10A NCAC 09 .0803 · Violation

Name of Operation: LOCOMOTION MADISON Facility ID: 79000327 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 1/21/2025 Number Present: 41 Completed Date: 1/21/2025 Age: From 1 To 4 Total Minutes: 245 Time In: 09:05 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted by Sally Allen, Child Care Consultant, with Rebekah Daniels, Director. Currently this center operates with a Four (4) Star license. The restrictions include daytime care only, children under 2 ½ years and younger in rooms with direct exit and meets enhanced ratios. The sanitation inspection was completed on August 7, 2024, with an “superior” classification with no demerits. The fire inspection was completed on February 9, 2024. I received a copy during another visit. When they receive the updated inspection Ms. Daniels must email me a copy. The facility is owned and operated by Locomotion Learning LLC. The Secretary of State website was checked and the corporation was listed as current and active. Forty-one (41) children were present. The children were observed playing indoors, completing routine tasks, eating lunch and napping. All indoor areas were monitored. Fire drill reports and playground inspections were monitored during today's visit. The last fire drill was conducted on December 12, 2024. It took the children two (2) minutes and fifty-six (56) seconds to evacuate. The last emergency drill, a lockdown drill, was conducted on October 31, 2024. The emergency drills must be conducted every three (3) months. The staff and children’s files were monitored in accordance with the Division of Child Development and Early Education policies and procedures. Ms. Daniels stated that a child enrolled has emergency medication. The facility does not provide routine transportation. The following violations were observed during today's visit. Violation Number Comment Rule 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. The activity plan used in space 5 only included three of the required activities. .0508(g)(2) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space 2 no child washed their hands prior to lunch. They were observed touching books and toys around the classroom. 15A NCAC 18A .2803(c) 847 Parent's medication authorization did not include required information. In space 1 there was no parent signature for the authorization of an epipen. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In spaces 1 and 5 there were glue sticks that had the warning "choking hazard for children under three years of age". These spaces have children one and two years old enrolled. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection for July 2024 only had one of the seven categories answered. .0605(q) 1756 Enhanced staff/child ratios and group sizes were not met. In space 5 there were seventeen (17) children with two (2) teachers. There was one (1) one-year-old present. The child was signed into the room at 9:00am and I observed him in the classroom at 9:11am. 10A NCAC 09 .2818 Technical Assistance: Staff/child ratios and group size must be maintained at all times. The ratio and group size is for the youngest child present in the classroom. Staffing patterns can help to be prepared for when staff are absent and/or running late when determining how to maintain staff/child ratios and group sizes. Consultation: 1-The health and safety trainings are required to be completed within the first year of employment, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment, CPR and First Aid training. These three (3) trainings must be completed within ninety (90) days of employment. Following the initial completion of the health and safety trainings they must be completed within the next five years of employment or prior to expiration (CPR and First Aid). There is a training log available on the Division’s website to document the completion of the trainings. All topics must be covered. You may access health and safety trainings for free on the Division’s website under moodle. 2-Child Care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits •See new background check applicants and add to staff roster To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Compliance letter: You must correct the violations found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by February 4, 2025. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. Due to a group size violation being cited a follow up visit will be conducted. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns or you may contact my supervisor, Pam Hauser, at (336) 317-5003. 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: LOCOMOTION MADISON Facility ID: 79000327 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 1/21/2025 Number Present: 41 Completed Date: 1/21/2025 Age: From 1 To 4 Total Minutes: 245 Time In: 09:05 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted by Sally Allen, Child Care Consultant, with Rebekah Daniels, Director. Currently this center operates with a Four (4) Star license. The restrictions include daytime care only, children under 2 ½ years and younger in rooms with direct exit and meets enhanced ratios. The sanitation inspection was completed on August 7, 2024, with an “superior” classification with no demerits. The fire inspection was completed on February 9, 2024. I received a copy during another visit. When they receive the updated inspection Ms. Daniels must email me a copy. The facility is owned and operated by Locomotion Learning LLC. The Secretary of State website was checked and the corporation was listed as current and active. Forty-one (41) children were present. The children were observed playing indoors, completing routine tasks, eating lunch and napping. All indoor areas were monitored. Fire drill reports and playground inspections were monitored during today's visit. The last fire drill was conducted on December 12, 2024. It took the children two (2) minutes and fifty-six (56) seconds to evacuate. The last emergency drill, a lockdown drill, was conducted on October 31, 2024. The emergency drills must be conducted every three (3) months. The staff and children’s files were monitored in accordance with the Division of Child Development and Early Education policies and procedures. Ms. Daniels stated that a child enrolled has emergency medication. The facility does not provide routine transportation. The following violations were observed during today's visit. Violation Number Comment Rule 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. The activity plan used in space 5 only included three of the required activities. .0508(g)(2) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space 2 no child washed their hands prior to lunch. They were observed touching books and toys around the classroom. 