hurt by if they come in contact with them. Today when I arrived there were two purses out in each classroom. Reminders: The school buses registrations will expire on October 31, 2025. They will need to be renewed before this date. A Playground inspection and lockdown or shelter in place will need to be completed before 10/31/25. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. UPDATES: Please check out our “What’s New” on the division’s website at: https://ncchildcare.ncdhhs.gov/ . Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: What’s New QRIS. Please make sure all teachers have uploaded their education in the “Works unit” located on the DCDEE website at https://ncchildcare.ncdhhs.gov. We discussed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do to serve the children and families of North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: MARY MYERS CHILDREN'S CENTER #2 Facility ID: 29000591 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 10/15/2025 Number Present: 24 Completed Date: 10/15/2025 Age: From 4 To 5 Total Minutes: 180 Time In: 09:15 AM Time Out: 12:15 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 complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on November 5, 2024. The facility currently operates with a Five-Star Child Care License that was issued on May 15, 2018. The last Sanitation Inspection was completed on June 4, 2025, with a "Superior" classification and (7) demerits. The last Fire Inspection was conducted on April 10, 2025, and the facility was approved for daytime care only. The last Fire Drill was conducted on September 19, 2025. The last Lock Down/ Shelter-in-Place was on July 29, 2025. The last Playground Inspection was conducted on September 19, 2025. Upon arrival, I was greeted by the director, Mary Myers. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. The children were playing in centers and then went outside to play. A checklist was used to note the requirements I monitored today. The North Carolina Department of the Secretary’s website was used to check the status of (Mary Myers Day Care) the corporation on October 14, 2025. The facility’s corporation status is current/active. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records and Criminal Background Checks were also monitored. Children’s files were monitored as well as Emergency Drills, Medication, Playground Inspections and Transportation. Three (3) children’s records were monitored today. Currently two buses are in use. Both vehicles are insured by West Bend Mutual Insurance. 1. Chevrolet-1999- tag number EFD-7898 registration expires 10/31/2025. 2. GMC- 1999 tags number EJD-1029 registration expires on 10/31/2025. The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current lesson plan was not posted. The lesson plan did not have a date on it in the pre-k classroom. GS 110-91(12); .0508(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. On the orange school bus there was a bottle of Prestone power steering next to the driver seat. Next to the school bus on the sidewalk was a bottle of MXD motor oil, Miracle Grow fertilizers and deicer. .2820(b) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. The orange school bus did not have a copy of registration or insurance on the bus. GS 110-91 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. M. Myers needs to complete 7.5 hours of training. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. All staff did not have a staff evaluations completed this last year. This must be completed annually. 10A NCAC 09 .0514(f) 1314 Emergency information did not name child's health care professional. Two children did not have the hospital choice or child's doctor information listed on the main application. .0802(c)(2) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. All families need to sign and date permission to go outside of the fenced area in an emergency. .1005(b)(4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Four staff needs to complete the health and safety trainings. The list of teachers is in the technical part of my summary. .1103(b) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before October 28, 2025. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received at my office by 5:00 PM October 28, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. TECHNICAL ASSISTANCE: Today we discussed that each staff member must have an evaluation completed annually. This last year no staff had an evaluation completed. All staff must complete Health and Safety training every five years. The following staff need to complete their Health and Safety trainings: C. Martin C. Tillotson T. Phillips M. Myers All staff must complete on-going training annually. M. Myers needs to complete 7.5 in-service hours. Please make sure you start a new Inservice form for each member of staff dated 2025/ 2026. All children must have a choice of hospital and name of their pediatrician’s name and phone numbers on the application. All families must have a statement for outside of the fenced area in an emergency. Parents must sign and date this statement. Please make sure all oil and chemicals around in and around the bus are kept locked up away from children. Today when I walked out to the buses there was a bottle of motor oil, deicer and miracle grow on the sidewalk where children pass. There was a bottle of Prestone power steering on the door by the driver seat. All buses must have a copy of registration and proof of insurance on it. Today the orange bus did not have either of these documents. Teachers’ purses should always be locked up away from children because they could contain medications or items that children could get hurt by if they come in contact with them. Today when I arrived there were two purses out in each classroom. Reminders: The school buses registrations will expire on October 31, 2025. They will need to be renewed before this date. A Playground inspection and lockdown or shelter in place will need to be completed before 10/31/25. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. UPDATES: Please check out our “What’s New” on the division’s website at: https://ncchildcare.ncdhhs.gov/ . Please refer to the Division of Child Development and Early Education website, http://ncchildcare.ncdhhs.gov for additional information regarding: What’s New QRIS. Please make sure all teachers have uploaded their education in the “Works unit” located on the DCDEE website at https://ncchildcare.ncdhhs.gov. We discussed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do to serve the children and families of North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: MARY MYERS CHILDREN'S CENTER #2 Facility ID: 29000591 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: 0925-210L Visit Date: 9/23/2025 Number Present: 24 Completed Date: 9/23/2025 Age: From 4 To 5 Total Minutes: 85 Time In: 12:05 PM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate an allegation of a violation of childcare requirements. On September 17, 2025, the Raleigh office received a self-report of possible non-compliance with childcare requirements. Upon arrival at the facility, I was greeted by the owner/director, Mary Myers, and she assisted me during the investigation. Ms. Myers called me on 9/16/25 at 4:32 pm and self-reported this incident. I then forwarded the report to intake. Today there are twenty-four (24) children present, ranging in age from 4 to 5-years-old. Allegation: There are allegations of violations of childcare requirements. Observation: Today I discussed the concerns regarding the incident that occurred on 9/16/25. This gave the director and the driver of the bus an opportunity to share more relevant information regarding the incident. Today I monitored attendance for the day the incident occurred and there were 5 children on the bus. The bus left at 6:30 AM and the child that was left on the bus, was dropped off at 8:08 by Ms. Celena in her car. A seven-year-old child was left on the bus after returning from the morning drop off at two schools. The director stated that on this day she used a substitute driver because she could not drive them herself. When the driver returned to the school, she walked inside to hang up the bus keys and the director saw a child standing up on the bus. The driver, Ms. Celena, walked back onto the bus to retrieve the child. The child had fallen asleep on the bus and woke up when the bus returned to the childcare facility. The driver then asked the director if she could drive her back the Southwood Elementary in her own car and she stated that she could. Ms. Celena then drove the child to school and dropped her off in the car line but failed to walk her inside. Once inside, the child was crying, which alerted teachers, resulting in the school principal calling the grandmother to explain what happened. After my conversation with the director and bus driver I asked to see a roster of attendance for transporting children and asked the driver if she took attendance on the morning of 9/16/25. The driver stated that she did not take attendance. I then asked Ms. Mary to provide me with the last two weeks of the transportation roster from the bus, and she showed me the roster dating back to August 2025. I asked the driver if she contacted the guardians of the 7-year-old child. Ms. Celena stated she had spoken to the grandmother after breakfast that morning. I then asked her if, when she transported the child to Southwood Elementary, did she walk the child into the school. Ms. Celena stated she had dropped her off in the car line because she did not think she would be late. When the child went into the school she was crying, and the front office called the grandmother of the child. The owner, Ms. Mary, spoke with the grandmother regarding the incident when the grandmother came in that afternoon to pick her up. CONCLUSION: Based on my observations and conversations with the director and the bus driver, the allegation regarding violations of childcare requirements is Substantiated. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A Child was left on the bus and the driver was unaware. .1801(a)(1-5) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The emergency forms on the bus only had 7 out of 13 children's photographs on the forms. 10A NCAC 09 .1003(d) 1128 For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle. The driver failed to take attendance that day when returning from the regular scheduled bus runs. This caused the bus driver to be unaware of the child asleep on the bus. 10A NCAC 09 .1003(l) The following violations were cited during today’s visit and technical assistance was offered. The above violation must be corrected immediately, and a letter sent to my office stating how the violation was corrected. Please include with the letter the item number cited any documentation to support the corrective actions taken. Your letter should be received by my office on or before 5:00 pm October 2, 2025. The letter of correction can be emailed to me at rena.mccaffrey@dhhs.nc.gov. Technical Assistance: When transporting children in a vehicle/bus the driver is required to use a transportation roster and check each child on and off the bus each time. This way the driver will know if a child is left on the bus. A driver is also required to scan the bus from back to front once all children have been transported. The driver stated she did not complete a scan of the bus after completing her transportation of all children for that morning. It is best practice to contact the parents or guardians to let them know an incident has occurred immediately but in this instance the center did not contact the grandmother until after breakfast was over and by this time the school had already contacted the grandmother. When the driver drove the child back to school in her own vehicle she should have walked the child inside, knowing that what just occurred is out of the child’s normal routine and would cause them to be upset and to make sure the child was received by her teacher being that you are the one responsible for the child’s wellbeing. The center is required to have a photo of the child being transported and have emergency contact information on the bus in an emergency. This information was present for seven children out of thirteen. All drivers used to transport children should be aware of all requirements before being held responsible for transporting children in a vehicle. You were provided with an opportunity to ask questions regarding childcare requirements. And we discussed the items of noncompliance and the rationale of the rules. Corrective Action is required to promote a safe and healthy environment for children and to reduce the recurrence of noncompliance with childcare requirements. Please be aware that any information obtained during the investigation and any violations determined may be included in future Administrative Action. Completion of Immediate Corrective Action does not prohibit the Division from taking further action; however, successful completion of the items will be considered when determining appropriate case closure. RESOURCE LINKS: -Caring for Our Children National Health and Safety Performance Standard Guidelines for Early Care and Education Programs: https://nrckids.org/CFOC. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: MARY MYERS CHILDREN'S CENTER #2 Facility ID: 29000591 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 11/5/2024 Number Present: 22 Completed Date: 11/5/2024 Age: From 4 To 11 Total Minutes: 63 Time In: 09:32 AM Time Out: 10:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on November 15, 2023. The facility currently operates with a Five -Star Child Care License that was issued on May 15, 2018. The last Sanitation Inspection was completed on October 28, 2024, with a "Superior" classification and (12) demerits. The last Fire Inspection was conducted on October 3, 2024, and the facility was approved for daytime care only. The last Fire Drill was conducted on October 18, 2024. The last Lock Down/ Shelter-in-Place was on October 23, 2024. The last Playground Inspection was conducted on October 18, 2024. Upon arrival, I was greeted by the new director, Paiton Lebeau. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. The children were playing outside. Today the NC Pre-k classrooms were closed for a teacher workday. A checklist was used to note the requirements I monitored today. On October 21, 2024, I emailed staff and training worksheets to be completed and returned to me, but they were not. Today I gave the new director Ms. Lebeau some technical assistance with completing the staff and training worksheets. The staff training sheets will need to be emailed to me before 11/6/24 at 5:00 PM. Once staff and training worksheets are reviewed there could be a potential for more violations. The North Carolina Department of the Secretary’s website was used to check the status of (Mary Myers Day Care) the corporation on November 14, 2024. The facility’s corporation status is current/active. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records and Criminal Background Checks were also monitored. Children’s files were monitored as well as Emergency Drills, Medication, Playground Inspections and Transportation. Today two buses are in use. Both vehicles are insured by West Bend Mutual Insurance. 1. Chevrolet-1999- tag number EFD-7898 registration expires 10/31/2025. 2. GMC- 1999 tags number EJD-1029 registration expires on 10/31/2025. The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child's file did not contain this information. GS 110-102 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child's file did not contain this information. 10A NCAC 09 .0514(b) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. One child's file did not contain this information. .1005(b)(4) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child's file did not contain this information. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. P. Lebeau did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child's file did not contain this information. .0604(j) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not contain this information. .0608(b)(1-6) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before November 18, 2024. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received to my office by 5:00 PM November 18, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. UPDATES: COVID-19 INFORMATION: Please check our website for the latest Covid-19 information. DCDEE website https://ncchildcare.ncdhhs.gov . MOODLE: -The Health and Safety Trainings are being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. RESOURCES: -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ -For upcoming ongoing training opportunities please visit your local Smart Start agency at: https://partnershipforchildren.org. We discussed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MARY MYERS CHILDREN'S CENTER #2 Facility ID: 29000591 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 11/5/2024 Number Present: 22 Completed Date: 11/5/2024 Age: From 4 To 11 Total Minutes: 63 Time In: 09:32 AM Time Out: 10:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on November 15, 2023. The facility currently operates with a Five -Star Child Care License that was issued on May 15, 2018. The last Sanitation Inspection was completed on October 28, 2024, with a "Superior" classification and (12) demerits. The last Fire Inspection was conducted on October 3, 2024, and the facility was approved for daytime care only. The last Fire Drill was conducted on October 18, 2024. The last Lock Down/ Shelter-in-Place was on October 23, 2024. The last Playground Inspection was conducted on October 18, 2024. Upon arrival, I was greeted by the new director, Paiton Lebeau. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. The children were playing outside. Today the NC Pre-k classrooms were closed for a teacher workday. A checklist was used to note the requirements I monitored today. On October 21, 2024, I emailed staff and training worksheets to be completed and returned to me, but they were not. Today I gave the new director Ms. Lebeau some technical assistance with completing the staff and training worksheets. The staff training sheets will need to be emailed to me before 11/6/24 at 5:00 PM. Once staff and training worksheets are reviewed there could be a potential for more violations. The North Carolina Department of the Secretary’s website was used to check the status of (Mary Myers Day Care) the corporation on November 14, 2024. The facility’s corporation status is current/active. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records and Criminal Background Checks were also monitored. Children’s files were monitored as well as Emergency Drills, Medication, Playground Inspections and Transportation. Today two buses are in use. Both vehicles are insured by West Bend Mutual Insurance. 1. Chevrolet-1999- tag number EFD-7898 registration expires 10/31/2025. 2. GMC- 1999 tags number EJD-1029 registration expires on 10/31/2025. The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child's file did not contain this information. GS 110-102 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child's file did not contain this information. 10A NCAC 09 .0514(b) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. One child's file did not contain this information. .1005(b)(4) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child's file did not contain this information. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. P. Lebeau did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child's file did not contain this information. .0604(j) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not contain this information. .0608(b)(1-6) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before November 18, 2024. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received to my office by 5:00 PM November 18, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. UPDATES: COVID-19 INFORMATION: Please check our website for the latest Covid-19 information. DCDEE website https://ncchildcare.ncdhhs.gov . MOODLE: -The Health and Safety Trainings are being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. RESOURCES: -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ -For upcoming ongoing training opportunities please visit your local Smart Start agency at: https://partnershipforchildren.org. We discussed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: MARY MYERS CHILDREN'S CENTER #2 Facility ID: 29000591 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 11/5/2024 Number Present: 22 Completed Date: 11/5/2024 Age: From 4 To 11 Total Minutes: 63 Time In: 09:32 AM Time Out: 10:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on November 15, 2023. The facility currently operates with a Five -Star Child Care License that was issued on May 15, 2018. The last Sanitation Inspection was completed on October 28, 2024, with a "Superior" classification and (12) demerits. The last Fire Inspection was conducted on October 3, 2024, and the facility was approved for daytime care only. The last Fire Drill was conducted on October 18, 2024. The last Lock Down/ Shelter-in-Place was on October 23, 2024. The last Playground Inspection was conducted on October 18, 2024. Upon arrival, I was greeted by the new director, Paiton Lebeau. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. The children were playing outside. Today the NC Pre-k classrooms were closed for a teacher workday. A checklist was used to note the requirements I monitored today. On October 21, 2024, I emailed staff and training worksheets to be completed and returned to me, but they were not. Today I gave the new director Ms. Lebeau some technical assistance with completing the staff and training worksheets. The staff training sheets will need to be emailed to me before 11/6/24 at 5:00 PM. Once staff and training worksheets are reviewed there could be a potential for more violations. The North Carolina Department of the Secretary’s website was used to check the status of (Mary Myers Day Care) the corporation on November 14, 2024. The facility’s corporation status is current/active. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records and Criminal Background Checks were also monitored. Children’s files were monitored as well as Emergency Drills, Medication, Playground Inspections and Transportation. Today two buses are in use. Both vehicles are insured by West Bend Mutual Insurance. 1. Chevrolet-1999- tag number EFD-7898 registration expires 10/31/2025. 2. GMC- 1999 tags number EJD-1029 registration expires on 10/31/2025. The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child's file did not contain this information. GS 110-102 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child's file did not contain this information. 10A NCAC 09 .0514(b) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. One child's file did not contain this information. .1005(b)(4) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One child's file did not contain this information. .1804(c) 1757 A valid qualification letter was not on file and available to review at the facility. P. Lebeau did not have a qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child's file did not contain this information. .0604(j) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not contain this information. .0608(b)(1-6) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before November 18, 2024. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received to my office by 5:00 PM November 18, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. UPDATES: COVID-19 INFORMATION: Please check our website for the latest Covid-19 information. DCDEE website https://ncchildcare.ncdhhs.gov . MOODLE: -The Health and Safety Trainings are being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. RESOURCES: -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ -For upcoming ongoing training opportunities please visit your local Smart Start agency at: https://partnershipforchildren.org. We discussed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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: MARY MYERS CHILDREN'S CENTER #2 Facility ID: 29000591 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 23 Completed Date: 4/16/2024 Age: From 4 To 5 Total Minutes: 47 Time In: 12:48 PM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced visit was to monitor compliance for applicable child care requirements. This facility currently operates with a Five-Star Child Care License that was issued on May 15, 2018. The last Sanitation Inspection was conducted on February 23, 2024, and received a “Superior” classification and received two (2) demerits. The last Fire Inspection was conducted on October 5, 2023, and the facility was approved for daytime care only. Today my supervisor, Kaye Adkins assisted me on my visit. The last Fire Drill was conducted on March 8, 2024. The last Lock Down/ Shelter-in-Place was on February 12, 2024. The last Playground Inspection was conducted on March 8, 2024. Upon arrival, I was greeted by the director, Mary Myers. We stated the purpose of my visit, and we walked through the facility where attendance was documented, and observations made. The children were napping. Today, a partial assessment of applicable child care requirements was conducted, which included license posted, permit restrictions, supervision, staff/child ratio, qualified criminal background checks, staff training and general safety. The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Two purses were out where children were present. A fire extinguisher was left out on a picnic table where children play outside. 