Primrose School AT Austin Village

10A NCAC 09 .0902 · Violation

Name of Operation: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 2/11/2026 Number Present: 108 Completed Date: 2/11/2026 Age: From 0 To 5 Total Minutes: 325 Time In: 08:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by J. Herron I shared the reason for the visit. She accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a COGNIA accreditation Five (5) star center license. The license was posted, with restrictions to first (1st ) shift care. COGNIA recertification is due in the summer of 2027. Ownership: The facility owner is Dennis Child Development Company with SOSID# 1056857, which is active an current. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All licensed spaces were observed including, the classrooms and outdoor learning spaced. Program Records: We reviewed all the required records and were in compliance. Inspections: All inspections were monitored, and inspection dates are listed below. • Fire drill was conducted on 1/27/26. • Emergency drill was conducted on 1/15/26. • Fire inspection was attempted on January 30th, 2026 and the facility has some updates to make. The form was shared today and when passing, the new form will be sent to the consultant within seven (7) business days. • Playground inspection was completed on 1/26/26. • Sanitation inspection was on August 12, 2025 conducted on and received a Superior classification. • EPR manual was updated on 2/1/26 and was completed • Incident logs and sheets were completed and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children in the room that served infant aged children were observed to be participating in feeding and free play activities. Children in the rooms that serve toddler aged children were participating in free choice center play time. Children in the rooms that serve younger preschool aged children were participating in letter and site word learning activities. Children in the older preschool aged classrooms were participating in outdoor play time, teacher lead lessons and free choice center time. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit and the qualifying letters for staff were/were not verified. There were eighteen (18) new staff files to review today, and three (3) existing staff files. Please refer to the staff/training worksheet to review which files were monitored. Children’s Records: Staff reported there were one hundred and forty one (141) children enrolled in this center. There were one hundred and eight (108) in attendance today. Fourteen (14) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Medication: All emergency and other medications were reviewed today and were in compliance. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu and allergy listing were posted and for lunch the children were having baked potatoes, with bacon, cheese, sour cream, apple sauce and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility reported the do provide transportation. The registration and insurance were up to date and current. All required components were monitored and found in compliance. Three (3) violations were observed today and one was corrected during the visit. The violations are as follows: Violation Number Comment Rule 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)In the space that serves infants, a child's feeding plan was not on site and was sent home with the family to make changes. 10A NCAC 09 .0902(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space one (1) and space two (2), serving infant aged children did not have the safe sleep policy posted. .0606(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space eight (8), several diaper creams/ointments permission forms had expired. In space eight (8), more than one half (1/2) of diaper creams/ointments did not have permission to administer forms. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations not corrected during the visit must be corrected immediately. On or before 2/24/26 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 1293 Matthews, NC 28106 Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: • Updated Child Care Rules are located in Section .3200 pertaining to QRIS system, otherwise known as Pathways to Stars are available for review. •This facility is licensed through QRIS/Pathway #3 Accreditation with COGINA. They are due for renewal in the summer of 2027 and DCDEE is due September of 2027. Technical Assistance •Consider having a safety or diaper cream lead teacher to monitor and check the diaper creams, and/or sunscreens in each of the rooms using those permissions and forms. •Parents can always update the infant feeding schedules as needed but a copy or the original should remain on site to maintain compliance. A copy can be sent home if necessary. •We discussed what is supposed to be on the First Aid poster in the rooms to remain in compliance. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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