15A NCAC 18A .2803(c) 847 Parent's medication authorization did not include required information. In space 1 there was no parent signature for the authorization of an epipen. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In spaces 1 and 5 there were glue sticks that had the warning "choking hazard for children under three years of age". These spaces have children one and two years old enrolled. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection for July 2024 only had one of the seven categories answered. .0605(q) 1756 Enhanced staff/child ratios and group sizes were not met. In space 5 there were seventeen (17) children with two (2) teachers. There was one (1) one-year-old present. The child was signed into the room at 9:00am and I observed him in the classroom at 9:11am. 10A NCAC 09 .2818 Technical Assistance: Staff/child ratios and group size must be maintained at all times. The ratio and group size is for the youngest child present in the classroom. Staffing patterns can help to be prepared for when staff are absent and/or running late when determining how to maintain staff/child ratios and group sizes. Consultation: 1-The health and safety trainings are required to be completed within the first year of employment, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment, CPR and First Aid training. These three (3) trainings must be completed within ninety (90) days of employment. Following the initial completion of the health and safety trainings they must be completed within the next five years of employment or prior to expiration (CPR and First Aid). There is a training log available on the Division’s website to document the completion of the trainings. All topics must be covered. You may access health and safety trainings for free on the Division’s website under moodle. 2-Child Care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits •See new background check applicants and add to staff roster To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Compliance letter: You must correct the violations found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by February 4, 2025. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. Due to a group size violation being cited a follow up visit will be conducted. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns or you may contact my supervisor, Pam Hauser, at (336) 317-5003. 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: LOCOMOTION MADISON Facility ID: 79000327 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 1/21/2025 Number Present: 41 Completed Date: 1/21/2025 Age: From 1 To 4 Total Minutes: 245 Time In: 09:05 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted by Sally Allen, Child Care Consultant, with Rebekah Daniels, Director. Currently this center operates with a Four (4) Star license. The restrictions include daytime care only, children under 2 ½ years and younger in rooms with direct exit and meets enhanced ratios. The sanitation inspection was completed on August 7, 2024, with an “superior” classification with no demerits. The fire inspection was completed on February 9, 2024. I received a copy during another visit. When they receive the updated inspection Ms. Daniels must email me a copy. The facility is owned and operated by Locomotion Learning LLC. The Secretary of State website was checked and the corporation was listed as current and active. Forty-one (41) children were present. The children were observed playing indoors, completing routine tasks, eating lunch and napping. All indoor areas were monitored. Fire drill reports and playground inspections were monitored during today's visit. The last fire drill was conducted on December 12, 2024. It took the children two (2) minutes and fifty-six (56) seconds to evacuate. The last emergency drill, a lockdown drill, was conducted on October 31, 2024. The emergency drills must be conducted every three (3) months. The staff and children’s files were monitored in accordance with the Division of Child Development and Early Education policies and procedures. Ms. Daniels stated that a child enrolled has emergency medication. The facility does not provide routine transportation. The following violations were observed during today's visit. Violation Number Comment Rule 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. The activity plan used in space 5 only included three of the required activities. .0508(g)(2) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space 2 no child washed their hands prior to lunch. They were observed touching books and toys around the classroom. 15A NCAC 18A .2803(c) 847 Parent's medication authorization did not include required information. In space 1 there was no parent signature for the authorization of an epipen. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In spaces 1 and 5 there were glue sticks that had the warning "choking hazard for children under three years of age". These spaces have children one and two years old enrolled. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspection for July 2024 only had one of the seven categories answered. .0605(q) 1756 Enhanced staff/child ratios and group sizes were not met. In space 5 there were seventeen (17) children with two (2) teachers. There was one (1) one-year-old present. The child was signed into the room at 9:00am and I observed him in the classroom at 9:11am. 10A NCAC 09 .2818 Technical Assistance: Staff/child ratios and group size must be maintained at all times. The ratio and group size is for the youngest child present in the classroom. Staffing patterns can help to be prepared for when staff are absent and/or running late when determining how to maintain staff/child ratios and group sizes. Consultation: 1-The health and safety trainings are required to be completed within the first year of employment, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment, CPR and First Aid training. These three (3) trainings must be completed within ninety (90) days of employment. Following the initial completion of the health and safety trainings they must be completed within the next five years of employment or prior to expiration (CPR and First Aid). There is a training log available on the Division’s website to document the completion of the trainings. All topics must be covered. You may access health and safety trainings for free on the Division’s website under moodle. 2-Child Care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits •See new background check applicants and add to staff roster To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Compliance letter: You must correct the violations found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by February 4, 2025. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. Due to a group size violation being cited a follow up visit will be conducted. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns or you may contact my supervisor, Pam Hauser, at (336) 317-5003. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: LOCOMOTION MADISON Facility ID: 79000327 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 6/25/2024 Number Present: 36 Completed Date: 6/25/2024 Age: From 1 To 6 Total Minutes: 85 Time In: 09:45 AM Time Out: 11:10 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced A routine unannounced visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted by Sally Allen, Child Care Consultant and Rebekah Daniels, Director. Currently this child care center operates with a Four (4) Star license. The restrictions include daytime care only, no cooking allowed in building, meets enhanced ratios and children under 2 ½ years old in rooms with direct exit only. The sanitation inspection was completed on February 29, 2024. The facility received a superior rating with two (2) demerits. The fire inspection was completed February 9, 2024. I received a copy during a previous visit. This facility is owned and operated by Locomotion Learning LLC. The Secretary of State website was checked, and the corporation was listed as current and active. Thirty-six (36) children were present during today’s visit. The children were observed playing indoors, playing outdoors and completing routine tasks. The emergency drill log was monitored during today's visit. The last fire drill recorded was completed on June 10, 2024, with two (2) minutes and eighteen (18) seconds to evacuate. The last emergency drill, a lockdown drill, was completed on April 30, 2024. The staff files were not reviewed today. There is one (1) new staff. All staff have a current criminal background check. Ms. Daniels stated that children enrolled have emergency medication. Ms. Daniels stated that they do not provide transportation. The following violation was cited today. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor play area for toddlers there are three (3) patches of gravel. This is a choking hazard. 10A NCAC 09 .0601(a) Consultation: Health and Safety training topics, except for Recognizing and Responding to Suspicions of Child Maltreatment and CPR and First Aid trainings, must be completed within the first year of employment. The Recognizing and Responding, CPR, and First Aid trainings must be completed within ninety (90) days of employment. Then these trainings must be completed every five (5) years after the initial completion, except CPR and First Aid, which must be completed every two (2) years. As new staff are hired, and current staff are completing more class coursework make sure they are updating their WORKS accounts. If they do not have a WORKS account they need to create one, request for evaluation and send in all official transcripts. We reviewed the emergency medical care plan that was posted. We discussed what they would do if the person they had listed was not present and available to carry out the duties they were assigned. Ms. Daniels stated that they would look at the form and see if they need to update the information. If changes are made make sure that it is reviewed with all staff and the date of the review is recorded. Technical Assistance: While observing the children playing outdoors we observed a toddler climbing the fence several times. The teacher redirected him. I discussed with Ms. Daniels there are no climbing toys on the outdoor play area for toddlers. I also observed three (3) small patches of gravel on the outdoor play area for toddlers. Ms. Daniels stated that she could purchase an appropriate climbing piece of equipment and add mulch for the equipment to the area that would cover the patches of gravel. Compliance: You must correct the violations found during today's visit immediately. Please send me two (2) letters by mail verifying compliance, or you may email me a signed letter. It must be received by July 9, 2024. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include in your letter the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If I have not received the compliance letter by the tenth day, I will contact you, the operator/person in charge to inquire about your progress in correcting the violations and remind you of the date the compliance letter is due. I will contact you by telephone and/or email. If I have not received the letter by the due date, a follow up visit will be made promptly to verify compliance. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions. If you have any further questions or need further assistance you may contact my supervisor, Pam Hauser, at pamela.hauser@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: LOCOMOTION MADISON Facility ID: 79000327 Consultant: SALLY ALLEN Operation Type: Center Case Number: 0424-225L Visit Date: 4/22/2024 Number Present: 37 Completed Date: 4/22/2024 Age: From 1 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted by Sally Allen, Child Care Consultant and Emily Lamquaye, Child Care Consultant, with Rebekah Daniels, Director. The allegation is as follows: There are concerns regarding nurture and care . During today’s visit, the allegations were discussed with you. You had the opportunity to respond. Information shared during this visit are documented in this visit summary. Your program currently operates with a Four (4) Star License. Restrictions include daytime care only, no cooking allowed in building, meets enhanced ratios, children under 2 1/2 years old in rooms with direct exit only. Today, the following items, in addition to the allegations, were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • License Posted • Permit Restrictions Allegation: There is a concern regarding nurture and care. Observation and/or Interviews: We monitored each child care indoor space. We also reviewed video from April 1, 2024, and video from today for space 2. We interviewed staff member from space 2 and Ms. Daniels. We asked Ms. Daniels if she had any concerns about what we observed of the videos. She stated that she did have concerns about the diaper changing that we observed on the video. I asked if she had concerns about how the teacher was handling the children and she stated “yes”. In the video from April 1, 2024, we observed the teacher in space 2, grab a child and put him on her lap to change a pull-up. We observed the teacher lifting the child by his leg and changing his pull up while still holding his leg up. The child’s upper body was hanging off the teacher’s lap and there was no support for his head or shoulders. After the pull up was changed neither the child or teacher washed their hands. Later in the April 1st video we observed two (2) children fighting over