10A NCAC 09 .0601(a) You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. UPDATES: Current rated licenses are still in a ‘hold harmless’ state until June 2024. The Division has determined that your facility is in Cohort 1. This means your preparation year is from July 1, 2023, to June 30, 2024. Your reassessment year is from July 1, 2024, through June 30, 2025. You have stated that you do not want to complete a practice run with the Rated License reassessment with this facility so therefore I will return for another visit to review the Rated License Information with you. In the meantime, I would make sure that all of your teachers are in “Works” as this process can take some time to complete. RESOURCES: -The Health and Safety Trainings are being offered on the Division’s website. Under the “SERVICES” tab look for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. -For other upcoming ongoing training opportunities please visit your local Smart Start agency at: https://partnershipforchildren.org/. https://www.childcareaware.org. -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov. You can also sign up for e-mail alerts for recalled products at this site. COVID-19 Center for Disease Control and Prevention new guidelines as of March 1, 2024. If you, your staff, or the children you care for should test positive for COVID-19, the CDC has given out new guidelines to follow. If you have a fever the CDC recommends self-isolation for 24 hours or longer, until you are fever free without any fever reducers. Please check our website for the latest Covid-19 information. DCDEE website https://ncchildcare.ncdhhs.gov Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. Thank you for all that you do, to serve the children and families0. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. of North Carolina. 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 .0701 · Violation

Name of Operation: MARY MYERS CHILDREN'S CENTER #2 Facility ID: 29000591 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 11/15/2023 Number Present: 33 Completed Date: 11/15/2023 Age: From 4 To 12 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 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 complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on September 19, 2022. The facility currently operates with a Five -Star Child Care License that was issued on May 15, 2018. The last Sanitation Inspection was completed on September 19, 2022, with a "Superior" classification and (6) demerits. The last Fire Inspection was conducted on October 5, 2023, and the facility was approved for daytime care only. The last Fire Drill was conducted on October 25, 2023. The last Lock Down/ Shelter-in-Place was on August 7, 2023. The last Playground Inspection was conducted on September 19, 2023. Upon arrival, I was greeted by the director, Mary Myers. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. The children were observed during nap time. A checklist was used to note the requirements I monitored today. On October 16, 2023 I emailed staff and training worksheets to be completed but they were not. The staff training sheets will need to be emailed to me before 5:00 PM on November 16, 2023. Two additional violations were added after reviewing the staff and training worksheets on November 16, 2023. The Department of the Secretary’s website was used to check the status of the corporation on November 13, 2023. The facility’s corporation status is current/active. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records, Criminal Background Checks were also monitored. Staff and Children’s files were monitored as well as Emergency Drills, Medication, Playground Inspections and Transportation. Today two buses were checked for compliance and safety. 1.Chevrolet-1999- tag number EFD-7898 registration expires 10/31/2024. 2.GMC- 1999 tags number EJD 1029 Both vehicles insured by West Bend Mutual Insurance. The following violations were observed during today’s visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The playhouse on the playground has broken parts on it and they need to be removed. G.S. 110-91(6); .0601(b) 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. A container of Havoline oil was behind the drivers seat in the Chevrolet mini bus. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on September 19, 2023. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new hire did not obtain a medical prior to her start date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new hire did not obtain a TB test or screening prior to her start date. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Several staff had not completed a health questionnaire for this year. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Several staff did not have a current emergency form completed for this year. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Several staff had not completed any in-service training hours for this year. .1103(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The children's emergency form did not have photos of the children for transporting them. 10A NCAC 09 .1003(d) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. several staff have not completed their health and safety trainings every 5 years. .1103(b) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before November 30, 2023. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov . If a compliance letter is not received to my office by 5:00 PM November 30, 2023, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. UPDATES: -CBC qualifying letters are now valid for five (5) years regardless of the date of issue. New letters will not be sent out. -Current Rated Licenses are still in a ‘hold harmless’ state until June 2024. It has been determined that your facility is in Cohort 1. This means your prep year is from July 1, 2023, through June 30, 2024. Your reassessment year is from July 1, 2024, through June 30, 2025. Please make sure that all your staff’s education is in “Works” located on the Division of Child Development website at //ncchildcare.ncdhhs.gov/. During your preparation year you can request the Environmental Rating Scales and you determine how and when to use the scores. COVID-19 INFORMATION: Please check our website for the latest Covid-19 information. DCDEE website https://ncchildcare.ncdhhs.gov MOODLE: Any teachers, current or new hires can test out of NCECC by accessing the link below and placing in their username and password. You must receive a score of 80% or higher and can only be taken twice. If you fail twice you must enroll in an EDU 119 course at a local community college. https://www.dcdee.moodle.nc.gov/ -The Health and Safety Trainings are now being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. RESOURCES: -Please visit the NCRLAP website for resources and videos on how to prepare for the assessment at www.NCRLAP.org. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ For upcoming ongoing training opportunities please visit your local Smart Start agency at: https://partnershipforchildren.org. We discussed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: MARY MYERS CHILDREN'S CENTER #2 Facility ID: 29000591 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 11/15/2023 Number Present: 33 Completed Date: 11/15/2023 Age: From 4 To 12 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 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 complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on September 19, 2022. The facility currently operates with a Five -Star Child Care License that was issued on May 15, 2018. The last Sanitation Inspection was completed on September 19, 2022, with a "Superior" classification and (6) demerits. The last Fire Inspection was conducted on October 5, 2023, and the facility was approved for daytime care only. The last Fire Drill was conducted on October 25, 2023. The last Lock Down/ Shelter-in-Place was on August 7, 2023. The last Playground Inspection was conducted on September 19, 2023. Upon arrival, I was greeted by the director, Mary Myers. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. The children were observed during nap time. A checklist was used to note the requirements I monitored today. On October 16, 2023 I emailed staff and training worksheets to be completed but they were not. The staff training sheets will need to be emailed to me before 5:00 PM on November 16, 2023. Two additional violations were added after reviewing the staff and training worksheets on November 16, 2023. The Department of the Secretary’s website was used to check the status of the corporation on November 13, 2023. The facility’s corporation status is current/active. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records, Criminal Background Checks were also monitored. Staff and Children’s files were monitored as well as Emergency Drills, Medication, Playground Inspections and Transportation. Today two buses were checked for compliance and safety. 1.Chevrolet-1999- tag number EFD-7898 registration expires 10/31/2024. 2.GMC- 1999 tags number EJD 1029 Both vehicles insured by West Bend Mutual Insurance. The following violations were observed during today’s visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The playhouse on the playground has broken parts on it and they need to be removed. G.S. 110-91(6); .0601(b) 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. A container of Havoline oil was behind the drivers seat in the Chevrolet mini bus. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on September 19, 2023. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new hire did not obtain a medical prior to her start date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new hire did not obtain a TB test or screening prior to her start date. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Several staff had not completed a health questionnaire for this year. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Several staff did not have a current emergency form completed for this year. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Several staff had not completed any in-service training hours for this year. .1103(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The children's emergency form did not have photos of the children for transporting them. 10A NCAC 09 .1003(d) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. several staff have not completed their health and safety trainings every 5 years. .1103(b) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before November 30, 2023. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov . If a compliance letter is not received to my office by 5:00 PM November 30, 2023, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. UPDATES: -CBC qualifying letters are now valid for five (5) years regardless of the date of issue. New letters will not be sent out. -Current Rated Licenses are still in a ‘hold harmless’ state until June 2024. It has been determined that your facility is in Cohort 1. This means your prep year is from July 1, 2023, through June 30, 2024. Your reassessment year is from July 1, 2024, through June 30, 2025. Please make sure that all your staff’s education is in “Works” located on the Division of Child Development website at //ncchildcare.ncdhhs.gov/. During your preparation year you can request the Environmental Rating Scales and you determine how and when to use the scores. COVID-19 INFORMATION: Please check our website for the latest Covid-19 information. DCDEE website https://ncchildcare.ncdhhs.gov MOODLE: Any teachers, current or new hires can test out of NCECC by accessing the link below and placing in their username and password. You must receive a score of 80% or higher and can only be taken twice. If you fail twice you must enroll in an EDU 119 course at a local community college. https://www.dcdee.moodle.nc.gov/ -The Health and Safety Trainings are now being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. RESOURCES: -Please visit the NCRLAP website for resources and videos on how to prepare for the assessment at www.NCRLAP.org. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ For upcoming ongoing training opportunities please visit your local Smart Start agency at: https://partnershipforchildren.org. We discussed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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: MARY MYERS CHILDREN'S CENTER #2 Facility ID: 29000591 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 11/15/2023 Number Present: 33 Completed Date: 11/15/2023 Age: From 4 To 12 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 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 complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on September 19, 2022. The facility currently operates with a Five -Star Child Care License that was issued on May 15, 2018. The last Sanitation Inspection was completed on September 19, 2022, with a "Superior" classification and (6) demerits. The last Fire Inspection was conducted on October 5, 2023, and the facility was approved for daytime care only. The last Fire Drill was conducted on October 25, 2023. The last Lock Down/ Shelter-in-Place was on August 7, 2023. The last Playground Inspection was conducted on September 19, 2023. Upon arrival, I was greeted by the director, Mary Myers. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. The children were observed during nap time. A checklist was used to note the requirements I monitored today. On October 16, 2023 I emailed staff and training worksheets to be completed but they were not. The staff training sheets will need to be emailed to me before 5:00 PM on November 16, 2023. Two additional violations were added after reviewing the staff and training worksheets on November 16, 2023. The Department of the Secretary’s website was used to check the status of the corporation on November 13, 2023. The facility’s corporation status is current/active. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records, Criminal Background Checks were also monitored. Staff and Children’s files were monitored as well as Emergency Drills, Medication, Playground Inspections and Transportation. Today two buses were checked for compliance and safety. 1.Chevrolet-1999- tag number EFD-7898 registration expires 10/31/2024. 2.GMC- 1999 tags number EJD 1029 Both vehicles insured by West Bend Mutual Insurance. The following violations were observed during today’s visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The playhouse on the playground has broken parts on it and they need to be removed. G.S. 110-91(6); .0601(b) 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. A container of Havoline oil was behind the drivers seat in the Chevrolet mini bus. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on September 19, 2023. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new hire did not obtain a medical prior to her start date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new hire did not obtain a TB test or screening prior to her start date. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Several staff had not completed a health questionnaire for this year. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Several staff did not have a current emergency form completed for this year. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Several staff had not completed any in-service training hours for this year. .1103(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The children's emergency form did not have photos of the children for transporting them. 10A NCAC 09 .1003(d) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. several staff have not completed their health and safety trainings every 5 years. .1103(b) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before November 30, 2023. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov . If a compliance letter is not received to my office by 5:00 PM November 30, 2023, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. UPDATES: -CBC qualifying letters are now valid for five (5) years regardless of the date of issue. New letters will not be sent out. -Current Rated Licenses are still in a ‘hold harmless’ state until June 2024. It has been determined that your facility is in Cohort 1. This means your prep year is from July 1, 2023, through June 30, 2024. Your reassessment year is from July 1, 2024, through June 30, 2025. Please make sure that all your staff’s education is in “Works” located on the Division of Child Development website at //ncchildcare.ncdhhs.gov/. During your preparation year you can request the Environmental Rating Scales and you determine how and when to use the scores. COVID-19 INFORMATION: Please check our website for the latest Covid-19 information. DCDEE website https://ncchildcare.ncdhhs.gov MOODLE: Any teachers, current or new hires can test out of NCECC by accessing the link below and placing in their username and password. You must receive a score of 80% or higher and can only be taken twice. If you fail twice you must enroll in an EDU 119 course at a local community college. https://www.dcdee.moodle.nc.gov/ -The Health and Safety Trainings are now being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. RESOURCES: -Please visit the NCRLAP website for resources and videos on how to prepare for the assessment at www.NCRLAP.org. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ For upcoming ongoing training opportunities please visit your local Smart Start agency at: https://partnershipforchildren.org. We discussed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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 .0802 · Violation

Name of Operation: MARY MYERS CHILDREN'S CENTER #2 Facility ID: 29000591 Consultant: ANITA GRAHAM Operation Type: Center Case Number: 0623-177L Visit Date: 7/11/2023 Number Present: 29 Completed Date: 7/11/2023 Age: From 4 To 11 Total Minutes: 120 Time In: 09:30 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 today’s unannounced visit was to investigate allegations of violations of child care requirements at this Five-Star Licensed facility. Rena McCaffrey accompanied me on today’s visit. Upon arrival to the facility we were greeted by Mary Myers, owner/administrator, who assisted us during the visit. I stated the purpose of the visit. We conducted a walkthrough of the facility; children were observed participating in outdoor free play, teacher directed activities and routines. Allegation #1 There is a concern that screen time exceeds the required amount of time allowed. Observation: During the walkthrough, we observed electronic devices with visible displays, including tablets and a cellphone in the school-age cubbies. These were determined to be the property of the school-age children. I did not observe any screen time logs. We asked the provider if screen-time logs were maintained when student tablets were in use. The provider stated that they did not maintain screen-time logs for school-age children during this time. The provider has stated that these devices are used during school-agers quiet time and they did not monitor how long students used the electronic devices. Conclusion: Based on our observation of electronic devices with digital displays, being observed in children’s cubbies, there are no screen time logs present and the statements of the provider, this allegation is SUBSTANTIATED. Allegation #2 There is a concern that screen-time is inappropriate and not being supervised properly. Observation: I monitored activity plans for all age groups. The activity plans posted did not document any planned screen time. I asked if the activities on the devices being used during rest time were used to address a developmental goal. The provider has stated the use of the devices is typically based on each child’s preference and are not typically used for a developmental purpose. The provider has stated that the children’s activities on the devices are monitored by the staff members. One staff member stated that they recently observed two students viewing a site which was deemed to be inappropriate for children. Conclusion: Based on statements by a staff member, this allegation is SUBSTANTIATED. Allegation #3 There is a concern that incident reports are not provided to parents when children were injured. Observation: We reviewed all available incident reports from 2021 -2023. Each of the incidents reports we viewed had parent signatures. Conclusion: This violation is UNSUBSTANTIATED. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The provider did not monitor the amount of time school-agers used digital devices with displays. The provider did not have documentation of maintaining screen time logs when school-agers use devices with digital displays .2508(e)(1-5) 853 Incident logs were not completed and maintained as required. Incident logs were not maintained according to requirements. There were no 2023 incident logs available for Division Representative review for the incident reports which were on file. .0802(g)(1-6) The above violations must be corrected immediately, and a letter sent to my office stating how the violations were corrected. Please include with the letter all documentation to support the corrective actions taken. Your letter should be received by my office on or before July 21, 2023. You may email the letter to me at anita.c.grahm@dhhs.nc.gov or you may mail the letter to me at Anita Graham, PO Box 665, Pleasant Garden, NC 27313. You were provided an opportunity to ask questions regarding the interpretation and implementation of child care requirements applicable to the facility. We discussed each of the violations cited this date. TECHNICAL ASSISTANCE: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES, (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE; (g) An incident log shall be completed any time an incident report is completed. This log shall:(1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. CONSULTATION: Please remember child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Thank you for your assistance during today’s visit. If you have any questions or concerns, please call me at 336-894-0609 or e-mail me at anita.c.graham@dhhs.nc.gov. You may also contact my Supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2508 · Violation

Name of Operation: MARY MYERS CHILDREN'S CENTER #2 Facility ID: 29000591 Consultant: ANITA GRAHAM Operation Type: Center Case Number: 0623-177L Visit Date: 7/11/2023 Number Present: 29 Completed Date: 7/11/2023 Age: From 4 To 11 Total Minutes: 120 Time In: 09:30 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 today’s unannounced visit was to investigate allegations of violations of child care requirements at this Five-Star Licensed facility. Rena McCaffrey accompanied me on today’s visit. Upon arrival to the facility we were greeted by Mary Myers, owner/administrator, who assisted us during the visit. I stated the purpose of the visit. We conducted a walkthrough of the facility; children were observed participating in outdoor free play, teacher directed activities and routines. Allegation #1 There is a concern that screen time exceeds the required amount of time allowed. Observation: During the walkthrough, we observed electronic devices with visible displays, including tablets and a cellphone in the school-age cubbies. These were determined to be the property of the school-age children. I did not observe any screen time logs. We asked the provider if screen-time logs were maintained when student tablets were in use. The provider stated that they did not maintain screen-time logs for school-age children during this time. The provider has stated that these devices are used during school-agers quiet time and they did not monitor how long students used the electronic devices. Conclusion: Based on our observation of electronic devices with digital displays, being observed in children’s cubbies, there are no screen time logs present and the statements of the provider, this allegation is SUBSTANTIATED. Allegation #2 There is a concern that screen-time is inappropriate and not being supervised properly. Observation: I monitored activity plans for all age groups. The activity plans posted did not document any planned screen time. I asked if the activities on the devices being used during rest time were used to address a developmental goal. The provider has stated the use of the devices is typically based on each child’s preference and are not typically used for a developmental purpose. The provider has stated that the children’s activities on the devices are monitored by the staff members. One staff member stated that they recently observed two students viewing a site which was deemed to be inappropriate for children. Conclusion: Based on statements by a staff member, this allegation is SUBSTANTIATED. Allegation #3 There is a concern that incident reports are not provided to parents when children were injured. Observation: We reviewed all available incident reports from 2021 -2023. Each of the incidents reports we viewed had parent signatures. Conclusion: This violation is UNSUBSTANTIATED. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The provider did not monitor the amount of time school-agers used digital devices with displays. The provider did not have documentation of maintaining screen time logs when school-agers use devices with digital displays .2508(e)(1-5) 853 Incident logs were not completed and maintained as required. Incident logs were not maintained according to requirements. There were no 2023 incident logs available for Division Representative review for the incident reports which were on file. .0802(g)(1-6) The above violations must be corrected immediately, and a letter sent to my office stating how the violations were corrected. Please include with the letter all documentation to support the corrective actions taken. Your letter should be received by my office on or before July 21, 2023. You may email the letter to me at anita.c.grahm@dhhs.nc.gov or you may mail the letter to me at Anita Graham, PO Box 665, Pleasant Garden, NC 27313. You were provided an opportunity to ask questions regarding the interpretation and implementation of child care requirements applicable to the facility. We discussed each of the violations cited this date. TECHNICAL ASSISTANCE: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES, (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE; (g) An incident log shall be completed any time an incident report is completed. This log shall:(1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. CONSULTATION: Please remember child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Thank you for your assistance during today’s visit. If you have any questions or concerns, please call me at 336-894-0609 or e-mail me at anita.c.graham@dhhs.nc.gov. You may also contact my Supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times