10A NCAC 09 .0606 · Violation

Name of Operation: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: 1125-210L Visit Date: 12/16/2025 Number Present: 8 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 75 Time In: 09:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during a complaint follow-up visit. During the 12/2/25 complaint visit, a violation regarding staff/child ratios was cited. Upon arrival, I was greeted by Ms. Yamille Cespedes, staff member. I stated the reason for the visit. Ms. Amanda Pethel, owner/administrator arrived soon after and assisted us with today’s visit. Ms. Michell Kocan, Child Care Consultant, assisted and accompanied me on today’s visit. Staff/child ratios, supervision, adequate/approved space and permit restrictions were monitored during the visit. There were eight (8) children present during today’s visit. The children were engaged in outdoor play time and the individual needs of the infant were being met by the teacher. A new staff member, T. Hartsell who began employment on 11/19/25 was working in the infant classroom. She was caring for one (1) infant and was the only staff member in the space. Proof of a current ITS-SIDS certification was not provided during the visit. The staff/child ratios were in compliance during today’s visit. The violations cited during today’s visit were unrelated to the previous complaint visit. The violations were reviewed with Ms. Pethel and documented in today’s visit summary. Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. An infant was observed in a crib asleep with a pillow and blanket inside of the crib. 10A NCAC 09 .0606(a) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. The staff member present in the infant space could not provide proof of completing of the ITS-SIDS certification. .01102 (f) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via email, by December 30, 2025. If needed, the letter may be mailed to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 The compliance letter for the 12/2/25 visit was due before or by 12/16/25. The compliance letter was submitted on 12/8/25. Technical Assistance/Resources: • During the visit, I discussed with Ms. Pethel the requirements for staff working with infants. A 2-month grace period is allowed for new staff to obtain ITS-SIDS certification but the staff member may not work alone in the classroom. They must be with a staff member who has a current ITS-SIDS certification. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0713 · Violation

Name of Operation: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: 1125-210L Visit Date: 12/2/2025 Number Present: 8 Completed Date: 12/2/2025 Age: From 0 To 5 Total Minutes: 93 Time In: 09:12 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate a complaint allegation. There are concerns that: -there are allegations of violations of childcare requirements. The concerns are that owner/administrator is not in compliance with NC Childcare Rules. Fall zones on the playground do not have surface material, the roof is unsafe and tree roots are tripping hazards for children. Upon arrival, I was greeted by Ms. Amanda Pethel, owner/administrator. I shared the reason for the visit. Ms. Pethel assisted me with today’s visit. Ms. Michell Kocan, Child Care Consultant, accompanied and assisted me with today’s visit. During the visit, I observed supervision, staff/child ratio, adequate/approved space and permit restrictions. We conducted a walk-through of the facility. There were eight (8) children in attendance during the visit. The children were engaged in choice activities. All of the children were in space 1c. The children ranged in age from 0 to five years of age. Findings: • During the visit, Ms. Kocan and I conducted a walk-through of the building observing the ceiling in the spaces used by children, the closet and bathrooms. No concerns were found to indicate roof damage. • During the visit, incident reports from July to October 2025 were reviewed. There were no incident reports observed regarding injury due to tripping on tree roots. • During the visit, the outdoor play area was observed. The jungle gym did not have the required surface material needed for the fall zone. Tree roots were observed and we discussed options for preventing the roots from being a tripping hazard. The violations observed during the visit were discussed with Ms. Pethel and documented in today’s visit summary. One (1) violation was unrelated to the allegations. The violations were as follows: Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. In space 1c, an infant was grouped with children ages 2 to 5 years of age. 10A NCAC 09 .0713(a)(5) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. In the outdoor learning environment, the jungle gym did not have the required surface material for the fall zone. .0605(l)(1-2) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via email, by December 16, 2025. If needed, send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 Based on observations and interview, the allegation of the concerns listed below have been determined to be as follows: There are concerns that: -Fall zones do not have surface material- confirmed. -Tree roots are tripping hazards- not confirmed. -The building roof is unsafe-not confirmed. NCGS 110-91(14): Any effort to falsify information provided to the Department shall be considered by the Secretary to be evidence of violations of this Article on the part of the operator or sponsor of the child care facility and shall constitute a cause for revoking or denying a license to such child care facility. A follow-up visit will be conducted in the near future to monitor for compliance with NC Child Care Rules due to the nature of the violations cited. When an allegation is confirmed, an Administrative Action may be issued. If this occurs, you will be notified and the steps needed to complete the action, if applicable, will be explained. Technical Assistance/Resources: • During the visit, Ms. Pethel asked about information for serving multi-age groups. I discussed the requirement of sending a written request and shared that I would email detailed information regarding all requirements for maintaining compliance when serving multi-age groups. • During the visit, I discussed with Ms. Pethel that infants cannot be grouped with children two years of age and older. The exception is only during the first and last hour of operation and the ratio for the youngest child must be maintained. Please see rule reference .0713 (a) (5) for details. • During the visit, Ms. Kocan and I recommended that the tree roots be addressed to prevent future tripping hazards and discussed possible options for addressing the concern. • During the visit, Ms. Kocan recommended that the rug in space 1c be replaced as the edges were beginning to unravel and also the counter used for handwashing procedures needs repairing. • While completing the visit summary, Ms. Pethel called me to ask about food preparation with the infant in care. I shared rule .0713 (a)(7) -when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties such as cleaning, activity planning and set up, or communication with families, that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance regarding this specific visit, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1801 · Violation

Name of Operation: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: 1125-210L Visit Date: 12/2/2025 Number Present: 8 Completed Date: 12/2/2025 Age: From 0 To 5 Total Minutes: 93 Time In: 09:12 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate a complaint allegation. There are concerns that: -there are allegations of violations of childcare requirements. The concerns are that owner/administrator is not in compliance with NC Childcare Rules. Fall zones on the playground do not have surface material, the roof is unsafe and tree roots are tripping hazards for children. Upon arrival, I was greeted by Ms. Amanda Pethel, owner/administrator. I shared the reason for the visit. Ms. Pethel assisted me with today’s visit. Ms. Michell Kocan, Child Care Consultant, accompanied and assisted me with today’s visit. During the visit, I observed supervision, staff/child ratio, adequate/approved space and permit restrictions. We conducted a walk-through of the facility. There were eight (8) children in attendance during the visit. The children were engaged in choice activities. All of the children were in space 1c. The children ranged in age from 0 to five years of age. Findings: • During the visit, Ms. Kocan and I conducted a walk-through of the building observing the ceiling in the spaces used by children, the closet and bathrooms. No concerns were found to indicate roof damage. • During the visit, incident reports from July to October 2025 were reviewed. There were no incident reports observed regarding injury due to tripping on tree roots. • During the visit, the outdoor play area was observed. The jungle gym did not have the required surface material needed for the fall zone. Tree roots were observed and we discussed options for preventing the roots from being a tripping hazard. The violations observed during the visit were discussed with Ms. Pethel and documented in today’s visit summary. One (1) violation was unrelated to the allegations. The violations were as follows: Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. In space 1c, an infant was grouped with children ages 2 to 5 years of age. 10A NCAC 09 .0713(a)(5) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. In the outdoor learning environment, the jungle gym did not have the required surface material for the fall zone. .0605(l)(1-2) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via email, by December 16, 2025. If needed, send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 Based on observations and interview, the allegation of the concerns listed below have been determined to be as follows: There are concerns that: -Fall zones do not have surface material- confirmed. -Tree roots are tripping hazards- not confirmed. -The building roof is unsafe-not confirmed. NCGS 110-91(14): Any effort to falsify information provided to the Department shall be considered by the Secretary to be evidence of violations of this Article on the part of the operator or sponsor of the child care facility and shall constitute a cause for revoking or denying a license to such child care facility. A follow-up visit will be conducted in the near future to monitor for compliance with NC Child Care Rules due to the nature of the violations cited. When an allegation is confirmed, an Administrative Action may be issued. If this occurs, you will be notified and the steps needed to complete the action, if applicable, will be explained. Technical Assistance/Resources: • During the visit, Ms. Pethel asked about information for serving multi-age groups. I discussed the requirement of sending a written request and shared that I would email detailed information regarding all requirements for maintaining compliance when serving multi-age groups. • During the visit, I discussed with Ms. Pethel that infants cannot be grouped with children two years of age and older. The exception is only during the first and last hour of operation and the ratio for the youngest child must be maintained. Please see rule reference .0713 (a) (5) for details. • During the visit, Ms. Kocan and I recommended that the tree roots be addressed to prevent future tripping hazards and discussed possible options for addressing the concern. • During the visit, Ms. Kocan recommended that the rug in space 1c be replaced as the edges were beginning to unravel and also the counter used for handwashing procedures needs repairing. • While completing the visit summary, Ms. Pethel called me to ask about food preparation with the infant in care. I shared rule .0713 (a)(7) -when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties such as cleaning, activity planning and set up, or communication with families, that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance regarding this specific visit, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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

NCGS 110-91 · Violation

Name of Operation: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: 1125-210L Visit Date: 12/2/2025 Number Present: 8 Completed Date: 12/2/2025 Age: From 0 To 5 Total Minutes: 93 Time In: 09:12 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate a complaint allegation. There are concerns that: -there are allegations of violations of childcare requirements. The concerns are that owner/administrator is not in compliance with NC Childcare Rules. Fall zones on the playground do not have surface material, the roof is unsafe and tree roots are tripping hazards for children. Upon arrival, I was greeted by Ms. Amanda Pethel, owner/administrator. I shared the reason for the visit. Ms. Pethel assisted me with today’s visit. Ms. Michell Kocan, Child Care Consultant, accompanied and assisted me with today’s visit. During the visit, I observed supervision, staff/child ratio, adequate/approved space and permit restrictions. We conducted a walk-through of the facility. There were eight (8) children in attendance during the visit. The children were engaged in choice activities. All of the children were in space 1c. The children ranged in age from 0 to five years of age. Findings: • During the visit, Ms. Kocan and I conducted a walk-through of the building observing the ceiling in the spaces used by children, the closet and bathrooms. No concerns were found to indicate roof damage. • During the visit, incident reports from July to October 2025 were reviewed. There were no incident reports observed regarding injury due to tripping on tree roots. • During the visit, the outdoor play area was observed. The jungle gym did not have the required surface material needed for the fall zone. Tree roots were observed and we discussed options for preventing the roots from being a tripping hazard. The violations observed during the visit were discussed with Ms. Pethel and documented in today’s visit summary. One (1) violation was unrelated to the allegations. The violations were as follows: Violation Number Comment Rule 316 Children under one year of age were not kept separate from children two years and older. In space 1c, an infant was grouped with children ages 2 to 5 years of age. 10A NCAC 09 .0713(a)(5) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. In the outdoor learning environment, the jungle gym did not have the required surface material for the fall zone. .0605(l)(1-2) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via email, by December 16, 2025. If needed, send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 Based on observations and interview, the allegation of the concerns listed below have been determined to be as follows: There are concerns that: -Fall zones do not have surface material- confirmed. -Tree roots are tripping hazards- not confirmed. -The building roof is unsafe-not confirmed. NCGS 110-91(14): Any effort to falsify information provided to the Department shall be considered by the Secretary to be evidence of violations of this Article on the part of the operator or sponsor of the child care facility and shall constitute a cause for revoking or denying a license to such child care facility. A follow-up visit will be conducted in the near future to monitor for compliance with NC Child Care Rules due to the nature of the violations cited. When an allegation is confirmed, an Administrative Action may be issued. If this occurs, you will be notified and the steps needed to complete the action, if applicable, will be explained. Technical Assistance/Resources: • During the visit, Ms. Pethel asked about information for serving multi-age groups. I discussed the requirement of sending a written request and shared that I would email detailed information regarding all requirements for maintaining compliance when serving multi-age groups. • During the visit, I discussed with Ms. Pethel that infants cannot be grouped with children two years of age and older. The exception is only during the first and last hour of operation and the ratio for the youngest child must be maintained. Please see rule reference .0713 (a) (5) for details. • During the visit, Ms. Kocan and I recommended that the tree roots be addressed to prevent future tripping hazards and discussed possible options for addressing the concern. • During the visit, Ms. Kocan recommended that the rug in space 1c be replaced as the edges were beginning to unravel and also the counter used for handwashing procedures needs repairing. • While completing the visit summary, Ms. Pethel called me to ask about food preparation with the infant in care. I shared rule .0713 (a)(7) -when only one caregiver is required to meet the staff/child ratio and no children under two years of age are in care, that caregiver may concurrently perform food preparation or other duties such as cleaning, activity planning and set up, or communication with families, that are not direct child care responsibilities as long as supervision of the children as specified in 10A NCAC 09 .1801 is maintained; Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance regarding this specific visit, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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 .2818 · Violation