child-size chairs. We observed the teacher go over and grab the chair out of the child’s hands and put the chairs back at the tables. The teacher then was seen grabbing one of the children by the arm and placing him in a different activity area from the other child. Today, we observed space 2 and the teacher/child interactions. We observed a child biting another child. The director stopped the child from biting and told the child “biting hurts. We use our mouth for eating not biting.” We also heard the teacher repeating the “we use our mouths for eating not biting.” We observed another incident of a child hitting another child and again the director stepped in and redirected the children. The teacher did not interact with either child during this second incident. When we stepped out the classroom to observe outdoors. Upon returning to the classroom we observed the teacher sitting outside the bathroom while a child was in the bathroom crying. I asked the teacher why the child was crying. She stated that the child and another child had gotten into it. We asked Ms. Daniels to play the video of today around the time of us returning to the classroom. We observed one child biting another child. While the teacher was attending to the child that was bitten the biter ran around the room and hid from the teacher by the tables. The child that was hiding got up and went around the table to get away from the teacher. We saw the teacher turn around and walk toward the bathroom and the child that had bitten was seen walking toward the bathroom. At no time during the video did we see the child that had bitten crying or upset. We observed the child walk into the bathroom and then seen the teacher lean into the bathroom. We observed the teacher sit down in the chair outside the bathroom and that is when we entered the classroom and saw the child crying in the bathroom. We had Ms. Daniels to ask the teacher about the child crying in the bathroom. The teacher told Ms. Daniels that he did not want to sit on the potty and that is why he was crying. That is different then what she told us when we asked her why he was crying. Conclusion: Based on the observations the allegation is substantiated. The following violation was cited today: Violation Number Comment Rule 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. I observed a child's pull up being changed while the child was on a staff person's lap. 15A NCAC 18A .2819(a) & (b) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. We observed through video a teacher in space 2, grabbing chairs from children and grabbing a child by the arm. A child was observed being lifted by his leg during a diaper change happening on the teacher's lap. His head and shoulders were not supported and seen hanging off her lap. The teacher was observed not addressing challenging behaviors when they occurred today. G.S. 110-91(10) Comments Section – Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violation cited during today's visit immediately and send me documentation verifying compliance on or before May 6, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to sally.allen@dhhs.nc.gov or mail two copies of the letter to: P.O. Box 1305 Eden, NC 27289 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Consultation: 1-Please contact the local environmental health specialist to ask about diaper changing procedures. 2-Please make sure that after each diaper change that the child's hands and teacher's hands are washed. Technical assistance provided during today’s visit: 1-I suggested that they observe the teacher in the classroom to see where she may need additional training. I suggest that they contact the local partnership for children to request training for the training on addressing challenging behaviors. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Sally Allen, Child Care Consultant (336)580-3782 sally.allen@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: LOCOMOTION MADISON Facility ID: 79000327 Consultant: SALLY ALLEN Operation Type: Center Case Number: 0424-225L Visit Date: 4/22/2024 Number Present: 37 Completed Date: 4/22/2024 Age: From 1 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted by Sally Allen, Child Care Consultant and Emily Lamquaye, Child Care Consultant, with Rebekah Daniels, Director. The allegation is as follows: There are concerns regarding nurture and care . During today’s visit, the allegations were discussed with you. You had the opportunity to respond. Information shared during this visit are documented in this visit summary. Your program currently operates with a Four (4) Star License. Restrictions include daytime care only, no cooking allowed in building, meets enhanced ratios, children under 2 1/2 years old in rooms with direct exit only. Today, the following items, in addition to the allegations, were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • License Posted • Permit Restrictions Allegation: There is a concern regarding nurture and care. Observation and/or Interviews: We monitored each child care indoor space. We also reviewed video from April 1, 2024, and video from today for space 2. We interviewed staff member from space 2 and Ms. Daniels. We asked Ms. Daniels if she had any concerns about what we observed of the videos. She stated that she did have concerns about the diaper changing that we observed on the video. I asked if she had concerns about how the teacher was handling the children and she stated “yes”. In the video from April 1, 2024, we observed the teacher in space 2, grab a child and put him on her lap to change a pull-up. We observed the teacher lifting the child by his leg and changing his pull up while still holding his leg up. The child’s upper body was hanging off the teacher’s lap and there was no support for his head or shoulders. After the pull up was changed neither the child or teacher washed their hands. Later in the April 1st video we observed two (2) children fighting over child-size chairs. We observed the teacher go over and grab the chair out of the child’s hands and put the chairs back at the tables. The teacher then was seen grabbing one of the children by the arm and placing him in a different activity area from the other child. Today, we observed space 2 and the teacher/child interactions. We observed a child biting another child. The director stopped the child from biting and told the child “biting hurts. We use our mouth for eating not biting.” We also heard the teacher repeating the “we use our mouths for eating not biting.” We observed another incident of a child hitting another child and again the director stepped in and redirected the children. The teacher did not interact with either child during this second incident. When we stepped out the classroom to observe