NC GS 110-90 · Violation

Name of Operation: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 2/11/2026 Number Present: 108 Completed Date: 2/11/2026 Age: From 0 To 5 Total Minutes: 325 Time In: 08:50 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by J. Herron I shared the reason for the visit. She accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a COGNIA accreditation Five (5) star center license. The license was posted, with restrictions to first (1st ) shift care. COGNIA recertification is due in the summer of 2027. Ownership: The facility owner is Dennis Child Development Company with SOSID# 1056857, which is active an current. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All licensed spaces were observed including, the classrooms and outdoor learning spaced. Program Records: We reviewed all the required records and were in compliance. Inspections: All inspections were monitored, and inspection dates are listed below. • Fire drill was conducted on 1/27/26. • Emergency drill was conducted on 1/15/26. • Fire inspection was attempted on January 30th, 2026 and the facility has some updates to make. The form was shared today and when passing, the new form will be sent to the consultant within seven (7) business days. • Playground inspection was completed on 1/26/26. • Sanitation inspection was on August 12, 2025 conducted on and received a Superior classification. • EPR manual was updated on 2/1/26 and was completed • Incident logs and sheets were completed and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children in the room that served infant aged children were observed to be participating in feeding and free play activities. Children in the rooms that serve toddler aged children were participating in free choice center play time. Children in the rooms that serve younger preschool aged children were participating in letter and site word learning activities. Children in the older preschool aged classrooms were participating in outdoor play time, teacher lead lessons and free choice center time. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit and the qualifying letters for staff were/were not verified. There were eighteen (18) new staff files to review today, and three (3) existing staff files. Please refer to the staff/training worksheet to review which files were monitored. Children’s Records: Staff reported there were one hundred and forty one (141) children enrolled in this center. There were one hundred and eight (108) in attendance today. Fourteen (14) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Medication: All emergency and other medications were reviewed today and were in compliance. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu and allergy listing were posted and for lunch the children were having baked potatoes, with bacon, cheese, sour cream, apple sauce and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility reported the do provide transportation. The registration and insurance were up to date and current. All required components were monitored and found in compliance. Three (3) violations were observed today and one was corrected during the visit. The violations are as follows: Violation Number Comment Rule 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)In the space that serves infants, a child's feeding plan was not on site and was sent home with the family to make changes. 10A NCAC 09 .0902(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space one (1) and space two (2), serving infant aged children did not have the safe sleep policy posted. .0606(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space eight (8), several diaper creams/ointments permission forms had expired. In space eight (8), more than one half (1/2) of diaper creams/ointments did not have permission to administer forms. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations not corrected during the visit must be corrected immediately. On or before 2/24/26 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 1293 Matthews, NC 28106 Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: • Updated Child Care Rules are located in Section .3200 pertaining to QRIS system, otherwise known as Pathways to Stars are available for review. •This facility is licensed through QRIS/Pathway #3 Accreditation with COGINA. They are due for renewal in the summer of 2027 and DCDEE is due September of 2027. Technical Assistance •Consider having a safety or diaper cream lead teacher to monitor and check the diaper creams, and/or sunscreens in each of the rooms using those permissions and forms. •Parents can always update the infant feeding schedules as needed but a copy or the original should remain on site to maintain compliance. A copy can be sent home if necessary. •We discussed what is supposed to be on the First Aid poster in the rooms to remain in compliance. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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