Name of Operation: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: 1124-192L Visit Date: 11/25/2024 Number Present: 13 Completed Date: 11/25/2024 Age: From 0 To 4 Total Minutes: 175 Time In: 09:35 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate a complaint allegation. There is a concern that inappropriate discipline is used. Upon arrival, I was greeted by Ms. A. Lowder, staff member. I shared the reason for the visit. Ms. Lowder contacted Ms. Amanda Pethel, owner/administrator, to let her know of my arrival. Michell Kocan, Child Care Consultant accompanied and assisted me with today’s visit. Another staff member, D. Dawkins arrived a few minutes later from the back door. I asked if she was in charge and she replied yes. She was on the phone with Ms. Pethel who wanted to know the specific reason for the visit. I replied that Ms. Pethel could call me on my cell to discuss further. Ms. Pethel called me and I shared the details of the visit. Ms Pethel arrived soon after and both Ms. Dawkins and Ms. Pethel assisted us with today’s visit. During the visit, I observed supervision, staff/child ratio, adequate/approved space and permit restrictions. There were thirteen (13) children in attendance during the visit. The children were engaged in a table activity and the needs of the infant and young toddler were being met by the teacher. While gathering enrollment information, I asked for the age breakdown of the eleven (11) children in space 1C. Ms. Dawkins shared that there were six (6) three year olds and five (5) four year olds. Ms. Kocan looked at the attendance record for space 1C and noticed that there were two year olds listed on the attendance record. We shared this information with Ms. Dawkins who stated that she was just filling in in space 1C. We reviewed the attendance with Ms. Dawkins and saw that there were three (3) two year olds, three (3) three year olds and five (5) four year olds in attendance in space 1C. Space 1C had children in attendance from spaces 1C and 1B. During the visit, there was a therapist present providing services for a child. When I shared with Ms. Pethel that a violation was being cited for staff/child ratios not being maintained in space 1C, she said that the therapist was in the space providing services for a child. I confirmed that the therapist was not a staff member at her facility and shared that the therapist is not counted in staff/child ratios. Ms. Pethel asked for clarification regarding a therapist working one-on-one with a child and stated that she can never leave a therapist unsupervised with a child. I clarified with Ms. Pethel that if a therapist has a valid qualification letter on file at the facility, she/he can provide services unsupervised by qualified staff members, but the therapist would still not be counted in staff/child ratios. During today’s visit, the therapist was physically present in space 1C along with teacher, Ms. Lowder. There were eleven (11) children present. I counted the number of children and then I asked Ms. Kocan to count the number of children. She counted eleven (11) children. I asked Ms. Lowder to confirm the number of children present and she replied that she had eleven (11) children present. While I was completing the visit summary report, Ms. Pethel called me to share that she had a qualifying letter for the therapist present today. I replied that that is fine but the therapist was not alone with the child and I did not request to see the letter. Ms. Pethel further discussed that the therapist was providing services to the one child in the space and that the teacher had nine (9) children in care. Ms. Pethel stated that she looked at video footage and saw ten (10) children in care, not eleven (11). I shared about the three (3) counts that were completed to confirm the eleven (11) children and reiterated that the therapist cannot be counted in staff/child ratios if she/he is not a staff member. I also contacted my supervisor to reconfirm the requirements for staff/child ratios and it was reiterated that therapist not on staff are not counted in staff/child ratios. Ms. Pethel replied that she did not agree with the violation and shared what she was going to do in response to the citation. Findings: • During the visit, I asked the administrator to share her understanding of the allegation. She shared that she did not have any concerns about inappropriate discipline. I asked her if parents or staff have ever expressed concerns regarding the physical treatment of children and she replied no. • During the visit, I spoke with the teacher involved in the alleged incident. I asked the teacher if she had ever used inappropriate discipline with a child and gave a specific details regarding what type of inappropriate discipline. She replied no. • During the visit, I spoke with a staff member not involved in the alleged incident and asked her if she ever had any concerns regarding the physical treatment of the children in care and she replied no. The violation cited during the visit was unrelated to the allegation and was discussed with Ms. Pethel and documented in this visit summary. The violation was as follows: Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff/child ratios were not maintained in space 1C. There were eleven (11) children with one teacher who were between the ages of 2 and 4. 10A NCAC 09 .2818 Based on the observations and interviews, the allegation of the concern listed below has been determined to be as follows: There is a concern that inappropriate discipline is used is unsubstantiated. All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via email, by December 9, 2024. If needed, send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 A follow-up visit may be conducted in the near future to monitor for compliance with NC Child Care Rules due to the nature of the violation cited. Technical Assistance/Resources: •During the visit, I discussed the grievance process with Ms. Pethel. •During the visit, I discussed with Ms. Pethel and Ms. Dawkins the requirements for staff/child ratios. Please see rule .2818 regarding enhanced staff/child ratios. We discussed that in space 1C, the required staff/child ratio is 1 teacher for every 9 children because there were two year old children present in the space. • During the visit, Ms. Kocan and I discussed with Ms Pethel the need to have the supplies provided for the table activity accessible to the children. Ms. Pethel agreed in that children ages two years old and up can use more than one crayon and should be able to choose different colors and not have to use the one crayon on the ditto sheet. • During the visit, Ms. Pethel asked if an administrative action would be issued. I replied that the allegation was unsubstantiated and that the violation is unrelated to the allegation. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance regarding this specific visit, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1003 · Violation

Name of Operation: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 15 Completed Date: 9/5/2024 Age: From 0 To 4 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct an annual compliance visit as well as an administrative action follow-up visit. The last annual compliance visit for this facility was conducted on September 21, 2023. The compliance history percentage for the 18-month period is 76%. The facility currently holds a three-star license. Upon arrival, I was greeted by facility staff members. They contacted Ms. Amanda Pethel, owner/administrator, who arrived soon after. I shared the reason for the visit. Ms. Pethel assisted me with today’s visit. Michell Kocan, Child Care Consultant, accompanied and assisted me on today’s visit. I used the “Annual Compliance Monitoring Checklist for Child Care Centers” as a monitoring tool during today’s visit. I observed postings, indoor and outdoor spaces, safety and program management. Observations: The Notice of Administrative Action (issued on 7/18/24), cover letter and Corrective Action Plan were posted near the front entrance and were visible to parents and visitors. Prior to today’s visit, Ms. Pethel shared that she is waiting for a couple of parent acknowledgments of the revised discipline policy. After receiving the documents, the corrective action plan will be completed. Throughout the AA process, Ms. Pethel has submitted required documentation via email. I observed the children engaged in outdoor play time on the playground, table activity with the teacher and the individual needs of the infants and young toddlers were being met by the teacher. Two (2) staff files and three (3) children’s files were monitored during the visit for compliance with NC Childcare Rules. There was one (1) new staff member. I made note of updates on the staff and training worksheet provided and initialed where I noted updates. The Emergency Preparedness and Response Plan was reviewed during today’s visit and last updated by the administrator on 11/11/21. Medication is currently administered at this facility. The storage of the medication, the medication and permission to administer forms were monitored and found to be in compliance with NC Child Care Rules. The medications were over-the-counter, bug repellant and diaper creams. Transportation is provided at this facility. The exterior and interior of the vehicle (lic # EHT-6547) were monitored. The insurance provided by Allstate is valid from 9/4/24-10/24/24. The registration for the vehicle expired on 2/29/24. The last sanitation inspection was conducted on 3/18/24 with nine (9) demerits and a superior classification. The last fire inspection was conducted on 12/18/23. A copy of the computer-generated visit summary and enrollment worksheet were provided during the visit along with a copy of the “AC Monitoring Checklist for Child Care Centers”. The violations observed during the visit were discussed with Ms. Pethel and documented in the visit summary. The following violations were observed: Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The health questionnaire for staff member, A.P. was not current. .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. The emergency information form for staff member, A.P. was not current. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The first aid certification for staff member, A.P. was not current. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR certification for staff member, A.P. was not current. .1102(d) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for the vehicle used to transport children expired on 2/29/24. .1002(b) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The photographs of the children being transported were not included in the emergency information. 10A NCAC 09 .1003(d) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. The vehicle used to transport children did not have signage posted regarding smoking and tobacco restrictions. .0604(i) 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. The health and safety trainings for staff member, A.P. were not completed. .1103(b) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via email, by September 19, 2024. If needed, send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 Technical Assistance/Resources: • During the visit, I reminded Ms. Pethel that the hold harmless status has been extended for child care facilities until the new QRIS is implemented per Senate Bill 425. • During the visit, I reminded Ms. Pethel that the fire inspection reports must be sent to child care consultants within one week of the completed inspection. • During the visit, I reminded Ms. Pethel that providers must maintain at least 75% compliance history. I shared that I would check the compliance history after today’s visit to obtain a current compliance history percentage. • During the visit, I asked Ms. Pethel regarding the status of the facility’s required water testing, including lead and asbestos. Ms. Pethel shared that she still needed to complete the process. I encouraged her to complete it as soon as possible. • During the visit, Ms. Pethel was encouraged to keep only the accurate emergency medical care plan posted and discard any others that are posted and outdated. • During the visit, I reminded Ms. Pethel regarding the 30-day grace period for new students submitting the medical report and immunization records. • During the visit, Ms. Pethel asked the violations cited during today’s visit would affect the current administrative action. I replied no, that the current AA would not be affected. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 32 Completed Date: 6/12/2024 Age: From 0 To 7 Total Minutes: 160 Time In: 09:00 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an unannounced follow-up visit. During the 6/4/24 complaint follow-up visit, violations regarding permit capacity, staff/child ratios, staff records and criminal background checks were cited. Three (3) of the violations cited were repeat violations. Upon arrival, I was greeted by Ms. Ruth Arroyo, staff member. I stated the reason for the visit and Ms. Arroyo shared that Ms. Amanda Pethel, owner/administrator requested that I go to her office first. Ebony Duncan, supervisor, accompanied on today’s visit. We went to Ms. Pethel's office and she was meeting with a new staff member. I introduced Ms. Duncan to her and shared the reason for the visit. I shared that I would return to the indoor space and complete the enrollment worksheet. Ms. Pethel replied ok and that she was almost done with her meeting and would join us soon. Ms. Pethel assisted me with today’s visit. Staff/child ratios, supervision, adequate/approved space and permit restrictions were monitored during the visit. The staff file for the new staff member was reviewed as well for compliance with NC Child Care Rules. The new staff member, T.G. returned to the indoor space soon after 9:00 a.m. and began working in the infant space. Two staff members were in space 1A prior to her arrival. One of the staff members left around 9:20 a.m. I asked Ms. Pethel the date of employment for staff member, T.G. She replied that T.G. started on Monday (6/10/24). She further shared that documents in the file are dated for today, 6/12/24 because she (Ms. Pethel) was absent on Monday and met with T.G. this morning to complete paperwork. Before reviewing the file, I confirmed with Ms. Pethel that T.G.’s date of employment was 6/10/24. Ms. Pethel shared that T.G. worked on Monday, but not Tuesday and returned today, 6/12/24. During the review of T.G.’s file, the date of employment was documented as 6/12/24 on the staff file checklist. On the staff orientation form, the date of employment was documented as 6/10/24. There were thirty-two (32) children present during today’s visit. The children were engaged in choice activities, story time with the teacher, table activities, outdoor play time and the individual needs of the infants and young toddlers were being met by the teachers. The visit and violations cited during the visit were discussed with Ms. Pethel and documented in today’s visit summary. The following violations were cited: Violation Number Comment Rule 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. Staff member, T.G. did not complete the required medical report. 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. Staff member, T.G. did not complete the required TB screening. .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. The emergency information form for staff member, T.G. was completed after the first day of work. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member, T.G. did not review the Shaken Baby policy prior to working with children. .0608(d)(1-4) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via mail or email, by June 26, 2024. Send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 The compliance letter for the 6/4/24 visit was received via email on 6/10/24 and was due before or by 6/18/24. A follow-up visit may be conducted in the near future to monitor for compliance with NC Child Care Rules. Technical Assistance/Resources: • During the visit, Ms. Pethel asked if I could check the qualifying letter status for one of her employees. Ms. Pethel was not able to share the DOB at the time so I told her that I would check upon returning to the office and send her an email. • During the visit, I reiterated to Ms. Pethel the importance of maintaining compliance at all times. Ms. Pethel understood but asked what is she supposed to do about her staffing issue. I replied that I could not advise on specific steps to take when she is short staffed and understand her frustration but that compliance must be maintained at all times. New staff must have all of their requirements met before starting such as the medical, TB screening, review of Shaken Baby policy and qualifying letter. Ms. Pethel asked if other facilities have staffing challenges as well and I replied yes. Without naming specific facilities, I briefly shared what other programs have done to remain in compliance when short staffed. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: 0524-260L Visit Date: 6/4/2024 Number Present: 33 Completed Date: 6/4/2024 Age: From 0 To 6 Total Minutes: 265 Time In: 09:45 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during a complaint follow-up visit. During the 5/22/24 complaint visit, violations regarding staff/child ratio, discipline, staff records and criminal background checks were cited. Upon arrival, I was greeted by Ms. Ruth Arroyo, staff member. I stated the reason for the visit. Ms. Amanda Pethel, owner/administrator, arrived soon after and assisted me with today’s visit. Michell Kocan, Child Care Consultant, accompanied and assisted me with today’s visit. During the walk-through of the spaces, I observed six (6) children in space #1A with one (1) teacher. The children being served were infants and young toddlers and the facility operates with enhanced staff/child ratios which are 1 staff for every 5 children for ages 0-12 months. Staff/child ratios, supervision, adequate/approved space and permit restrictions were monitored during the visit. I also monitored staff records for two staff members. The employee, Y.C. who did not have a valid qualification letter at the previous visit was not present at the facility. There were two (2) new employees onsite during the visit. Their start dates were 4/30/24 and 5/5/24. Michell Kocan observed the date of employment for staff member R.G. listed on a staff file checklist form in the employee’s file. Michell and I both looked at the two (2) files for the new staff members. Staff member H.F. did not have the date of employment listed in her file. I asked Ms. Pethel to confirm the start dates for both staff members. She replied that she would have to check. She was in the infant/toddler space assisting with the care of the children. Michell went out to the playground and asked staff member H.F. to confirm her start date. Michell returned and shared that H.F. stated that she started on 5/5/24. I went outside to ask staff member R.G. to confirm her date of employment. She replied that she was only working part-time at first and then began working full days last week. She shared that she worked for Cabarrus County Schools and that was the reason she had previously worked a few hours per day. I replied that I was requesting her start date and whether it was part-time or full-time was ok and not an issue. She replied that she needed to check the calendar on her cellphone to confirm the date. She checked her phone and shared that her date of employment was 4/30/24. Michell was present with me when I spoke with staff member, R.G. She further shared that on 4/30/24 she came to the facility to complete paperwork and that Ms. Pethel asked her to stay and work in the afternoon. She shared that she did work on that day. I asked R.G. if she was supervising children and she replied yes. After the visit was completed and I was working on the report in my vehicle, Ms. Pethel approached me and shared that she spoke with staff member R.G. and she (R.G.) misunderstood what I was asking and thought that I was asking about her work with Cabarrus County Schools. I replied that I did not think the staff member misunderstood because I asked for her date of employment “here at this facility”. Ms. Pethel further shared that she did not agree with the violations cited regarding the required information for the two (2) staff members. She shared that I could speak with R.G. again. Michell and I re-entered the facility to present the visit summary to the designated staff member. Staff member, R.G. called Michell over to her space to speak with her regarding her start date. As Michell listened to R.G. she replied that she(R.G.) would need to speak with me (Stephanie) and repeat what she shared with Michell. While R.G. was speaking with Michell, staff member H.F. called Michell over to her space. Michell approached H.F. who then shared that she made a mistake and that 5/5/24 was not her start date, but 5/20/24 was her date of employment. H.F. presented a handwritten timesheet that was lying on a table near her and showed it to Michell. Michell thanked H.F. for sharing. After reviewing the visit summary with the designated staff member in charge (see technical assistance section), staff member, R.G. spoke with me as I was leaving the building. With Michell still present, she shared with me that she misunderstood my question and that she was not working with the children on 4/30/24. She looked at her phone again and stated that she started on 5/22/24. I replied by reiterating what she shared on the playground regarding completing paperwork and being asked by Ms. Pethel to stay and work. Staff member, R.G. replied that I misunderstood her and that was not the case. I further shared that regardless of when she was working with children, she shared that her date of hire was 4/30/24 and I shared that the date was observed on a document in her file. I thanked her for sharing the information. I reviewed the valid qualification letters for both employees along with other required documents. Staff member H. F. did not have a valid qualifying letter on file. I checked the ABCMS system and found H. F. to be valid through 5/16/2029. The other staff member, R.G. had a valid qualifying letter on file, but it was dated 5/17/24, after the employee’s start date of 4/30/24. There were thirty-three (33) children present during the visit. The licensed capacity for this facility is thirty-two (32). The children were engaged in outdoor play time, handwashing, transitioning to lunch time and the individual needs of the infants and young toddlers were being met by the teacher. The visit and violations cited were discussed with Ms. Pethel and documented in today's visit summary. The violations cited were as follows: Violation Number Comment Rule 103 The number of children present was not within permit capacity. The total number of children present today was thirty-three (33). The licensed capacity for this facility is thirty-two (32). GS 110-91(7) & .1401(f) 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. The medical report for staff member R.G. was completed after the date of employment. 