outdoors. Upon returning to the classroom we observed the teacher sitting outside the bathroom while a child was in the bathroom crying. I asked the teacher why the child was crying. She stated that the child and another child had gotten into it. We asked Ms. Daniels to play the video of today around the time of us returning to the classroom. We observed one child biting another child. While the teacher was attending to the child that was bitten the biter ran around the room and hid from the teacher by the tables. The child that was hiding got up and went around the table to get away from the teacher. We saw the teacher turn around and walk toward the bathroom and the child that had bitten was seen walking toward the bathroom. At no time during the video did we see the child that had bitten crying or upset. We observed the child walk into the bathroom and then seen the teacher lean into the bathroom. We observed the teacher sit down in the chair outside the bathroom and that is when we entered the classroom and saw the child crying in the bathroom. We had Ms. Daniels to ask the teacher about the child crying in the bathroom. The teacher told Ms. Daniels that he did not want to sit on the potty and that is why he was crying. That is different then what she told us when we asked her why he was crying. Conclusion: Based on the observations the allegation is substantiated. The following violation was cited today: Violation Number Comment Rule 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. I observed a child's pull up being changed while the child was on a staff person's lap. 15A NCAC 18A .2819(a) & (b) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. We observed through video a teacher in space 2, grabbing chairs from children and grabbing a child by the arm. A child was observed being lifted by his leg during a diaper change happening on the teacher's lap. His head and shoulders were not supported and seen hanging off her lap. The teacher was observed not addressing challenging behaviors when they occurred today. G.S. 110-91(10) Comments Section – Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violation cited during today's visit immediately and send me documentation verifying compliance on or before May 6, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to sally.allen@dhhs.nc.gov or mail two copies of the letter to: P.O. Box 1305 Eden, NC 27289 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Consultation: 1-Please contact the local environmental health specialist to ask about diaper changing procedures. 2-Please make sure that after each diaper change that the child's hands and teacher's hands are washed. Technical assistance provided during today’s visit: 1-I suggested that they observe the teacher in the classroom to see where she may need additional training. I suggest that they contact the local partnership for children to request training for the training on addressing challenging behaviors. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Sally Allen, Child Care Consultant (336)580-3782 sally.allen@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: LOCOMOTION MADISON Facility ID: 79000327 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 1/30/2024 Number Present: 30 Completed Date: 1/30/2024 Age: From 1 To 5 Total Minutes: 245 Time In: 09:10 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted by Sally Allen, Child Care Consultant, with Rebekah Daniels, Director. Currently this center operates with a Four (4) star license issued August 1, 2023. Restrictions include daytime care only, no cooking allowed in building, meets enhanced ratios, children under 2 ½ years old in rooms with direct exit only. This is the first annual compliance visit at this facility. The sanitation inspection was completed on October 31, 2023, with a “superior” classification with no demerits. The fire inspection was completed on November 4, 2022. The new fire inspection must be sent to me as soon as it is completed. The facility is owned and operated by Locomotion Learning, LLC. The Secretary of State website was checked and the corporation is listed as current and active. Thirty (30) children were present. The children were observed playing in activity areas, completing routine tasks, having diapers changed, eating lunch and napping. There are no infants enrolled. All indoor and outdoor areas were monitored. Fire drill reports and playground inspections were monitored during today's visit. The last fire drill was conducted on December 13, 2023. It took the children two (2) minutes and forty (40) seconds to evacuate. The last emergency drill, a shelter-in-place drill, was conducted on October 31, 2023. The emergency drills must be conducted every three (3) months. Staff and children’s files were monitored according to the policies and procedures set by the Division of Child Development and Early Education. One classroom had a child enrolled that has emergency medication. The facility does not provide transportation. The following violations were observed during today's visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed November 4, 2022. 10A NCAC 09 .0304(a) 405 A child's hands were not washed after each diaper change. In space 1, a child's hands were not washed. A wipe was used after the diaper change. 15A NCAC 18A .2803(c)(2) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In spaces 2, 4 and 5 the activity plans did not provide at least four (4) different activities daily in the listed areas. .0508(g)(2) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). One (1) child did not have a feeding plan provided by the parent. 10A NCAC 09 .0902(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. In space 1, the teacher used a sanitizer instead of a disinfectant. In space 5, a teacher only used a detergent solution. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor play area for one and two year old children there was gravel present. This is a choking hazard. On the outdoor play area for two year olds and older there were two (2) toys that have steering wheels that were loose and creating a pinching hazard. 10A NCAC 09 .0601(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child had allergies listed on the application and on the medical report but did not have a medical action plan. .0801(b) Technical assistance and other topics discussed during today's visit: 1-We discussed activity plans. 2-We discussed diapering. 3-We discussed medical action plans. Consultation: 1-The health and safety trainings are required to be completed within the first year of employment, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment, CPR and First Aid training. These three (3) trainings must be completed within ninety (90) days of employment. Following the initial completion of the health and safety trainings they must be completed within the next five years of employment or prior to expiration (CPR and First Aid). There is a training log available on the Division’s website to document the completion of the trainings. All topics must be covered. 2. This is a resource provided by NC Child Care Health & Safety Resource Center to assist in finding needed trainings. Find a Trainer Page (for a list of active EPR, ITS-SIDS, Medication Administration Trainers as well as the new Training Guidance): https://healthychildcare.unc.edu/for-early-educators/find-a-trainer/ . Compliance letter: You must correct the violations found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by February 13, 2024. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns or you may contact my supervisor, Pam Hauser, at (336) 317-5003. 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 .0902 · Violation