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. The TB screenings for staff members R.G. and H.F. were completed after their start date of employment. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The criminal background checks for staff members, R.G. and H.F. were completed after their date of employment. This is a repeat violation. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members R.G. and H.F. did not complete the required orientation within the first two weeks of employment. .1101(a)(b) 1756 Enhanced staff/child ratios and group sizes were not met. In space 1A, there were six (6) infants and young toddlers with one (1) teacher. This is a repeat violation. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. Staff member, H.F. did not have a valid qualifying letter on file for review. This is a repeat violation. G.S. 110-90.2(b) & (d) & .2703(e) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member, H.F. did not review the Shaken Baby policy prior to providing care for children. .0608(d)(1-4) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via mail or email, by June 18, 2024. Send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 Due to the nature of today’s violations, I shared with Ms. Pethel that a follow-up visit would be conducted to ensure correction of the violations. The compliance letter for the violations cited on 5/22/24 is due before or by June 5, 2024. Ms. Pethel submitted the compliance letter, via email, on 5/24/24 and 5/29/24. Technical Assistance/Resources: • During the visit, I discussed with Ms. Pethel that the compliance history percentage prior to today’s visit was 79%. I reminded Ms. Pethel that facilities must maintain a compliance history of 75% or higher. Ms. Pethel requested the percentage following today’s visit and I replied that I would email it to her today. Ms. Pethel expressed concern regarding how and when visits are included in the compliance history percentage and asked about visits from Investigations. I replied that any questions regarding visits made by investigation consultants will need to be directed to Investigations. • During the visit, I discussed with Ms. Pethel the concern that two (2) of the violations cited today regarding staff/child ratios and valid qualifying letters are both repeat violations (cited during the 5/22/24 visit). Please see rule references .2818 and .2703 (e). Also, the violation discussed at the end of the visit, regarding the criminal background checks not completed prior to employment is a repeat violation. Three(3) of the eight (8) violations cited during today’s visit are repeat violations. • During the visit, I reminded Ms. Pethel that therapists are required to have a criminal background check through DCDEE if they are providing services one-on-one and not within the direct supervision of authorized staff. If therapists provide only supervised services then a qualifying letter is not required. • During the visit, Ms. Pethel expressed concern about not hearing back from DCDEE regarding review of violations cited at the previous visit. I contacted my supervisor, Ebony Duncan while at the visit to inquire. Ms. Duncan shared that she spoke with Ms. Pethel and relayed that she would contact her when the violations review was complete. The review is not complete. • During the visit, Ms. Pethel questioned whether or not qualifying letters, health assessments and TB screenings were due for new hires before they began working with children. I clarified that those requirements must be met prior to employment and that review of the Shaken Baby policy may be completed by new staff before working directly with children. Please see rule reference .0701 (a) and .0608(d) (1-4). • During the visit, I discussed the licensing capacity for the facility with Ms. Pethel. I shared that there were thirty-three (33) children present. Ms. Pethel replied that she did not think that I had the correct number. I shared that I completed a head count, checked the arrival and departure form at the entrance and the attendance roster for each space. Ms. Pethel counted the list of present children for today and she counted thirty-three (33) as well. • While completing the visit summary, Ms. Pethel shared that she needed to leave the premises for an appointment. I asked her who would be in charge and who I could review the visit summary with. Ms. Pethel replied that I could review the visit with Ms. Ruth Arroyo and that she could sign off on the visit as well. Before Ms. Pethel left, I discussed with her that another violation was added because the new staff members completed their criminal background checks after their date of employment. There are eight (8) violations instead of seven (7). Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2818 · Violation

Name of Operation: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: 0524-260L Visit Date: 6/4/2024 Number Present: 33 Completed Date: 6/4/2024 Age: From 0 To 6 Total Minutes: 265 Time In: 09:45 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during a complaint follow-up visit. During the 5/22/24 complaint visit, violations regarding staff/child ratio, discipline, staff records and criminal background checks were cited. Upon arrival, I was greeted by Ms. Ruth Arroyo, staff member. I stated the reason for the visit. Ms. Amanda Pethel, owner/administrator, arrived soon after and assisted me with today’s visit. Michell Kocan, Child Care Consultant, accompanied and assisted me with today’s visit. During the walk-through of the spaces, I observed six (6) children in space #1A with one (1) teacher. The children being served were infants and young toddlers and the facility operates with enhanced staff/child ratios which are 1 staff for every 5 children for ages 0-12 months. Staff/child ratios, supervision, adequate/approved space and permit restrictions were monitored during the visit. I also monitored staff records for two staff members. The employee, Y.C. who did not have a valid qualification letter at the previous visit was not present at the facility. There were two (2) new employees onsite during the visit. Their start dates were 4/30/24 and 5/5/24. Michell Kocan observed the date of employment for staff member R.G. listed on a staff file checklist form in the employee’s file. Michell and I both looked at the two (2) files for the new staff members. Staff member H.F. did not have the date of employment listed in her file. I asked Ms. Pethel to confirm the start dates for both staff members. She replied that she would have to check. She was in the infant/toddler space assisting with the care of the children. Michell went out to the playground and asked staff member H.F. to confirm her start date. Michell returned and shared that H.F. stated that she started on 5/5/24. I went outside to ask staff member R.G. to confirm her date of employment. She replied that she was only working part-time at first and then began working full days last week. She shared that she worked for Cabarrus County Schools and that was the reason she had previously worked a few hours per day. I replied that I was requesting her start date and whether it was part-time or full-time was ok and not an issue. She replied that she needed to check the calendar on her cellphone to confirm the date. She checked her phone and shared that her date of employment was 4/30/24. Michell was present with me when I spoke with staff member, R.G. She further shared that on 4/30/24 she came to the facility to complete paperwork and that Ms. Pethel asked her to stay and work in the afternoon. She shared that she did work on that day. I asked R.G. if she was supervising children and she replied yes. After the visit was completed and I was working on the report in my vehicle, Ms. Pethel approached me and shared that she spoke with staff member R.G. and she (R.G.) misunderstood what I was asking and thought that I was asking about her work with Cabarrus County Schools. I replied that I did not think the staff member misunderstood because I asked for her date of employment “here at this facility”. Ms. Pethel further shared that she did not agree with the violations cited regarding the required information for the two (2) staff members. She shared that I could speak with R.G. again. Michell and I re-entered the facility to present the visit summary to the designated staff member. Staff member, R.G. called Michell over to her space to speak with her regarding her start date. As Michell listened to R.G. she replied that she(R.G.) would need to speak with me (Stephanie) and repeat what she shared with Michell. While R.G. was speaking with Michell, staff member H.F. called Michell over to her space. Michell approached H.F. who then shared that she made a mistake and that 5/5/24 was not her start date, but 5/20/24 was her date of employment. H.F. presented a handwritten timesheet that was lying on a table near her and showed it to Michell. Michell thanked H.F. for sharing. After reviewing the visit summary with the designated staff member in charge (see technical assistance section), staff member, R.G. spoke with me as I was leaving the building. With Michell still present, she shared with me that she misunderstood my question and that she was not working with the children on 4/30/24. She looked at her phone again and stated that she started on 5/22/24. I replied by reiterating what she shared on the playground regarding completing paperwork and being asked by Ms. Pethel to stay and work. Staff member, R.G. replied that I misunderstood her and that was not the case. I further shared that regardless of when she was working with children, she shared that her date of hire was 4/30/24 and I shared that the date was observed on a document in her file. I thanked her for sharing the information. I reviewed the valid qualification letters for both employees along with other required documents. Staff member H. F. did not have a valid qualifying letter on file. I checked the ABCMS system and found H. F. to be valid through 5/16/2029. The other staff member, R.G. had a valid qualifying letter on file, but it was dated 5/17/24, after the employee’s start date of 4/30/24. There were thirty-three (33) children present during the visit. The licensed capacity for this facility is thirty-two (32). The children were engaged in outdoor play time, handwashing, transitioning to lunch time and the individual needs of the infants and young toddlers were being met by the teacher. The visit and violations cited were discussed with Ms. Pethel and documented in today's visit summary. The violations cited were as follows: Violation Number Comment Rule 103 The number of children present was not within permit capacity. The total number of children present today was thirty-three (33). The licensed capacity for this facility is thirty-two (32). GS 110-91(7) & .1401(f) 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. The medical report for staff member R.G. was completed after the date of employment. 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. The TB screenings for staff members R.G. and H.F. were completed after their start date of employment. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The criminal background checks for staff members, R.G. and H.F. were completed after their date of employment. This is a repeat violation. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members R.G. and H.F. did not complete the required orientation within the first two weeks of employment. .1101(a)(b) 1756 Enhanced staff/child ratios and group sizes were not met. In space 1A, there were six (6) infants and young toddlers with one (1) teacher. This is a repeat violation. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. Staff member, H.F. did not have a valid qualifying letter on file for review. This is a repeat violation. G.S. 110-90.2(b) & (d) & .2703(e) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member, H.F. did not review the Shaken Baby policy prior to providing care for children. .0608(d)(1-4) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via mail or email, by June 18, 2024. Send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 Due to the nature of today’s violations, I shared with Ms. Pethel that a follow-up visit would be conducted to ensure correction of the violations. The compliance letter for the violations cited on 5/22/24 is due before or by June 5, 2024. Ms. Pethel submitted the compliance letter, via email, on 5/24/24 and 5/29/24. Technical Assistance/Resources: • During the visit, I discussed with Ms. Pethel that the compliance history percentage prior to today’s visit was 79%. I reminded Ms. Pethel that facilities must maintain a compliance history of 75% or higher. Ms. Pethel requested the percentage following today’s visit and I replied that I would email it to her today. Ms. Pethel expressed concern regarding how and when visits are included in the compliance history percentage and asked about visits from Investigations. I replied that any questions regarding visits made by investigation consultants will need to be directed to Investigations. • During the visit, I discussed with Ms. Pethel the concern that two (2) of the violations cited today regarding staff/child ratios and valid qualifying letters are both repeat violations (cited during the 5/22/24 visit). Please see rule references .2818 and .2703 (e). Also, the violation discussed at the end of the visit, regarding the criminal background checks not completed prior to employment is a repeat violation. Three(3) of the eight (8) violations cited during today’s visit are repeat violations. • During the visit, I reminded Ms. Pethel that therapists are required to have a criminal background check through DCDEE if they are providing services one-on-one and not within the direct supervision of authorized staff. If therapists provide only supervised services then a qualifying letter is not required. • During the visit, Ms. Pethel expressed concern about not hearing back from DCDEE regarding review of violations cited at the previous visit. I contacted my supervisor, Ebony Duncan while at the visit to inquire. Ms. Duncan shared that she spoke with Ms. Pethel and relayed that she would contact her when the violations review was complete. The review is not complete. • During the visit, Ms. Pethel questioned whether or not qualifying letters, health assessments and TB screenings were due for new hires before they began working with children. I clarified that those requirements must be met prior to employment and that review of the Shaken Baby policy may be completed by new staff before working directly with children. Please see rule reference .0701 (a) and .0608(d) (1-4). • During the visit, I discussed the licensing capacity for the facility with Ms. Pethel. I shared that there were thirty-three (33) children present. Ms. Pethel replied that she did not think that I had the correct number. I shared that I completed a head count, checked the arrival and departure form at the entrance and the attendance roster for each space. Ms. Pethel counted the list of present children for today and she counted thirty-three (33) as well. • While completing the visit summary, Ms. Pethel shared that she needed to leave the premises for an appointment. I asked her who would be in charge and who I could review the visit summary with. Ms. Pethel replied that I could review the visit with Ms. Ruth Arroyo and that she could sign off on the visit as well. Before Ms. Pethel left, I discussed with her that another violation was added because the new staff members completed their criminal background checks after their date of employment. There are eight (8) violations instead of seven (7). Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: 0524-260L Visit Date: 6/4/2024 Number Present: 33 Completed Date: 6/4/2024 Age: From 0 To 6 Total Minutes: 265 Time In: 09:45 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during a complaint follow-up visit. During the 5/22/24 complaint visit, violations regarding staff/child ratio, discipline, staff records and criminal background checks were cited. Upon arrival, I was greeted by Ms. Ruth Arroyo, staff member. I stated the reason for the visit. Ms. Amanda Pethel, owner/administrator, arrived soon after and assisted me with today’s visit. Michell Kocan, Child Care Consultant, accompanied and assisted me with today’s visit. During the walk-through of the spaces, I observed six (6) children in space #1A with one (1) teacher. The children being served were infants and young toddlers and the facility operates with enhanced staff/child ratios which are 1 staff for every 5 children for ages 0-12 months. Staff/child ratios, supervision, adequate/approved space and permit restrictions were monitored during the visit. I also monitored staff records for two staff members. The employee, Y.C. who did not have a valid qualification letter at the previous visit was not present at the facility. There were two (2) new employees onsite during the visit. Their start dates were 4/30/24 and 5/5/24. Michell Kocan observed the date of employment for staff member R.G. listed on a staff file checklist form in the employee’s file. Michell and I both looked at the two (2) files for the new staff members. Staff member H.F. did not have the date of employment listed in her file. I asked Ms. Pethel to confirm the start dates for both staff members. She replied that she would have to check. She was in the infant/toddler space assisting with the care of the children. Michell went out to the playground and asked staff member H.F. to confirm her start date. Michell returned and shared that H.F. stated that she started on 5/5/24. I went outside to ask staff member R.G. to confirm her date of employment. She replied that she was only working part-time at first and then began working full days last week. She shared that she worked for Cabarrus County Schools and that was the reason she had previously worked a few hours per day. I replied that I was requesting her start date and whether it was part-time or full-time was ok and not an issue. She replied that she needed to check the calendar on her cellphone to confirm the date. She checked her phone and shared that her date of employment was 4/30/24. Michell was present with me when I spoke with staff member, R.G. She further shared that on 4/30/24 she came to the facility to complete paperwork and that Ms. Pethel asked her to stay and work in the afternoon. She shared that she did work on that day. I asked R.G. if she was supervising children and she replied yes. After the visit was completed and I was working on the report in my vehicle, Ms. Pethel approached me and shared that she spoke with staff member R.G. and she (R.G.) misunderstood what I was asking and thought that I was asking about her work with Cabarrus County Schools. I replied that I did not think the staff member misunderstood because I asked for her date of employment “here at this facility”. Ms. Pethel further shared that she did not agree with the violations cited regarding the required information for the two (2) staff members. She shared that I could speak with R.G. again. Michell and I re-entered the facility to present the visit summary to the designated staff member. Staff member, R.G. called Michell over to her space to speak with her regarding her start date. As Michell listened to R.G. she replied that she(R.G.) would need to speak with me (Stephanie) and repeat what she shared with Michell. While R.G. was speaking with Michell, staff member H.F. called Michell over to her space. Michell approached H.F. who then shared that she made a mistake and that 5/5/24 was not her start date, but 5/20/24 was her date of employment. H.F. presented a handwritten timesheet that was lying on a table near her and showed it to Michell. Michell thanked H.F. for sharing. After reviewing the visit summary with the designated staff member in charge (see technical assistance section), staff member, R.G. spoke with me as I was leaving the building. With Michell still present, she shared with me that she misunderstood my question and that she was not working with the children on 4/30/24. She looked at her phone again and stated that she started on 5/22/24. I replied by reiterating what she shared on the playground regarding completing paperwork and being asked by Ms. Pethel to stay and work. Staff member, R.G. replied that I misunderstood her and that was not the case. I further shared that regardless of when she was working with children, she shared that her date of hire was 4/30/24 and I shared that the date was observed on a document in her file. I thanked her for sharing the information. I reviewed the valid qualification letters for both employees along with other required documents. Staff member H. F. did not have a valid qualifying letter on file. I checked the ABCMS system and found H. F. to be valid through 5/16/2029. The other staff member, R.G. had a valid qualifying letter on file, but it was dated 5/17/24, after the employee’s start date of 4/30/24. There were thirty-three (33) children present during the visit. The licensed capacity for this facility is thirty-two (32). The children were engaged in outdoor play time, handwashing, transitioning to lunch time and the individual needs of the infants and young toddlers were being met by the teacher. The visit and violations cited were discussed with Ms. Pethel and documented in today's visit summary. The violations cited were as follows: Violation Number Comment Rule 103 The number of children present was not within permit capacity. The total number of children present today was thirty-three (33). The licensed capacity for this facility is thirty-two (32). GS 110-91(7) & .1401(f) 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. The medical report for staff member R.G. was completed after the date of employment. 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. The TB screenings for staff members R.G. and H.F. were completed after their start date of employment. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The criminal background checks for staff members, R.G. and H.F. were completed after their date of employment. This is a repeat violation. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members R.G. and H.F. did not complete the required orientation within the first two weeks of employment. .1101(a)(b) 1756 Enhanced staff/child ratios and group sizes were not met. In space 1A, there were six (6) infants and young toddlers with one (1) teacher. This is a repeat violation. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. Staff member, H.F. did not have a valid qualifying letter on file for review. This is a repeat violation. G.S. 110-90.2(b) & (d) & .2703(e) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member, H.F. did not review the Shaken Baby policy prior to providing care for children. .0608(d)(1-4) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via mail or email, by June 18, 2024. Send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 Due to the nature of today’s violations, I shared with Ms. Pethel that a follow-up visit would be conducted to ensure correction of the violations. The compliance letter for the violations cited on 5/22/24 is due before or by June 5, 2024. Ms. Pethel submitted the compliance letter, via email, on 5/24/24 and 5/29/24. Technical Assistance/Resources: • During the visit, I discussed with Ms. Pethel that the compliance history percentage prior to today’s visit was 79%. I reminded Ms. Pethel that facilities must maintain a compliance history of 75% or higher. Ms. Pethel requested the percentage following today’s visit and I replied that I would email it to her today. Ms. Pethel expressed concern regarding how and when visits are included in the compliance history percentage and asked about visits from Investigations. I replied that any questions regarding visits made by investigation consultants will need to be directed to Investigations. • During the visit, I discussed with Ms. Pethel the concern that two (2) of the violations cited today regarding staff/child ratios and valid qualifying letters are both repeat violations (cited during the 5/22/24 visit). Please see rule references .2818 and .2703 (e). Also, the violation discussed at the end of the visit, regarding the criminal background checks not completed prior to employment is a repeat violation. Three(3) of the eight (8) violations cited during today’s visit are repeat violations. • During the visit, I reminded Ms. Pethel that therapists are required to have a criminal background check through DCDEE if they are providing services one-on-one and not within the direct supervision of authorized staff. If therapists provide only supervised services then a qualifying letter is not required. • During the visit, Ms. Pethel expressed concern about not hearing back from DCDEE regarding review of violations cited at the previous visit. I contacted my supervisor, Ebony Duncan while at the visit to inquire. Ms. Duncan shared that she spoke with Ms. Pethel and relayed that she would contact her when the violations review was complete. The review is not complete. • During the visit, Ms. Pethel questioned whether or not qualifying letters, health assessments and TB screenings were due for new hires before they began working with children. I clarified that those requirements must be met prior to employment and that review of the Shaken Baby policy may be completed by new staff before working directly with children. Please see rule reference .0701 (a) and .0608(d) (1-4). • During the visit, I discussed the licensing capacity for the facility with Ms. Pethel. I shared that there were thirty-three (33) children present. Ms. Pethel replied that she did not think that I had the correct number. I shared that I completed a head count, checked the arrival and departure form at the entrance and the attendance roster for each space. Ms. Pethel counted the list of present children for today and she counted thirty-three (33) as well. • While completing the visit summary, Ms. Pethel shared that she needed to leave the premises for an appointment. I asked her who would be in charge and who I could review the visit summary with. Ms. Pethel replied that I could review the visit with Ms. Ruth Arroyo and that she could sign off on the visit as well. Before Ms. Pethel left, I discussed with her that another violation was added because the new staff members completed their criminal background checks after their date of employment. There are eight (8) violations instead of seven (7). Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: 0524-260L Visit Date: 6/4/2024 Number Present: 33 Completed Date: 6/4/2024 Age: From 0 To 6 Total Minutes: 265 Time In: 09:45 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during a complaint follow-up visit. During the 5/22/24 complaint visit, violations regarding staff/child ratio, discipline, staff records and criminal background checks were cited. Upon arrival, I was greeted by Ms. Ruth Arroyo, staff member. I stated the reason for the visit. Ms. Amanda Pethel, owner/administrator, arrived soon after and assisted me with today’s visit. Michell Kocan, Child Care Consultant, accompanied and assisted me with today’s visit. During the walk-through of the spaces, I observed six (6) children in space #1A with one (1) teacher. The children being served were infants and young toddlers and the facility operates with enhanced staff/child ratios which are 1 staff for every 5 children for ages 0-12 months. Staff/child ratios, supervision, adequate/approved space and permit restrictions were monitored during the visit. I also monitored staff records for two staff members. The employee, Y.C. who did not have a valid qualification letter at the previous visit was not present at the facility. There were two (2) new employees onsite during the visit. Their start dates were 4/30/24 and 5/5/24. Michell Kocan observed the date of employment for staff member R.G. listed on a staff file checklist form in the employee’s file. Michell and I both looked at the two (2) files for the new staff members. Staff member H.F. did not have the date of employment listed in her file. I asked Ms. Pethel to confirm the start dates for both staff members. She replied that she would have to check. She was in the infant/toddler space assisting with the care of the children. Michell went out to the playground and asked staff member H.F. to confirm her start date. Michell returned and shared that H.F. stated that she started on 5/5/24. I went outside to ask staff member R.G. to confirm her date of employment. She replied that she was only working part-time at first and then began working full days last week. She shared that she worked for Cabarrus County Schools and that was the reason she had previously worked a few hours per day. I replied that I was requesting her start date and whether it was part-time or full-time was ok and not an issue. She replied that she needed to check the calendar on her cellphone to confirm the date. She checked her phone and shared that her date of employment was 4/30/24. Michell was present with me when I spoke with staff member, R.G. She further shared that on 4/30/24 she came to the facility to complete paperwork and that Ms. Pethel asked her to stay and work in the afternoon. She shared that she did work on that day. I asked R.G. if she was supervising children and she replied yes. After the visit was completed and I was working on the report in my vehicle, Ms. Pethel approached me and shared that she spoke with staff member R.G. and she (R.G.) misunderstood what I was asking and thought that I was asking about her work with Cabarrus County Schools. I replied that I did not think the staff member misunderstood because I asked for her date of employment “here at this facility”. Ms. Pethel further shared that she did not agree with the violations cited regarding the required information for the two (2) staff members. She shared that I could speak with R.G. again. Michell and I re-entered the facility to present the visit summary to the designated staff member. Staff member, R.G. called Michell over to her space to speak with her regarding her start date. As Michell listened to R.G. she replied that she(R.G.) would need to speak with me (Stephanie) and repeat what she shared with Michell. While R.G. was speaking with Michell, staff member H.F. called Michell over to her space. Michell approached H.F. who then shared that she made a mistake and that 5/5/24 was not her start date, but 5/20/24 was her date of employment. H.F. presented a handwritten timesheet that was lying on a table near her and showed it to Michell. Michell thanked H.F. for sharing. After reviewing the visit summary with the designated staff member in charge (see technical assistance section), staff member, R.G. spoke with me as I was leaving the building. With Michell still present, she shared with me that she misunderstood my question and that she was not working with the children on 4/30/24. She looked at her phone again and stated that she started on 5/22/24. I replied by reiterating what she shared on the playground regarding completing paperwork and being asked by Ms. Pethel to stay and work. Staff member, R.G. replied that I misunderstood her and that was not the case. I further shared that regardless of when she was working with children, she shared that her date of hire was 4/30/24 and I shared that the date was observed on a document in her file. I thanked her for sharing the information. I reviewed the valid qualification letters for both employees along with other required documents. Staff member H. F. did not have a valid qualifying letter on file. I checked the ABCMS system and found H. F. to be valid through 5/16/2029. The other staff member, R.G. had a valid qualifying letter on file, but it was dated 5/17/24, after the employee’s start date of 4/30/24. There were thirty-three (33) children present during the visit. The licensed capacity for this facility is thirty-two (32). The children were engaged in outdoor play time, handwashing, transitioning to lunch time and the individual needs of the infants and young toddlers were being met by the teacher. The visit and violations cited were discussed with Ms. Pethel and documented in today's visit summary. The violations cited were as follows: Violation Number Comment Rule 103 The number of children present was not within permit capacity. The total number of children present today was thirty-three (33). The licensed capacity for this facility is thirty-two (32). GS 110-91(7) & .1401(f) 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. The medical report for staff member R.G. was completed after the date of employment. 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. The TB screenings for staff members R.G. and H.F. were completed after their start date of employment. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. The criminal background checks for staff members, R.G. and H.F. were completed after their date of employment. This is a repeat violation. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members R.G. and H.F. did not complete the required orientation within the first two weeks of employment. .1101(a)(b) 1756 Enhanced staff/child ratios and group sizes were not met. In space 1A, there were six (6) infants and young toddlers with one (1) teacher. This is a repeat violation. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. Staff member, H.F. did not have a valid qualifying letter on file for review. This is a repeat violation. G.S. 110-90.2(b) & (d) & .2703(e) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member, H.F. did not review the Shaken Baby policy prior to providing care for children. .0608(d)(1-4) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via mail or email, by June 18, 2024. Send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 Due to the nature of today’s violations, I shared with Ms. Pethel that a follow-up visit would be conducted to ensure correction of the violations. The compliance letter for the violations cited on 5/22/24 is due before or by June 5, 2024. Ms. Pethel submitted the compliance letter, via email, on 5/24/24 and 5/29/24. Technical Assistance/Resources: • During the visit, I discussed with Ms. Pethel that the compliance history percentage prior to today’s visit was 79%. I reminded Ms. Pethel that facilities must maintain a compliance history of 75% or higher. Ms. Pethel requested the percentage following today’s visit and I replied that I would email it to her today. Ms. Pethel expressed concern regarding how and when visits are included in the compliance history percentage and asked about visits from Investigations. I replied that any questions regarding visits made by investigation consultants will need to be directed to Investigations. • During the visit, I discussed with Ms. Pethel the concern that two (2) of the violations cited today regarding staff/child ratios and valid qualifying letters are both repeat violations (cited during the 5/22/24 visit). Please see rule references .2818 and .2703 (e). Also, the violation discussed at the end of the visit, regarding the criminal background checks not completed prior to employment is a repeat violation. Three(3) of the eight (8) violations cited during today’s visit are repeat violations. • During the visit, I reminded Ms. Pethel that therapists are required to have a criminal background check through DCDEE if they are providing services one-on-one and not within the direct supervision of authorized staff. If therapists provide only supervised services then a qualifying letter is not required. • During the visit, Ms. Pethel expressed concern about not hearing back from DCDEE regarding review of violations cited at the previous visit. I contacted my supervisor, Ebony Duncan while at the visit to inquire. Ms. Duncan shared that she spoke with Ms. Pethel and relayed that she would contact her when the violations review was complete. The review is not complete. • During the visit, Ms. Pethel questioned whether or not qualifying letters, health assessments and TB screenings were due for new hires before they began working with children. I clarified that those requirements must be met prior to employment and that review of the Shaken Baby policy may be completed by new staff before working directly with children. Please see rule reference .0701 (a) and .0608(d) (1-4). • During the visit, I discussed the licensing capacity for the facility with Ms. Pethel. I shared that there were thirty-three (33) children present. Ms. Pethel replied that she did not think that I had the correct number. I shared that I completed a head count, checked the arrival and departure form at the entrance and the attendance roster for each space. Ms. Pethel counted the list of present children for today and she counted thirty-three (33) as well. • While completing the visit summary, Ms. Pethel shared that she needed to leave the premises for an appointment. I asked her who would be in charge and who I could review the visit summary with. Ms. Pethel replied that I could review the visit with Ms. Ruth Arroyo and that she could sign off on the visit as well. Before Ms. Pethel left, I discussed with her that another violation was added because the new staff members completed their criminal background checks after their date of employment. There are eight (8) violations instead of seven (7). Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: 0524-260L Visit Date: 5/22/2024 Number Present: 31 Completed Date: 5/22/2024 Age: From 0 To 6 Total Minutes: 345 Time In: 11:15 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate a complaint allegation. There are concerns that: -Children are not adequately supervised. -A 4-year old child was placed in a crib to keep other children safe. -All required documentation is not available for a staff person. Documentation that is provided is not accurate. There were attempts to conceal this person’s employment from the Licensing Consultant. -There was a verbal altercation involving the administrator and a staff person. Some children were awake and overheard angry yelling and inappropriate language. -Children were grouped in violation of licensing requirements. -A child’s one-on-one worker has stepped into other classrooms and provided bathroom breaks, was counted in ratio and provided supervision. It is unknown if this person has a CBC or has a working file or has had required training to be counted in the ratio and provide supervision. -A staff person was arrested for allegations which may have negatively impacted qualification status. Upon arrival, I entered the building. I asked an individual near the entrance if she was in charge. She replied no and that she was the occupational therapist. She shared that Ms. Ruth was in charge. I asked if Ms. Amanda Pethel, owner/administrator was available and the therapist shared that Ms. Pethel was at the school picking up the school-age children and that she would return in about ten minutes. I told Ms. Ruth that I would wait outside for Ms. Pethel to return. While I was outside, Michell Kocan, Child Care Consultant went back inside. I observed an individual leaving the building through the front entrance with a child. After a few minutes, the person left the premises. Ms. Pethel arrived onto the premises, in her vehicle at 11:18 a.m. with two (2) school-age children. She escorted the two (2) children to the back door that was closest to the space where the children attend. I re-entered the building and joined the other licensing consultant. I greeted Ms. Pethel and explained the reason for the visit. Ms. Pethel assisted me with today’s visit. Michell Kocan, Child Care Consultant, accompanied and assisted me with today’s visit. I confirmed with Ms. Pethel that she transported the school-age from their school to her facility. She replied yes and that it was an early release day and that the school had been having issues with transportation and as a favor to the children’s parents, she picked up the children. Ms. Pethel further shared that she is not transporting children and that today was a special circumstance. I shared that because the children are enrolled, she is required to meet transportation requirements and that I would need to monitor for compliance with those requirements. I observed the interior and exterior of the vehicle. The insurance provided by Allstate was valid from 4/24/24-10/24/24. The registration expires on 8/31/24. There were no transportation permission forms for either child. Ms. Pethel thought that she was listed on the children’s application as an authorized pick up, but after reviewing the children’s files, it was discovered that she was not listed as an authorized pickup person. During the visit, I explained to Ms. Pethel that the transportation permission form would need to be completed for each child even if her name had been listed on the children’s application form. There is required information that must be listed when transporting children that a name on the application will not meet. During the visit, I observed supervision, staff/child ratio, adequate/approved space and permit restrictions. I also reviewed some of the staff files for qualifying letters and interviewed staff members. There were thirty-one (31) children in attendance during the visit. The children were engaged in transitioning to rest time and rest time. Findings: • I interviewed the teacher in question regarding children not being adequately supervised during rest time. I asked the teacher if she had ever fallen asleep during nap time. She replied that she had not. • I interviewed the administrator regarding the alleged staff member falling asleep during nap time while responsible for supervising children. She replied that a staff member has not fallen asleep while supervising children. I also asked the administrator if a verbal altercation occurred between her and a staff member. She replied that she did have to speak to a staff member regarding unacceptable behavior, but that no foul language was spoken and no yelling occurred. She further shared that she asked the staff member to speak with her outside and they continued the conversation outside. I asked the administrator if children two years of age were placed in the same space with infants in order for a staff member to leave early for an event. She replied no and that only during the first hour and last hour of the day does she have those ages mixed together. • A phone interview confirmed that a child had been restrained in a crib to prevent the child from hitting small children. During the visit, the administrator also confirmed that this incident occurred but shared that the object was a high chair, not a crib. • New staff members were observed and present during the visit. I asked the administrator to provide the files for the staff members to view their qualifying letters. One new staff member, S.R. had a valid qualification letter, but the other staff member, Y. Cespedes, did not have a valid qualifying letter nor had completed a criminal background check. I discussed with Ms. Pethel that the staff member without the qualifying letter could not return to work without the valid qualifying letter. • During the visit, I observed a therapist onsite providing one-on-one care for a child in space #1C. There was one staff member in space #1A, one staff member in space #1B and one staff member in space #1C. Upon my arrival, there were seventeen (17) children present in space #1C with the one (1) teacher. After Ms. Pethel returned with the school-age children, she assisted me with the walk-thru. I asked her who the teachers were in space #1C. She and I were standing in space #1C. She did not answer immediately and I pointed to the two adults in the space and asked if they were the teachers. Ms. Pethel replied, “sort of”. I asked for clarification and then she shared that she was the other teacher in the space. I replied that she was not onsite when I arrived and that I observed the one teacher in the space. I shared that the therapist could not be counted in the ratio or be responsible for the care of the other children. Ms. Pethel did not have a qualifying letter for the therapist. Ms. Pethel replied that before we (the consultants) arrived, she did have another teacher in space #1C, but she was the person who left with her child when the licensing consultants arrived on the premises. I confirmed that the consultants observed one teacher with seventeen (17) children in space #1C. Ms. Pethel replied that she understood and she did assist the other teacher in space #1C. Ms. Pethel further shared that she has never asked the therapist to assist with supervision. Michell Kocan spoke with the therapist and asked her if she had ever been asked to supervise the other children and she replied no. • Prior to today’s visit, the allegation regarding the arrest of a staff member was addressed and did not negatively impact qualification status. The violations cited during the visit were discussed with Ms. Pethel and documented in the visit summary. Violation Number Comment Rule 908 Discipline was not appropriate for the child's age and development. A child 4 years of age was placed in a crib or high chair by a staff member to prevent the child from hitting younger children. .1803(b) 1041 Prior to employment a Criminal Background Check was not completed. Staff member, Y. Cespedes did not complete a criminal background check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. The staff records for staff member Y.C. were not available for review. G.S. 110-91( 9) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. A first aid kit and fire extinguisher were not located in the vehicle transporting two (2) children to the facility. 10A NCAC 09 .1003(c) 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. Emergency information was not available nor in the vehicle for the two(2) children being transported. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation permission forms were not obtained for the two (2) children being transported. .1003(i)(j) 1756 Enhanced staff/child ratios and group sizes were not met. In space #1C, there were seventeen (17) children with one (1) teacher. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available to review for staff member, Y. Cespedes. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Signage regarding smoking and tobacco restriction was not posted on or in the vehicle transporting children. .0604(i) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via email, by June 5, 2024. If needed, send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 Based on the observations, phone interviews, in-person interviews and information received, the allegation of the concerns listed below have been determined to be as followed: -Children are not adequately supervised-unsubstantiated. -A 4-year old child was placed in a crib to keep other children safe-substantiated. -All required documentation is not available for a staff person. Documentation that is provided is not accurate. There were attempts to conceal this person’s employment from the Licensing Consultant-substantiated. -There was a verbal altercation involving the administrator and a staff person. Some children were awake and overheard angry yelling and inappropriate language- unsubstantiated. -Children were grouped in violation of licensing requirements-unsubstantiated. -A child’s one-on-one worker has stepped into other classrooms and provided bathroom breaks, was counted in ratio and provided supervision. It is unknown if this person has a CBC or has a working file or has had required training to be counted in the ratio and provide supervision- substantiated. -A staff person was arrested for allegations which may have negatively impacted qualification status- unsubstantiated. Due to the nature of the violations, a follow-up visit will be conducted in the near future to monitor compliance with NC Child Care Rules. When an allegation is substantiated, an Administrative Action may be issued. If this occurs, you will be notified and the steps needed to complete the action, if applicable, will be explained. Technical Assistance/Resources: • During the visit, I discussed with Ms. Pethel that even though it was rest time, that infants and young toddlers may not all rest at the same time. Therefore, a child cannot be left in a crib if he/she is not ready to sleep. She replied that she understood and assisted the teacher with meeting the child’s needs. *During the visit, I discussed with Ms. Pethel the requirements for transporting children. *During the visit, I discussed with Ms. Pethel the criminal background check requirements. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance regarding this specific visit, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2818 · Violation

Name of Operation: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: 0524-260L Visit Date: 5/22/2024 Number Present: 31 Completed Date: 5/22/2024 Age: From 0 To 6 Total Minutes: 345 Time In: 11:15 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate a complaint allegation. There are concerns that: -Children are not adequately supervised. -A 4-year old child was placed in a crib to keep other children safe. -All required documentation is not available for a staff person. Documentation that is provided is not accurate. There were attempts to conceal this person’s employment from the Licensing Consultant. -There was a verbal altercation involving the administrator and a staff person. Some children were awake and overheard angry yelling and inappropriate language. -Children were grouped in violation of licensing requirements. -A child’s one-on-one worker has stepped into other classrooms and provided bathroom breaks, was counted in ratio and provided supervision. It is unknown if this person has a CBC or has a working file or has had required training to be counted in the ratio and provide supervision. -A staff person was arrested for allegations which may have negatively impacted qualification status. Upon arrival, I entered the building. I asked an individual near the entrance if she was in charge. She replied no and that she was the occupational therapist. She shared that Ms. Ruth was in charge. I asked if Ms. Amanda Pethel, owner/administrator was available and the therapist shared that Ms. Pethel was at the school picking up the school-age children and that she would return in about ten minutes. I told Ms. Ruth that I would wait outside for Ms. Pethel to return. While I was outside, Michell Kocan, Child Care Consultant went back inside. I observed an individual leaving the building through the front entrance with a child. After a few minutes, the person left the premises. Ms. Pethel arrived onto the premises, in her vehicle at 11:18 a.m. with two (2) school-age children. She escorted the two (2) children to the back door that was closest to the space where the children attend. I re-entered the building and joined the other licensing consultant. I greeted Ms. Pethel and explained the reason for the visit. Ms. Pethel assisted me with today’s visit. Michell Kocan, Child Care Consultant, accompanied and assisted me with today’s visit. I confirmed with Ms. Pethel that she transported the school-age from their school to her facility. She replied yes and that it was an early release day and that the school had been having issues with transportation and as a favor to the children’s parents, she picked up the children. Ms. Pethel further shared that she is not transporting children and that today was a special circumstance. I shared that because the children are enrolled, she is required to meet transportation requirements and that I would need to monitor for compliance with those requirements. I observed the interior and exterior of the vehicle. The insurance provided by Allstate was valid from 4/24/24-10/24/24. The registration expires on 8/31/24. There were no transportation permission forms for either child. Ms. Pethel thought that she was listed on the children’s application as an authorized pick up, but after reviewing the children’s files, it was discovered that she was not listed as an authorized pickup person. During the visit, I explained to Ms. Pethel that the transportation permission form would need to be completed for each child even if her name had been listed on the children’s application form. There is required information that must be listed when transporting children that a name on the application will not meet. During the visit, I observed supervision, staff/child ratio, adequate/approved space and permit restrictions. I also reviewed some of the staff files for qualifying letters and interviewed staff members. There were thirty-one (31) children in attendance during the visit. The children were engaged in transitioning to rest time and rest time. Findings: • I interviewed the teacher in question regarding children not being adequately supervised during rest time. I asked the teacher if she had ever fallen asleep during nap time. She replied that she had not. • I interviewed the administrator regarding the alleged staff member falling asleep during nap time while responsible for supervising children. She replied that a staff member has not fallen asleep while supervising children. I also asked the administrator if a verbal altercation occurred between her and a staff member. She replied that she did have to speak to a staff member regarding unacceptable behavior, but that no foul language was spoken and no yelling occurred. She further shared that she asked the staff member to speak with her outside and they continued the conversation outside. I asked the administrator if children two years of age were placed in the same space with infants in order for a staff member to leave early for an event. She replied no and that only during the first hour and last hour of the day does she have those ages mixed together. • A phone interview confirmed that a child had been restrained in a crib to prevent the child from hitting small children. During the visit, the administrator also confirmed that this incident occurred but shared that the object was a high chair, not a crib. • New staff members were observed and present during the visit. I asked the administrator to provide the files for the staff members to view their qualifying letters. One new staff member, S.R. had a valid qualification letter, but the other staff member, Y. Cespedes, did not have a valid qualifying letter nor had completed a criminal background check. I discussed with Ms. Pethel that the staff member without the qualifying letter could not return to work without the valid qualifying letter. • During the visit, I observed a therapist onsite providing one-on-one care for a child in space #1C. There was one staff member in space #1A, one staff member in space #1B and one staff member in space #1C. Upon my arrival, there were seventeen (17) children present in space #1C with the one (1) teacher. After Ms. Pethel returned with the school-age children, she assisted me with the walk-thru. I asked her who the teachers were in space #1C. She and I were standing in space #1C. She did not answer immediately and I pointed to the two adults in the space and asked if they were the teachers. Ms. Pethel replied, “sort of”. I asked for clarification and then she shared that she was the other teacher in the space. I replied that she was not onsite when I arrived and that I observed the one teacher in the space. I shared that the therapist could not be counted in the ratio or be responsible for the care of the other children. Ms. Pethel did not have a qualifying letter for the therapist. Ms. Pethel replied that before we (the consultants) arrived, she did have another teacher in space #1C, but she was the person who left with her child when the licensing consultants arrived on the premises. I confirmed that the consultants observed one teacher with seventeen (17) children in space #1C. Ms. Pethel replied that she understood and she did assist the other teacher in space #1C. Ms. Pethel further shared that she has never asked the therapist to assist with supervision. Michell Kocan spoke with the therapist and asked her if she had ever been asked to supervise the other children and she replied no. • Prior to today’s visit, the allegation regarding the arrest of a staff member was addressed and did not negatively impact qualification status. The violations cited during the visit were discussed with Ms. Pethel and documented in the visit summary. Violation Number Comment Rule 908 Discipline was not appropriate for the child's age and development. A child 4 years of age was placed in a crib or high chair by a staff member to prevent the child from hitting younger children. .1803(b) 1041 Prior to employment a Criminal Background Check was not completed. Staff member, Y. Cespedes did not complete a criminal background check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. The staff records for staff member Y.C. were not available for review. G.S. 110-91( 9) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. A first aid kit and fire extinguisher were not located in the vehicle transporting two (2) children to the facility. 10A NCAC 09 .1003(c) 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. Emergency information was not available nor in the vehicle for the two(2) children being transported. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation permission forms were not obtained for the two (2) children being transported. .1003(i)(j) 1756 Enhanced staff/child ratios and group sizes were not met. In space #1C, there were seventeen (17) children with one (1) teacher. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available to review for staff member, Y. Cespedes. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Signage regarding smoking and tobacco restriction was not posted on or in the vehicle transporting children. .0604(i) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via email, by June 5, 2024. If needed, send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 Based on the observations, phone interviews, in-person interviews and information received, the allegation of the concerns listed below have been determined to be as followed: -Children are not adequately supervised-unsubstantiated. -A 4-year old child was placed in a crib to keep other children safe-substantiated. -All required documentation is not available for a staff person. Documentation that is provided is not accurate. There were attempts to conceal this person’s employment from the Licensing Consultant-substantiated. -There was a verbal altercation involving the administrator and a staff person. Some children were awake and overheard angry yelling and inappropriate language- unsubstantiated. -Children were grouped in violation of licensing requirements-unsubstantiated. -A child’s one-on-one worker has stepped into other classrooms and provided bathroom breaks, was counted in ratio and provided supervision. It is unknown if this person has a CBC or has a working file or has had required training to be counted in the ratio and provide supervision- substantiated. -A staff person was arrested for allegations which may have negatively impacted qualification status- unsubstantiated. Due to the nature of the violations, a follow-up visit will be conducted in the near future to monitor compliance with NC Child Care Rules. When an allegation is substantiated, an Administrative Action may be issued. If this occurs, you will be notified and the steps needed to complete the action, if applicable, will be explained. Technical Assistance/Resources: • During the visit, I discussed with Ms. Pethel that even though it was rest time, that infants and young toddlers may not all rest at the same time. Therefore, a child cannot be left in a crib if he/she is not ready to sleep. She replied that she understood and assisted the teacher with meeting the child’s needs. *During the visit, I discussed with Ms. Pethel the requirements for transporting children. *During the visit, I discussed with Ms. Pethel the criminal background check requirements. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance regarding this specific visit, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: 0524-260L Visit Date: 5/22/2024 Number Present: 31 Completed Date: 5/22/2024 Age: From 0 To 6 Total Minutes: 345 Time In: 11:15 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate a complaint allegation. There are concerns that: -Children are not adequately supervised. -A 4-year old child was placed in a crib to keep other children safe. -All required documentation is not available for a staff person. Documentation that is provided is not accurate. There were attempts to conceal this person’s employment from the Licensing Consultant. -There was a verbal altercation involving the administrator and a staff person. Some children were awake and overheard angry yelling and inappropriate language. -Children were grouped in violation of licensing requirements. -A child’s one-on-one worker has stepped into other classrooms and provided bathroom breaks, was counted in ratio and provided supervision. It is unknown if this person has a CBC or has a working file or has had required training to be counted in the ratio and provide supervision. -A staff person was arrested for allegations which may have negatively impacted qualification status. Upon arrival, I entered the building. I asked an individual near the entrance if she was in charge. She replied no and that she was the occupational therapist. She shared that Ms. Ruth was in charge. I asked if Ms. Amanda Pethel, owner/administrator was available and the therapist shared that Ms. Pethel was at the school picking up the school-age children and that she would return in about ten minutes. I told Ms. Ruth that I would wait outside for Ms. Pethel to return. While I was outside, Michell Kocan, Child Care Consultant went back inside. I observed an individual leaving the building through the front entrance with a child. After a few minutes, the person left the premises. Ms. Pethel arrived onto the premises, in her vehicle at 11:18 a.m. with two (2) school-age children. She escorted the two (2) children to the back door that was closest to the space where the children attend. I re-entered the building and joined the other licensing consultant. I greeted Ms. Pethel and explained the reason for the visit. Ms. Pethel assisted me with today’s visit. Michell Kocan, Child Care Consultant, accompanied and assisted me with today’s visit. I confirmed with Ms. Pethel that she transported the school-age from their school to her facility. She replied yes and that it was an early release day and that the school had been having issues with transportation and as a favor to the children’s parents, she picked up the children. Ms. Pethel further shared that she is not transporting children and that today was a special circumstance. I shared that because the children are enrolled, she is required to meet transportation requirements and that I would need to monitor for compliance with those requirements. I observed the interior and exterior of the vehicle. The insurance provided by Allstate was valid from 4/24/24-10/24/24. The registration expires on 8/31/24. There were no transportation permission forms for either child. Ms. Pethel thought that she was listed on the children’s application as an authorized pick up, but after reviewing the children’s files, it was discovered that she was not listed as an authorized pickup person. During the visit, I explained to Ms. Pethel that the transportation permission form would need to be completed for each child even if her name had been listed on the children’s application form. There is required information that must be listed when transporting children that a name on the application will not meet. During the visit, I observed supervision, staff/child ratio, adequate/approved space and permit restrictions. I also reviewed some of the staff files for qualifying letters and interviewed staff members. There were thirty-one (31) children in attendance during the visit. The children were engaged in transitioning to rest time and rest time. Findings: • I interviewed the teacher in question regarding children not being adequately supervised during rest time. I asked the teacher if she had ever fallen asleep during nap time. She replied that she had not. • I interviewed the administrator regarding the alleged staff member falling asleep during nap time while responsible for supervising children. She replied that a staff member has not fallen asleep while supervising children. I also asked the administrator if a verbal altercation occurred between her and a staff member. She replied that she did have to speak to a staff member regarding unacceptable behavior, but that no foul language was spoken and no yelling occurred. She further shared that she asked the staff member to speak with her outside and they continued the conversation outside. I asked the administrator if children two years of age were placed in the same space with infants in order for a staff member to leave early for an event. She replied no and that only during the first hour and last hour of the day does she have those ages mixed together. • A phone interview confirmed that a child had been restrained in a crib to prevent the child from hitting small children. During the visit, the administrator also confirmed that this incident occurred but shared that the object was a high chair, not a crib. • New staff members were observed and present during the visit. I asked the administrator to provide the files for the staff members to view their qualifying letters. One new staff member, S.R. had a valid qualification letter, but the other staff member, Y. Cespedes, did not have a valid qualifying letter nor had completed a criminal background check. I discussed with Ms. Pethel that the staff member without the qualifying letter could not return to work without the valid qualifying letter. • During the visit, I observed a therapist onsite providing one-on-one care for a child in space #1C. There was one staff member in space #1A, one staff member in space #1B and one staff member in space #1C. Upon my arrival, there were seventeen (17) children present in space #1C with the one (1) teacher. After Ms. Pethel returned with the school-age children, she assisted me with the walk-thru. I asked her who the teachers were in space #1C. She and I were standing in space #1C. She did not answer immediately and I pointed to the two adults in the space and asked if they were the teachers. Ms. Pethel replied, “sort of”. I asked for clarification and then she shared that she was the other teacher in the space. I replied that she was not onsite when I arrived and that I observed the one teacher in the space. I shared that the therapist could not be counted in the ratio or be responsible for the care of the other children. Ms. Pethel did not have a qualifying letter for the therapist. Ms. Pethel replied that before we (the consultants) arrived, she did have another teacher in space #1C, but she was the person who left with her child when the licensing consultants arrived on the premises. I confirmed that the consultants observed one teacher with seventeen (17) children in space #1C. Ms. Pethel replied that she understood and she did assist the other teacher in space #1C. Ms. Pethel further shared that she has never asked the therapist to assist with supervision. Michell Kocan spoke with the therapist and asked her if she had ever been asked to supervise the other children and she replied no. • Prior to today’s visit, the allegation regarding the arrest of a staff member was addressed and did not negatively impact qualification status. The violations cited during the visit were discussed with Ms. Pethel and documented in the visit summary. Violation Number Comment Rule 908 Discipline was not appropriate for the child's age and development. A child 4 years of age was placed in a crib or high chair by a staff member to prevent the child from hitting younger children. .1803(b) 1041 Prior to employment a Criminal Background Check was not completed. Staff member, Y. Cespedes did not complete a criminal background check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. The staff records for staff member Y.C. were not available for review. G.S. 110-91( 9) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. A first aid kit and fire extinguisher were not located in the vehicle transporting two (2) children to the facility. 10A NCAC 09 .1003(c) 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. Emergency information was not available nor in the vehicle for the two(2) children being transported. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation permission forms were not obtained for the two (2) children being transported. .1003(i)(j) 1756 Enhanced staff/child ratios and group sizes were not met. In space #1C, there were seventeen (17) children with one (1) teacher. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available to review for staff member, Y. Cespedes. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Signage regarding smoking and tobacco restriction was not posted on or in the vehicle transporting children. .0604(i) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via email, by June 5, 2024. If needed, send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 Based on the observations, phone interviews, in-person interviews and information received, the allegation of the concerns listed below have been determined to be as followed: -Children are not adequately supervised-unsubstantiated. -A 4-year old child was placed in a crib to keep other children safe-substantiated. -All required documentation is not available for a staff person. Documentation that is provided is not accurate. There were attempts to conceal this person’s employment from the Licensing Consultant-substantiated. -There was a verbal altercation involving the administrator and a staff person. Some children were awake and overheard angry yelling and inappropriate language- unsubstantiated. -Children were grouped in violation of licensing requirements-unsubstantiated. -A child’s one-on-one worker has stepped into other classrooms and provided bathroom breaks, was counted in ratio and provided supervision. It is unknown if this person has a CBC or has a working file or has had required training to be counted in the ratio and provide supervision- substantiated. -A staff person was arrested for allegations which may have negatively impacted qualification status- unsubstantiated. Due to the nature of the violations, a follow-up visit will be conducted in the near future to monitor compliance with NC Child Care Rules. When an allegation is substantiated, an Administrative Action may be issued. If this occurs, you will be notified and the steps needed to complete the action, if applicable, will be explained. Technical Assistance/Resources: • During the visit, I discussed with Ms. Pethel that even though it was rest time, that infants and young toddlers may not all rest at the same time. Therefore, a child cannot be left in a crib if he/she is not ready to sleep. She replied that she understood and assisted the teacher with meeting the child’s needs. *During the visit, I discussed with Ms. Pethel the requirements for transporting children. *During the visit, I discussed with Ms. Pethel the criminal background check requirements. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance regarding this specific visit, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: 0524-260L Visit Date: 5/22/2024 Number Present: 31 Completed Date: 5/22/2024 Age: From 0 To 6 Total Minutes: 345 Time In: 11:15 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate a complaint allegation. There are concerns that: -Children are not adequately supervised. -A 4-year old child was placed in a crib to keep other children safe. -All required documentation is not available for a staff person. Documentation that is provided is not accurate. There were attempts to conceal this person’s employment from the Licensing Consultant. -There was a verbal altercation involving the administrator and a staff person. Some children were awake and overheard angry yelling and inappropriate language. -Children were grouped in violation of licensing requirements. -A child’s one-on-one worker has stepped into other classrooms and provided bathroom breaks, was counted in ratio and provided supervision. It is unknown if this person has a CBC or has a working file or has had required training to be counted in the ratio and provide supervision. -A staff person was arrested for allegations which may have negatively impacted qualification status. Upon arrival, I entered the building. I asked an individual near the entrance if she was in charge. She replied no and that she was the occupational therapist. She shared that Ms. Ruth was in charge. I asked if Ms. Amanda Pethel, owner/administrator was available and the therapist shared that Ms. Pethel was at the school picking up the school-age children and that she would return in about ten minutes. I told Ms. Ruth that I would wait outside for Ms. Pethel to return. While I was outside, Michell Kocan, Child Care Consultant went back inside. I observed an individual leaving the building through the front entrance with a child. After a few minutes, the person left the premises. Ms. Pethel arrived onto the premises, in her vehicle at 11:18 a.m. with two (2) school-age children. She escorted the two (2) children to the back door that was closest to the space where the children attend. I re-entered the building and joined the other licensing consultant. I greeted Ms. Pethel and explained the reason for the visit. Ms. Pethel assisted me with today’s visit. Michell Kocan, Child Care Consultant, accompanied and assisted me with today’s visit. I confirmed with Ms. Pethel that she transported the school-age from their school to her facility. She replied yes and that it was an early release day and that the school had been having issues with transportation and as a favor to the children’s parents, she picked up the children. Ms. Pethel further shared that she is not transporting children and that today was a special circumstance. I shared that because the children are enrolled, she is required to meet transportation requirements and that I would need to monitor for compliance with those requirements. I observed the interior and exterior