Name of Operation: LOCOMOTION MADISON Facility ID: 79000327 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 1/30/2024 Number Present: 30 Completed Date: 1/30/2024 Age: From 1 To 5 Total Minutes: 245 Time In: 09:10 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted by Sally Allen, Child Care Consultant, with Rebekah Daniels, Director. Currently this center operates with a Four (4) star license issued August 1, 2023. Restrictions include daytime care only, no cooking allowed in building, meets enhanced ratios, children under 2 ½ years old in rooms with direct exit only. This is the first annual compliance visit at this facility. The sanitation inspection was completed on October 31, 2023, with a “superior” classification with no demerits. The fire inspection was completed on November 4, 2022. The new fire inspection must be sent to me as soon as it is completed. The facility is owned and operated by Locomotion Learning, LLC. The Secretary of State website was checked and the corporation is listed as current and active. Thirty (30) children were present. The children were observed playing in activity areas, completing routine tasks, having diapers changed, eating lunch and napping. There are no infants enrolled. All indoor and outdoor areas were monitored. Fire drill reports and playground inspections were monitored during today's visit. The last fire drill was conducted on December 13, 2023. It took the children two (2) minutes and forty (40) seconds to evacuate. The last emergency drill, a shelter-in-place drill, was conducted on October 31, 2023. The emergency drills must be conducted every three (3) months. Staff and children’s files were monitored according to the policies and procedures set by the Division of Child Development and Early Education. One classroom had a child enrolled that has emergency medication. The facility does not provide transportation. The following violations were observed during today's visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed November 4, 2022. 10A NCAC 09 .0304(a) 405 A child's hands were not washed after each diaper change. In space 1, a child's hands were not washed. A wipe was used after the diaper change. 15A NCAC 18A .2803(c)(2) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In spaces 2, 4 and 5 the activity plans did not provide at least four (4) different activities daily in the listed areas. .0508(g)(2) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). One (1) child did not have a feeding plan provided by the parent. 10A NCAC 09 .0902(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. In space 1, the teacher used a sanitizer instead of a disinfectant. In space 5, a teacher only used a detergent solution. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor play area for one and two year old children there was gravel present. This is a choking hazard. On the outdoor play area for two year olds and older there were two (2) toys that have steering wheels that were loose and creating a pinching hazard. 10A NCAC 09 .0601(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child had allergies listed on the application and on the medical report but did not have a medical action plan. .0801(b) Technical assistance and other topics discussed during today's visit: 1-We discussed activity plans. 2-We discussed diapering. 3-We discussed medical action plans. Consultation: 1-The health and safety trainings are required to be completed within the first year of employment, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment, CPR and First Aid training. These three (3) trainings must be completed within ninety (90) days of employment. Following the initial completion of the health and safety trainings they must be completed within the next five years of employment or prior to expiration (CPR and First Aid). There is a training log available on the Division’s website to document the completion of the trainings. All topics must be covered. 2. This is a resource provided by NC Child Care Health & Safety Resource Center to assist in finding needed trainings. Find a Trainer Page (for a list of active EPR, ITS-SIDS, Medication Administration Trainers as well as the new Training Guidance): https://healthychildcare.unc.edu/for-early-educators/find-a-trainer/ . Compliance letter: You must correct the violations found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by February 13, 2024. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns or you may contact my supervisor, Pam Hauser, at (336) 317-5003. 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 .0304 · Violation

Name of Operation: LOCOMOTION MADISON Facility ID: 79000327 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 1/30/2024 Number Present: 30 Completed Date: 1/30/2024 Age: From 1 To 5 Total Minutes: 245 Time In: 09:10 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted by Sally Allen, Child Care Consultant, with Rebekah Daniels, Director. Currently this center operates with a Four (4) star license issued August 1, 2023. Restrictions include daytime care only, no cooking allowed in building, meets enhanced ratios, children under 2 ½ years old in rooms with direct exit only. This is the first annual compliance visit at this facility. The sanitation inspection was completed on October 31, 2023, with a “superior” classification with no demerits. The fire inspection was completed on November 4, 2022. The new fire inspection must be sent to me as soon as it is completed. The facility is owned and operated by Locomotion Learning, LLC. The Secretary of State website was checked and the corporation is listed as current and active. Thirty (30) children were present. The children were observed playing in activity areas, completing routine tasks, having diapers changed, eating lunch and napping. There are no infants enrolled. All indoor and outdoor areas were monitored. Fire drill reports and playground inspections were monitored during today's visit. The last fire drill was conducted on December 13, 2023. It took the children two (2) minutes and forty (40) seconds to evacuate. The last emergency drill, a shelter-in-place drill, was conducted on October 31, 2023. The emergency drills must be conducted every three (3) months. Staff and children’s files were monitored according to the policies and procedures set by the Division of Child Development and Early Education. One classroom had a child enrolled that has emergency medication. The facility does not provide transportation. The following violations were observed during today's visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed November 4, 2022. 