of the vehicle. The insurance provided by Allstate was valid from 4/24/24-10/24/24. The registration expires on 8/31/24. There were no transportation permission forms for either child. Ms. Pethel thought that she was listed on the children’s application as an authorized pick up, but after reviewing the children’s files, it was discovered that she was not listed as an authorized pickup person. During the visit, I explained to Ms. Pethel that the transportation permission form would need to be completed for each child even if her name had been listed on the children’s application form. There is required information that must be listed when transporting children that a name on the application will not meet. During the visit, I observed supervision, staff/child ratio, adequate/approved space and permit restrictions. I also reviewed some of the staff files for qualifying letters and interviewed staff members. There were thirty-one (31) children in attendance during the visit. The children were engaged in transitioning to rest time and rest time. Findings: • I interviewed the teacher in question regarding children not being adequately supervised during rest time. I asked the teacher if she had ever fallen asleep during nap time. She replied that she had not. • I interviewed the administrator regarding the alleged staff member falling asleep during nap time while responsible for supervising children. She replied that a staff member has not fallen asleep while supervising children. I also asked the administrator if a verbal altercation occurred between her and a staff member. She replied that she did have to speak to a staff member regarding unacceptable behavior, but that no foul language was spoken and no yelling occurred. She further shared that she asked the staff member to speak with her outside and they continued the conversation outside. I asked the administrator if children two years of age were placed in the same space with infants in order for a staff member to leave early for an event. She replied no and that only during the first hour and last hour of the day does she have those ages mixed together. • A phone interview confirmed that a child had been restrained in a crib to prevent the child from hitting small children. During the visit, the administrator also confirmed that this incident occurred but shared that the object was a high chair, not a crib. • New staff members were observed and present during the visit. I asked the administrator to provide the files for the staff members to view their qualifying letters. One new staff member, S.R. had a valid qualification letter, but the other staff member, Y. Cespedes, did not have a valid qualifying letter nor had completed a criminal background check. I discussed with Ms. Pethel that the staff member without the qualifying letter could not return to work without the valid qualifying letter. • During the visit, I observed a therapist onsite providing one-on-one care for a child in space #1C. There was one staff member in space #1A, one staff member in space #1B and one staff member in space #1C. Upon my arrival, there were seventeen (17) children present in space #1C with the one (1) teacher. After Ms. Pethel returned with the school-age children, she assisted me with the walk-thru. I asked her who the teachers were in space #1C. She and I were standing in space #1C. She did not answer immediately and I pointed to the two adults in the space and asked if they were the teachers. Ms. Pethel replied, “sort of”. I asked for clarification and then she shared that she was the other teacher in the space. I replied that she was not onsite when I arrived and that I observed the one teacher in the space. I shared that the therapist could not be counted in the ratio or be responsible for the care of the other children. Ms. Pethel did not have a qualifying letter for the therapist. Ms. Pethel replied that before we (the consultants) arrived, she did have another teacher in space #1C, but she was the person who left with her child when the licensing consultants arrived on the premises. I confirmed that the consultants observed one teacher with seventeen (17) children in space #1C. Ms. Pethel replied that she understood and she did assist the other teacher in space #1C. Ms. Pethel further shared that she has never asked the therapist to assist with supervision. Michell Kocan spoke with the therapist and asked her if she had ever been asked to supervise the other children and she replied no. • Prior to today’s visit, the allegation regarding the arrest of a staff member was addressed and did not negatively impact qualification status. The violations cited during the visit were discussed with Ms. Pethel and documented in the visit summary. Violation Number Comment Rule 908 Discipline was not appropriate for the child's age and development. A child 4 years of age was placed in a crib or high chair by a staff member to prevent the child from hitting younger children. .1803(b) 1041 Prior to employment a Criminal Background Check was not completed. Staff member, Y. Cespedes did not complete a criminal background check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. The staff records for staff member Y.C. were not available for review. G.S. 110-91( 9) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. A first aid kit and fire extinguisher were not located in the vehicle transporting two (2) children to the facility. 10A NCAC 09 .1003(c) 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. Emergency information was not available nor in the vehicle for the two(2) children being transported. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Transportation permission forms were not obtained for the two (2) children being transported. .1003(i)(j) 1756 Enhanced staff/child ratios and group sizes were not met. In space #1C, there were seventeen (17) children with one (1) teacher. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available to review for staff member, Y. Cespedes. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Signage regarding smoking and tobacco restriction was not posted on or in the vehicle transporting children. .0604(i) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via email, by June 5, 2024. If needed, send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 Based on the observations, phone interviews, in-person interviews and information received, the allegation of the concerns listed below have been determined to be as followed: -Children are not adequately supervised-unsubstantiated. -A 4-year old child was placed in a crib to keep other children safe-substantiated. -All required documentation is not available for a staff person. Documentation that is provided is not accurate. There were attempts to conceal this person’s employment from the Licensing Consultant-substantiated. -There was a verbal altercation involving the administrator and a staff person. Some children were awake and overheard angry yelling and inappropriate language- unsubstantiated. -Children were grouped in violation of licensing requirements-unsubstantiated. -A child’s one-on-one worker has stepped into other classrooms and provided bathroom breaks, was counted in ratio and provided supervision. It is unknown if this person has a CBC or has a working file or has had required training to be counted in the ratio and provide supervision- substantiated. -A staff person was arrested for allegations which may have negatively impacted qualification status- unsubstantiated. Due to the nature of the violations, a follow-up visit will be conducted in the near future to monitor compliance with NC Child Care Rules. When an allegation is substantiated, an Administrative Action may be issued. If this occurs, you will be notified and the steps needed to complete the action, if applicable, will be explained. Technical Assistance/Resources: • During the visit, I discussed with Ms. Pethel that even though it was rest time, that infants and young toddlers may not all rest at the same time. Therefore, a child cannot be left in a crib if he/she is not ready to sleep. She replied that she understood and assisted the teacher with meeting the child’s needs. *During the visit, I discussed with Ms. Pethel the requirements for transporting children. *During the visit, I discussed with Ms. Pethel the criminal background check requirements. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance regarding this specific visit, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0524-230A Visit Date: 5/20/2024 Number Present: 24 Completed Date: 5/20/2024 Age: From 0 To 5 Total Minutes: 109 Time In: 10:56 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. I completed a walk-through of the facility unaccompanied. During the visit, I spoke with Ms. Pethel and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On multiple occasions, staff yelled at children making statements including telling to "shut up" and "be quiet" while ringing a loud cowbell. G.S. 110-91(10) 1875 Physical activity such as running laps and doing push-ups was either withheld as punishment or required as punishment. A staff member stated children walk laps around the playground in lieu of using timeout to address undesired behaviors. .1803(a)(8) All violations documented above must be corrected immediately. A written, dated, and signed letter of compliance must be submitted to me within one week, by 06/13/2024, describing how and when the violations were corrected and how compliance will be maintained in the future. The letter of compliance should be emailed or mailed to Leigh Broome, Investigations Consultant, leigh.broome@dhhs.nc.gov. You may contact me at Leigh Broome, 704-594-0146, Leigh.Broome@dhhs.nc.gov or Veronica Grant, South Central Investigations Supervisor, Veronica.Grant@dhhs.nc.gov. Thank you for your time. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: Visit Date: 9/21/2023 Number Present: 21 Completed Date: 9/21/2023 Age: From 0 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct an annual compliance visit. The last annual compliance visit for this facility was conducted on September 28, 2022. The compliance history percentage for the 18 month period is 85%. The facility currently holds a three-star license. Upon arrival, I was greeted by Ms. Misty Loving, staff member. Ms. Amanda Pethel, owner/administrator arrived soon after. I shared the reason for the visit. Ms. Pethel assisted me with today’s visit. Michell Kocan, Child Care Consultant accompanied and assisted me on today’s visit. I used the “Annual Compliance Monitoring Checklist for Child Care Centers” as a monitoring tool during today’s visit. I observed postings, indoor and outdoor spaces, safety and program management. Observations: I observed the children engaged in choice activities, outdoor play time on the playground, individual needs of the infants and young toddlers were being met by the teacher, lunch time, handwashing procedures and rest time. Positive interactions were observed between the teachers and children. Five (5) staff files were monitored during the visit. Four of the files reviewed were for new staff members. Three (3) children’s files were monitored. Medication is administered at this facility. Medication and parent authorization forms were monitored for compliance with NC Child Care rules. Transportation is not currently being provided at this facility. The last sanitation inspection was conducted on 8/17/23 with eight (8) demerits and a superior classification. The last fire inspection was conducted on 12/22/22. A copy of the computer-generated visit summary was provided during the visit along with a copy of the enrollment/staff/child worksheet and the “AC Monitoring Checklist for Child Care Centers”. The violations observed during the visit were discussed with Ms. Pethel and documented in the visit summary. The following violations were observed: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The thermometer in the refrigerator was broken. 15A NCAC 18A .2806(j)(2) 603 All floors and floor coverings were not constructed of nonabsorbant, easily cleanable material. The carpet in the infant/toddler space had a large stain. 15A NCAC 18A .2824(a)&(b) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The walls in space 1c contained chipping paint that was accessible to children. 15A NCAC 18A .2825(a) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. The surfacing material did not extend six feet for the dome climber installed in the outdoor environment. .0605(l)(1-2) 843 A drug or medicine was administered after its expiration date. An over-the-counter medication had expired 6/2023. 10A NCAC 09 .0803(1)(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member M.L. did not complete an annual review of the emergency medical care plan. 10A NCAC 09 .0802(a) 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. The medical report for T.S. was not submitted as required. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member M. L. did not a current health questionnaire on file. .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. Staff members T.S. and K. S. did not have the required emergency information on file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member M.L. did not have a current first aid certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff member M. L. did not have a current CPR certification on file. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member M. L. did not complete the required on-going training hours. She needs 16 additional hours. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member M.L. did not have the required annual staff evaluation on file. 10A NCAC 09 .0514(f) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via email, by October 5, 2023. If needed, send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 Technical Assistance/Resources: • During the visit, I reminded Ms. Pethel that this facility is in cohort #2 with a prep year of 7/1/24-6/30/25 and a reassessment year of 7/1/25-6/30/26. • During the visit, I discussed with Ms. Pethel and Ms. Loving regarding labeling OTC medication and ways to label the containers. Rule reference .0803(4) • During the visit, we discussed with Ms. Pethel rule reference .0605(g) regarding openings-specifically in fencing. Openings must be less than 3.5 inches or greater than 9 inches. • The U.S. Consumer Product Safety Commission has recalled a few items. I’ve provided you with a description of a few more product recalls with a link summarizing the recall and associated product. Boon Flair and Flair Elite Highchairs: https://www.cpsc.gov/Recalls/2023/TOMY-Recalls-Boon-Flair-and-Flair-Elite-Highchairs-Due-to-Fall-Hazard?utm_medium=email&utm_source=govdelivery ICraves Infant High Chairs: https://www.cpsc.gov/Newsroom/News-Releases/2023/CPSC-Warns-Consumers-to-Immediately-Stop-Using-iCraves-Infant-High-Chairs-Due-to-Suffocation-Entrapment-and-Fall-Hazards-Failure-to-Meet-Federal-Safety-Standards Kids Bike Helmets: • Tengingyue Vera Natura Bicycle Helmets: https://www.cpsc.gov/Newsroom/News-Releases/2023/CPSC-Warns-Consumers-to-Immediately-Stop-Using-Tengingyue-Vera-Natura-Bicycle-Helmets-Due-to-Risk-of-Head-Injury-Failure-to-Meet-Federal-Safety-Standard-for-Bicycle-Helmets-Sold-Exclusively-on-Walmart-com • Multi-Purpose Kids Bike Helmets: https://www.cpsc.gov/Recalls/2023/Multi-Purpose-Kids-Bike-Helmets-Recalled-Due-to-Risk-of-Head-Injury-Failure-to-Meet-Bicycle-Helmet-Standard-Requirements-Sold-by-Ecnup-Exclusively-on-Amazon-com-Recall-Alert • SQM Bicycle Helmets: https://www.cpsc.gov/Newsroom/News-Releases/2023/CPSC-Warns-Consumers-to-Immediately-Stop-Using-SQM-Bicycle-Helmets-Due-to-Risk-of-Head-Injury-Failure-to-Meet-Federal-Safety-Standard-for-Bicycle-Helmets Toddler Towers: https://www.cpsc.gov/Recalls/2023/The-Simplay3-Company-Recalls-Toddler-Towers-Due-to-Fall-and-Injury-Hazards *During the visit, Ms. Pethel asked about help with challenging behaviors. The following information was shared: Contact Heathy Social Behavioral specialists at https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ and participate in their initiative. Helpline: Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1 Helpline: Submit your questions to a Behavior Support Advisor online- and receive a call or email in response to a Google Form that you complete at https://www.childcareresourcesinc.org/challenging-behaviors-helpline Helpline: Chat on the “Talk to the Expert” online network, Social Emotional Connections, for early childhood educators at https://www.childcareresourcesinc.org/challenging-behaviors-helpline. Having your staff become a part of this network will allow them to glean ideas and information that may assist them in providing a higher quality of care in their classroom….and its free! Please visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: Visit Date: 9/21/2023 Number Present: 21 Completed Date: 9/21/2023 Age: From 0 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct an annual compliance visit. The last annual compliance visit for this facility was conducted on September 28, 2022. The compliance history percentage for the 18 month period is 85%. The facility currently holds a three-star license. Upon arrival, I was greeted by Ms. Misty Loving, staff member. Ms. Amanda Pethel, owner/administrator arrived soon after. I shared the reason for the visit. Ms. Pethel assisted me with today’s visit. Michell Kocan, Child Care Consultant accompanied and assisted me on today’s visit. I used the “Annual Compliance Monitoring Checklist for Child Care Centers” as a monitoring tool during today’s visit. I observed postings, indoor and outdoor spaces, safety and program management. Observations: I observed the children engaged in choice activities, outdoor play time on the playground, individual needs of the infants and young toddlers were being met by the teacher, lunch time, handwashing procedures and rest time. Positive interactions were observed between the teachers and children. Five (5) staff files were monitored during the visit. Four of the files reviewed were for new staff members. Three (3) children’s files were monitored. Medication is administered at this facility. Medication and parent authorization forms were monitored for compliance with NC Child Care rules. Transportation is not currently being provided at this facility. The last sanitation inspection was conducted on 8/17/23 with eight (8) demerits and a superior classification. The last fire inspection was conducted on 12/22/22. A copy of the computer-generated visit summary was provided during the visit along with a copy of the enrollment/staff/child worksheet and the “AC Monitoring Checklist for Child Care Centers”. The violations observed during the visit were discussed with Ms. Pethel and documented in the visit summary. The following violations were observed: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The thermometer in the refrigerator was broken. 15A NCAC 18A .2806(j)(2) 603 All floors and floor coverings were not constructed of nonabsorbant, easily cleanable material. The carpet in the infant/toddler space had a large stain. 