10A NCAC 09 .0304(a) 405 A child's hands were not washed after each diaper change. In space 1, a child's hands were not washed. A wipe was used after the diaper change. 15A NCAC 18A .2803(c)(2) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In spaces 2, 4 and 5 the activity plans did not provide at least four (4) different activities daily in the listed areas. .0508(g)(2) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). One (1) child did not have a feeding plan provided by the parent. 10A NCAC 09 .0902(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. In space 1, the teacher used a sanitizer instead of a disinfectant. In space 5, a teacher only used a detergent solution. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor play area for one and two year old children there was gravel present. This is a choking hazard. On the outdoor play area for two year olds and older there were two (2) toys that have steering wheels that were loose and creating a pinching hazard. 10A NCAC 09 .0601(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child had allergies listed on the application and on the medical report but did not have a medical action plan. .0801(b) Technical assistance and other topics discussed during today's visit: 1-We discussed activity plans. 2-We discussed diapering. 3-We discussed medical action plans. Consultation: 1-The health and safety trainings are required to be completed within the first year of employment, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment, CPR and First Aid training. These three (3) trainings must be completed within ninety (90) days of employment. Following the initial completion of the health and safety trainings they must be completed within the next five years of employment or prior to expiration (CPR and First Aid). There is a training log available on the Division’s website to document the completion of the trainings. All topics must be covered. 2. This is a resource provided by NC Child Care Health & Safety Resource Center to assist in finding needed trainings. Find a Trainer Page (for a list of active EPR, ITS-SIDS, Medication Administration Trainers as well as the new Training Guidance): https://healthychildcare.unc.edu/for-early-educators/find-a-trainer/ . Compliance letter: You must correct the violations found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by February 13, 2024. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns or you may contact my supervisor, Pam Hauser, at (336) 317-5003. 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: LOCOMOTION MADISON Facility ID: 79000327 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 1/30/2024 Number Present: 30 Completed Date: 1/30/2024 Age: From 1 To 5 Total Minutes: 245 Time In: 09:10 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted by Sally Allen, Child Care Consultant, with Rebekah Daniels, Director. Currently this center operates with a Four (4) star license issued August 1, 2023. Restrictions include daytime care only, no cooking allowed in building, meets enhanced ratios, children under 2 ½ years old in rooms with direct exit only. This is the first annual compliance visit at this facility. The sanitation inspection was completed on October 31, 2023, with a “superior” classification with no demerits. The fire inspection was completed on November 4, 2022. The new fire inspection must be sent to me as soon as it is completed. The facility is owned and operated by Locomotion Learning, LLC. The Secretary of State website was checked and the corporation is listed as current and active. Thirty (30) children were present. The children were observed playing in activity areas, completing routine tasks, having diapers changed, eating lunch and napping. There are no infants enrolled. All indoor and outdoor areas were monitored. Fire drill reports and playground inspections were monitored during today's visit. The last fire drill was conducted on December 13, 2023. It took the children two (2) minutes and forty (40) seconds to evacuate. The last emergency drill, a shelter-in-place drill, was conducted on October 31, 2023. The emergency drills must be conducted every three (3) months. Staff and children’s files were monitored according to the policies and procedures set by the Division of Child Development and Early Education. One classroom had a child enrolled that has emergency medication. The facility does not provide transportation. The following violations were observed during today's visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed November 4, 2022. 10A NCAC 09 .0304(a) 405 A child's hands were not washed after each diaper change. In space 1, a child's hands were not washed. A wipe was used after the diaper change. 15A NCAC 18A .2803(c)(2) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In spaces 2, 4 and 5 the activity plans did not provide at least four (4) different activities daily in the listed areas. .0508(g)(2) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). One (1) child did not have a feeding plan provided by the parent. 10A NCAC 09 .0902(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. In space 1, the teacher used a sanitizer instead of a disinfectant. In space 5, a teacher only used a detergent solution. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor play area for one and two year old children there was gravel present. This is a choking hazard. On the outdoor play area for two year olds and older there were two (2) toys that have steering wheels that were loose and creating a pinching hazard. 10A NCAC 09 .0601(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child had allergies listed on the application and on the medical report but did not have a medical action plan. .0801(b) Technical assistance and other topics discussed during today's visit: 1-We discussed activity plans. 2-We discussed diapering. 