15A NCAC 18A .2824(a)&(b) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The walls in space 1c contained chipping paint that was accessible to children. 15A NCAC 18A .2825(a) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. The surfacing material did not extend six feet for the dome climber installed in the outdoor environment. .0605(l)(1-2) 843 A drug or medicine was administered after its expiration date. An over-the-counter medication had expired 6/2023. 10A NCAC 09 .0803(1)(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member M.L. did not complete an annual review of the emergency medical care plan. 10A NCAC 09 .0802(a) 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. The medical report for T.S. was not submitted as required. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member M. L. did not a current health questionnaire on file. .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. Staff members T.S. and K. S. did not have the required emergency information on file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member M.L. did not have a current first aid certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff member M. L. did not have a current CPR certification on file. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member M. L. did not complete the required on-going training hours. She needs 16 additional hours. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member M.L. did not have the required annual staff evaluation on file. 10A NCAC 09 .0514(f) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via email, by October 5, 2023. If needed, send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 Technical Assistance/Resources: • During the visit, I reminded Ms. Pethel that this facility is in cohort #2 with a prep year of 7/1/24-6/30/25 and a reassessment year of 7/1/25-6/30/26. • During the visit, I discussed with Ms. Pethel and Ms. Loving regarding labeling OTC medication and ways to label the containers. Rule reference .0803(4) • During the visit, we discussed with Ms. Pethel rule reference .0605(g) regarding openings-specifically in fencing. Openings must be less than 3.5 inches or greater than 9 inches. • The U.S. Consumer Product Safety Commission has recalled a few items. I’ve provided you with a description of a few more product recalls with a link summarizing the recall and associated product. Boon Flair and Flair Elite Highchairs: https://www.cpsc.gov/Recalls/2023/TOMY-Recalls-Boon-Flair-and-Flair-Elite-Highchairs-Due-to-Fall-Hazard?utm_medium=email&utm_source=govdelivery ICraves Infant High Chairs: https://www.cpsc.gov/Newsroom/News-Releases/2023/CPSC-Warns-Consumers-to-Immediately-Stop-Using-iCraves-Infant-High-Chairs-Due-to-Suffocation-Entrapment-and-Fall-Hazards-Failure-to-Meet-Federal-Safety-Standards Kids Bike Helmets: • Tengingyue Vera Natura Bicycle Helmets: https://www.cpsc.gov/Newsroom/News-Releases/2023/CPSC-Warns-Consumers-to-Immediately-Stop-Using-Tengingyue-Vera-Natura-Bicycle-Helmets-Due-to-Risk-of-Head-Injury-Failure-to-Meet-Federal-Safety-Standard-for-Bicycle-Helmets-Sold-Exclusively-on-Walmart-com • Multi-Purpose Kids Bike Helmets: https://www.cpsc.gov/Recalls/2023/Multi-Purpose-Kids-Bike-Helmets-Recalled-Due-to-Risk-of-Head-Injury-Failure-to-Meet-Bicycle-Helmet-Standard-Requirements-Sold-by-Ecnup-Exclusively-on-Amazon-com-Recall-Alert • SQM Bicycle Helmets: https://www.cpsc.gov/Newsroom/News-Releases/2023/CPSC-Warns-Consumers-to-Immediately-Stop-Using-SQM-Bicycle-Helmets-Due-to-Risk-of-Head-Injury-Failure-to-Meet-Federal-Safety-Standard-for-Bicycle-Helmets Toddler Towers: https://www.cpsc.gov/Recalls/2023/The-Simplay3-Company-Recalls-Toddler-Towers-Due-to-Fall-and-Injury-Hazards *During the visit, Ms. Pethel asked about help with challenging behaviors. The following information was shared: Contact Heathy Social Behavioral specialists at https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ and participate in their initiative. Helpline: Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1 Helpline: Submit your questions to a Behavior Support Advisor online- and receive a call or email in response to a Google Form that you complete at https://www.childcareresourcesinc.org/challenging-behaviors-helpline Helpline: Chat on the “Talk to the Expert” online network, Social Emotional Connections, for early childhood educators at https://www.childcareresourcesinc.org/challenging-behaviors-helpline. Having your staff become a part of this network will allow them to glean ideas and information that may assist them in providing a higher quality of care in their classroom….and its free! Please visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: Visit Date: 9/21/2023 Number Present: 21 Completed Date: 9/21/2023 Age: From 0 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct an annual compliance visit. The last annual compliance visit for this facility was conducted on September 28, 2022. The compliance history percentage for the 18 month period is 85%. The facility currently holds a three-star license. Upon arrival, I was greeted by Ms. Misty Loving, staff member. Ms. Amanda Pethel, owner/administrator arrived soon after. I shared the reason for the visit. Ms. Pethel assisted me with today’s visit. Michell Kocan, Child Care Consultant accompanied and assisted me on today’s visit. I used the “Annual Compliance Monitoring Checklist for Child Care Centers” as a monitoring tool during today’s visit. I observed postings, indoor and outdoor spaces, safety and program management. Observations: I observed the children engaged in choice activities, outdoor play time on the playground, individual needs of the infants and young toddlers were being met by the teacher, lunch time, handwashing procedures and rest time. Positive interactions were observed between the teachers and children. Five (5) staff files were monitored during the visit. Four of the files reviewed were for new staff members. Three (3) children’s files were monitored. Medication is administered at this facility. Medication and parent authorization forms were monitored for compliance with NC Child Care rules. Transportation is not currently being provided at this facility. The last sanitation inspection was conducted on 8/17/23 with eight (8) demerits and a superior classification. The last fire inspection was conducted on 12/22/22. A copy of the computer-generated visit summary was provided during the visit along with a copy of the enrollment/staff/child worksheet and the “AC Monitoring Checklist for Child Care Centers”. The violations observed during the visit were discussed with Ms. Pethel and documented in the visit summary. The following violations were observed: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The thermometer in the refrigerator was broken. 15A NCAC 18A .2806(j)(2) 603 All floors and floor coverings were not constructed of nonabsorbant, easily cleanable material. The carpet in the infant/toddler space had a large stain. 15A NCAC 18A .2824(a)&(b) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The walls in space 1c contained chipping paint that was accessible to children. 15A NCAC 18A .2825(a) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. The surfacing material did not extend six feet for the dome climber installed in the outdoor environment. .0605(l)(1-2) 843 A drug or medicine was administered after its expiration date. An over-the-counter medication had expired 6/2023. 10A NCAC 09 .0803(1)(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member M.L. did not complete an annual review of the emergency medical care plan. 10A NCAC 09 .0802(a) 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. The medical report for T.S. was not submitted as required. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member M. L. did not a current health questionnaire on file. .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. Staff members T.S. and K. S. did not have the required emergency information on file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member M.L. did not have a current first aid certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff member M. L. did not have a current CPR certification on file. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member M. L. did not complete the required on-going training hours. She needs 16 additional hours. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member M.L. did not have the required annual staff evaluation on file. 10A NCAC 09 .0514(f) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via email, by October 5, 2023. If needed, send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 Technical Assistance/Resources: • During the visit, I reminded Ms. Pethel that this facility is in cohort #2 with a prep year of 7/1/24-6/30/25 and a reassessment year of 7/1/25-6/30/26. • During the visit, I discussed with Ms. Pethel and Ms. Loving regarding labeling OTC medication and ways to label the containers. Rule reference .0803(4) • During the visit, we discussed with Ms. Pethel rule reference .0605(g) regarding openings-specifically in fencing. Openings must be less than 3.5 inches or greater than 9 inches. • The U.S. Consumer Product Safety Commission has recalled a few items. I’ve provided you with a description of a few more product recalls with a link summarizing the recall and associated product. Boon Flair and Flair Elite Highchairs: https://www.cpsc.gov/Recalls/2023/TOMY-Recalls-Boon-Flair-and-Flair-Elite-Highchairs-Due-to-Fall-Hazard?utm_medium=email&utm_source=govdelivery ICraves Infant High Chairs: https://www.cpsc.gov/Newsroom/News-Releases/2023/CPSC-Warns-Consumers-to-Immediately-Stop-Using-iCraves-Infant-High-Chairs-Due-to-Suffocation-Entrapment-and-Fall-Hazards-Failure-to-Meet-Federal-Safety-Standards Kids Bike Helmets: • Tengingyue Vera Natura Bicycle Helmets: https://www.cpsc.gov/Newsroom/News-Releases/2023/CPSC-Warns-Consumers-to-Immediately-Stop-Using-Tengingyue-Vera-Natura-Bicycle-Helmets-Due-to-Risk-of-Head-Injury-Failure-to-Meet-Federal-Safety-Standard-for-Bicycle-Helmets-Sold-Exclusively-on-Walmart-com • Multi-Purpose Kids Bike Helmets: https://www.cpsc.gov/Recalls/2023/Multi-Purpose-Kids-Bike-Helmets-Recalled-Due-to-Risk-of-Head-Injury-Failure-to-Meet-Bicycle-Helmet-Standard-Requirements-Sold-by-Ecnup-Exclusively-on-Amazon-com-Recall-Alert • SQM Bicycle Helmets: https://www.cpsc.gov/Newsroom/News-Releases/2023/CPSC-Warns-Consumers-to-Immediately-Stop-Using-SQM-Bicycle-Helmets-Due-to-Risk-of-Head-Injury-Failure-to-Meet-Federal-Safety-Standard-for-Bicycle-Helmets Toddler Towers: https://www.cpsc.gov/Recalls/2023/The-Simplay3-Company-Recalls-Toddler-Towers-Due-to-Fall-and-Injury-Hazards *During the visit, Ms. Pethel asked about help with challenging behaviors. The following information was shared: Contact Heathy Social Behavioral specialists at https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ and participate in their initiative. Helpline: Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1 Helpline: Submit your questions to a Behavior Support Advisor online- and receive a call or email in response to a Google Form that you complete at https://www.childcareresourcesinc.org/challenging-behaviors-helpline Helpline: Chat on the “Talk to the Expert” online network, Social Emotional Connections, for early childhood educators at https://www.childcareresourcesinc.org/challenging-behaviors-helpline. Having your staff become a part of this network will allow them to glean ideas and information that may assist them in providing a higher quality of care in their classroom….and its free! Please visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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: WEST STANLY CHILD DEVELOPMENT CENTER Facility ID: 84000260 Consultant: STEPHANIE PALMER Operation Type: Center Case Number: Visit Date: 9/21/2023 Number Present: 21 Completed Date: 9/21/2023 Age: From 0 To 4 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conduct an annual compliance visit. The last annual compliance visit for this facility was conducted on September 28, 2022. The compliance history percentage for the 18 month period is 85%. The facility currently holds a three-star license. Upon arrival, I was greeted by Ms. Misty Loving, staff member. Ms. Amanda Pethel, owner/administrator arrived soon after. I shared the reason for the visit. Ms. Pethel assisted me with today’s visit. Michell Kocan, Child Care Consultant accompanied and assisted me on today’s visit. I used the “Annual Compliance Monitoring Checklist for Child Care Centers” as a monitoring tool during today’s visit. I observed postings, indoor and outdoor spaces, safety and program management. Observations: I observed the children engaged in choice activities, outdoor play time on the playground, individual needs of the infants and young toddlers were being met by the teacher, lunch time, handwashing procedures and rest time. Positive interactions were observed between the teachers and children. Five (5) staff files were monitored during the visit. Four of the files reviewed were for new staff members. Three (3) children’s files were monitored. Medication is administered at this facility. Medication and parent authorization forms were monitored for compliance with NC Child Care rules. Transportation is not currently being provided at this facility. The last sanitation inspection was conducted on 8/17/23 with eight (8) demerits and a superior classification. The last fire inspection was conducted on 12/22/22. A copy of the computer-generated visit summary was provided during the visit along with a copy of the enrollment/staff/child worksheet and the “AC Monitoring Checklist for Child Care Centers”. The violations observed during the visit were discussed with Ms. Pethel and documented in the visit summary. The following violations were observed: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The thermometer in the refrigerator was broken. 15A NCAC 18A .2806(j)(2) 603 All floors and floor coverings were not constructed of nonabsorbant, easily cleanable material. The carpet in the infant/toddler space had a large stain. 15A NCAC 18A .2824(a)&(b) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The walls in space 1c contained chipping paint that was accessible to children. 15A NCAC 18A .2825(a) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. The surfacing material did not extend six feet for the dome climber installed in the outdoor environment. .0605(l)(1-2) 843 A drug or medicine was administered after its expiration date. An over-the-counter medication had expired 6/2023. 10A NCAC 09 .0803(1)(d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member M.L. did not complete an annual review of the emergency medical care plan. 10A NCAC 09 .0802(a) 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. The medical report for T.S. was not submitted as required. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member M. L. did not a current health questionnaire on file. .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. Staff members T.S. and K. S. did not have the required emergency information on file. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Staff member M.L. did not have a current first aid certification. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Staff member M. L. did not have a current CPR certification on file. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff member M. L. did not complete the required on-going training hours. She needs 16 additional hours. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member M.L. did not have the required annual staff evaluation on file. 10A NCAC 09 .0514(f) All violations documented above must be corrected immediately. A letter of compliance will need to be sent to me stating how each violation was corrected. Include the violation number, statement of compliance, license ID and your signature in the letter. Your compliance letter must be received, via email, by October 5, 2023. If needed, send your letter to: Stephanie Palmer PO Box 481335 Charlotte, NC 28269 Technical Assistance/Resources: • During the visit, I reminded Ms. Pethel that this facility is in cohort #2 with a prep year of 7/1/24-6/30/25 and a reassessment year of 7/1/25-6/30/26. • During the visit, I discussed with Ms. Pethel and Ms. Loving regarding labeling OTC medication and ways to label the containers. Rule reference .0803(4) • During the visit, we discussed with Ms. Pethel rule reference .0605(g) regarding openings-specifically in fencing. Openings must be less than 3.5 inches or greater than 9 inches. • The U.S. Consumer Product Safety Commission has recalled a few items. I’ve provided you with a description of a few more product recalls with a link summarizing the recall and associated product. Boon Flair and Flair Elite Highchairs: https://www.cpsc.gov/Recalls/2023/TOMY-Recalls-Boon-Flair-and-Flair-Elite-Highchairs-Due-to-Fall-Hazard?utm_medium=email&utm_source=govdelivery ICraves Infant High Chairs: https://www.cpsc.gov/Newsroom/News-Releases/2023/CPSC-Warns-Consumers-to-Immediately-Stop-Using-iCraves-Infant-High-Chairs-Due-to-Suffocation-Entrapment-and-Fall-Hazards-Failure-to-Meet-Federal-Safety-Standards Kids Bike Helmets: • Tengingyue Vera Natura Bicycle Helmets: https://www.cpsc.gov/Newsroom/News-Releases/2023/CPSC-Warns-Consumers-to-Immediately-Stop-Using-Tengingyue-Vera-Natura-Bicycle-Helmets-Due-to-Risk-of-Head-Injury-Failure-to-Meet-Federal-Safety-Standard-for-Bicycle-Helmets-Sold-Exclusively-on-Walmart-com • Multi-Purpose Kids Bike Helmets: https://www.cpsc.gov/Recalls/2023/Multi-Purpose-Kids-Bike-Helmets-Recalled-Due-to-Risk-of-Head-Injury-Failure-to-Meet-Bicycle-Helmet-Standard-Requirements-Sold-by-Ecnup-Exclusively-on-Amazon-com-Recall-Alert • SQM Bicycle Helmets: https://www.cpsc.gov/Newsroom/News-Releases/2023/CPSC-Warns-Consumers-to-Immediately-Stop-Using-SQM-Bicycle-Helmets-Due-to-Risk-of-Head-Injury-Failure-to-Meet-Federal-Safety-Standard-for-Bicycle-Helmets Toddler Towers: https://www.cpsc.gov/Recalls/2023/The-Simplay3-Company-Recalls-Toddler-Towers-Due-to-Fall-and-Injury-Hazards *During the visit, Ms. Pethel asked about help with challenging behaviors. The following information was shared: Contact Heathy Social Behavioral specialists at https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ and participate in their initiative. Helpline: Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1 Helpline: Submit your questions to a Behavior Support Advisor online- and receive a call or email in response to a Google Form that you complete at https://www.childcareresourcesinc.org/challenging-behaviors-helpline Helpline: Chat on the “Talk to the Expert” online network, Social Emotional Connections, for early childhood educators at https://www.childcareresourcesinc.org/challenging-behaviors-helpline. Having your staff become a part of this network will allow them to glean ideas and information that may assist them in providing a higher quality of care in their classroom….and its free! Please visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 980-867-8005 or via email at stephanie.palmer@dhhs.nc.gov. Stephanie Palmer Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education 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