3-We discussed medical action plans. Consultation: 1-The health and safety trainings are required to be completed within the first year of employment, with the exception of Recognizing and Responding to Suspicions of Child Maltreatment, CPR and First Aid training. These three (3) trainings must be completed within ninety (90) days of employment. Following the initial completion of the health and safety trainings they must be completed within the next five years of employment or prior to expiration (CPR and First Aid). There is a training log available on the Division’s website to document the completion of the trainings. All topics must be covered. 2. This is a resource provided by NC Child Care Health & Safety Resource Center to assist in finding needed trainings. Find a Trainer Page (for a list of active EPR, ITS-SIDS, Medication Administration Trainers as well as the new Training Guidance): https://healthychildcare.unc.edu/for-early-educators/find-a-trainer/ . Compliance letter: You must correct the violations found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by February 13, 2024. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns or you may contact my supervisor, Pam Hauser, at (336) 317-5003. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: LOCOMOTION MADISON Facility ID: 79000327 Consultant: SALLY ALLEN Operation Type: Center Case Number: 0823-128L Visit Date: 8/10/2023 Number Present: 23 Completed Date: 8/10/2023 Age: From 1 To 5 Total Minutes: 188 Time In: 08:52 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted by Sally Allen, Child Care Consultant with Rebekah Daniels, Director and Hunter Edwards, Co-owner. The allegation is as follows: There is a concern regarding supervision. During today’s visit, the allegations were discussed with you. You self reported this allegation. You had the opportunity to respond. Information shared during this visit are documented in this visit summary. Your program currently operates with a Four Star License. Restrictions include daytime care only, children under 2 ½ years in rooms with direct exit only, no cooking allowed, and meets enhanced ratios. The program’s compliance history was 94% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • License Posted • Permit Restrictions Allegation: There is a concern regarding supervision. Observation and/or Interviews: I observed each classroom space for supervision. We also reviewed video for August 2 and August 3 for space 1. There were instances observed on video for both days of the teachers sitting at the children’s table or in a camp outdoor chair and could not see the children playing in the dramatic area or the block area. On the video of August 3, 2023, the teacher was observed engaged in cleaning and other non-teaching activities throughout the video replay instead of interacting with the children. Conclusion #1: Based on the above information, this allegation was substantiated. The following violation was cited during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. While reviewing a video replay on August 3, 2023, I observed a teacher sitting at the children's table or in a camp outdoor chair and not moving throughout the indoor space and not interacting with the children as they were playing in activity areas. .1801(a)(1-5) Comments Section – Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before August 24, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to sally.allen@dhhs.nc.gov or mail two copies of the letter to: P.O. Box 1305 Eden, NC 27289 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: 1-10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. 2-Each classroom exit door has a deadbolt above the doorknob. Each deadbolt was engaged today. A deadbolt is not considered a single action mechanism. Ms. Edwards stated they would remove the deadbolt mechanism. I asked that she send me documentation that they have been removed. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Sally Allen, Child Care Consultant (336)580-3782 sally.allen@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: LOCOMOTION MADISON Facility ID: 79000327 Consultant: SALLY ALLEN Operation Type: Center Case Number: 0823-128L Visit Date: 8/10/2023 Number Present: 23 Completed Date: 8/10/2023 Age: From 1 To 5 Total Minutes: 188 Time In: 08:52 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted by Sally Allen, Child Care Consultant with Rebekah Daniels, Director and Hunter Edwards, Co-owner. The allegation is as follows: There is a concern regarding supervision. During today’s visit, the allegations were discussed with you. You self reported this allegation. You had the opportunity to respond. Information shared during this visit are documented in this visit summary. Your program currently operates with a Four Star License. Restrictions include daytime care only, children under 2 ½ years in rooms with direct exit only, no cooking allowed, and meets enhanced ratios. The program’s compliance history was 94% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • License Posted • Permit Restrictions Allegation: There is a concern regarding supervision. Observation and/or Interviews: I observed each classroom space for supervision. We also reviewed video for August 2 and August 3 for space 1. There were instances observed on video for both days of the teachers sitting at the children’s table or in a camp outdoor chair and could not see the children playing in the dramatic area or the block area. On the video of August 3, 2023, the teacher was observed engaged in cleaning and other non-teaching activities throughout the video replay instead of interacting with the children. Conclusion #1: Based on the above information, this allegation was substantiated. The following violation was cited during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. While reviewing a video replay on August 3, 2023, I observed a teacher sitting at the children's table or in a camp outdoor chair and not moving throughout the indoor space and not interacting with the children as they were playing in activity areas. .1801(a)(1-5) Comments Section – Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before August 24, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to sally.allen@dhhs.nc.gov or mail two copies of the letter to: P.O. Box 1305 Eden, NC 27289 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: 1-10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. 2-Each classroom exit door has a deadbolt above the doorknob. Each deadbolt was engaged today. A deadbolt is not considered a single action mechanism. Ms. Edwards stated they would remove the deadbolt mechanism. I asked that she send me documentation that they have been removed. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Sally Allen, Child Care Consultant (336)580-3782 sally.allen@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times