NC GS 110-90 · Violation

Name of Operation: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 0525-200L Visit Date: 5/20/2025 Number Present: 127 Completed Date: 5/20/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 10:00 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 today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements case #: 0525-200L. I was met by Ms. G Breen and shared the reason for my visit, she assisted me through the walk through. The facility holds a five (5) star center license with restrictions to first (1st) shift care. There are allegations of violations of childcare requirements including supervision of a toddler, the operator reported the event to their Licensing Consultant as well as Intake. Ms. Breen provided statements prior to the visit pertaining to the event. I reviewed the statements from four (4) staff members directly involved with the supervision complaint. All staff members confirmed that a child was left unattended in the outdoor learning area for approximately five (5) to six (6) minutes. The children’s teachers stated they each separately did a head count when coming back inside and remembering counting all ten (10) children. Next one teacher started changing diapers and one teacher began interacting with the children with a “dance party” as she prepared for nap and lunch. There was no mention of handwashing upon return from the outside environment. Both teachers did mention that the door that leads to the outside play area has not been latching properly, it is not clear if the door played a part in the incident. I interviewed four (4) staff members for their accounts of the events and they were verbatim to the written statements previously given. I discussed with each staff the importance of knowing your surroundings, at all times. It is important to consistently count the children in their care in addition to using face to name techniques. I reviewed the video time stamped 10:58 am to 11:01 am and it was confirmed that the child was left unattended on the playground area. Per the written observations from other staff members, a different classroom teacher spotted the child in the corner of the playground around 11:00 am as she was returning from a restroom break and conferring with her co-teachers. Per the written statement, from one teacher the children were back in the classroom at 10:20 and the child was present at that time and this was confirmed. Comments from Provider: Ms. Breen stressed the importance of supervision and I was informed that the staff member responsible for this incident has been let go. The other teacher in the classroom has been written up. Ms. Breen shared that thy staff has a Behavioral Techniques training scheduled for this Thursday evening, she has shared with the staff “Address the Stress” on demand trainings for contact hours, and the facilities no tolerance policy for violations. Findings: Based on interviews, video and observations the alleged complaint is confirmed. Observations: There were one hundred and twenty-seven (127) children in attendance today. The children were observed in activities in the rooms that serve infants to be participating in self-care needs. The children were observed in activities in the rooms the serve toddlers and younger preschool aged children participating in outdoor play time. The children in the room that serves older preschool aged children were participating in center free choice center time. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Violation Number Comment Rule 303 Children were not adequately supervised at all times. One (1) child in the room that serves toddlers left the room when a teacher opened an outside door and was left unsupervised on the outdoor play area for approximately five (5) to (6) minutes. .1801(a)(1-5) Technical Assistance •I encouraged you, to enroll any new staff who have been employed at your facility for less than a year and any staff who you may have concerns with supervision, sanitation guidelines, and/or diaper changes to participate and compete the training series provided by CCRI: “New Employee Orientation”. The training series consists of three (3) courses called: - A+ Supervision - Keep it Clean - Positive Guidance •A 100% personal cell phone/watch/headphone policy was discussed with the Administration. Teachers should be present and active at all times children are in their care. We discussed numerous policy and strategies to implement this policy. •We also discussed the importance of on-going education for the teachers to maintain good quality instruction and basic supervision principals in the classroom. •I discussed with each staff member interviewed the importance of staying aware and alert. Teachers should be spread out while inside and outside to always maintain a line of site. Pay special attention to blind areas, checking those physically and visually. •We discussed the door alarm policy on each room door that leads to the playground. It was unclear on why the alarm didn’t sound each time the door was opened to alert the teachers. It was stated that the policy is to arm the door at all times. •There are two training sites, listed below that offer great on demand and in person trainings for supervision and other topics. o https://www.naeyc.org/resources/pd/online-learning https://www.flipsnack.com/8ADBBD77C6F/ccri-training-catalog/full-view.html Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If an Administrative Action is issued it will be a tool that will provide supports in an effort to ensure that incidents like this do not occur again and that the quality of care is increased in your program. If you have questions or need further assistance, please contact me at 704-549-0041 or via email at traci.meyer@dhhs.nc.gov Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 5/6/2025 Number Present: 139 Completed Date: 5/6/2025 Age: From 0 To 5 Total Minutes: 254 Time In: 11:16 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced routine visit. Upon arrival I was greeted by Ms. G. Breen and I shared the reason for the visit. She assisted me with today’s visit. Your program currently operates with a Five (5) star center license. The license was posted, with restrictions to: first (1st) shift care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percent before today’s visit. The following items were monitored: Licensing Posted, Permit Restrictions, Staff/Child Ratio, Supervision, Specialized Trainings, Storage of Hazardous Substances and Storage of Medication, Program Records, and General Safety. The Fire Inspection has not occurred since the last visit and remains current. The following items above were found in compliance. The following inspections are below. •Last fire drill was conducted on 4/14/25. •Last Shelter in Place/Lockdown Drill was conducted 4/30/25. •Last Playground Inspection was conducted on 4/21/25. •The Sanitation Inspection was conducted on 3/5/25 and received a Superior Classification. The children observed in the room that serves infants were participating in teacher directed self-help routines. In the room(s) that serves toddler aged children they were participating in free choice center activities. In the room(s) that serves younger preschool age children, were participating in outside learning environments. The children in the room(s) that serve older preschool aged children participating in child choice free play and school graduation practice. Outdoor Learning Environment: All three (3) learning environments were observed and all were in compliance. Staff Records: The staff-training worksheets were completed during the visit and there were four (4) new staff files to monitor. Medication: Medication was monitored and as a reminder all emergency medication has a six (6) month medical permission form that is required. This can be updated by the parents/guardians as changes occur or every six (6) months. Nutrition: The menu and allergy listing were posted and for lunch the children were having baked chicken, mashed potatoes, fruit, and milk Weapons: Today you reported that your facility was in compliance with childcare requirements regarding firearms. Transportation: Transportation is provided but was not monitored during today's visit. Two (2) violations were observed today and both were corrected during the visit. The violations are as follows: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In each of the classrooms the activity plan was not current for the group of children it serves. GS 110-91(12); .0508(a) 1757 A valid qualification letter was not on file and available to review at the facility. V.S. did have a letter but it was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance •The ITTI Care Project offers this 1-hour self-paced training designed to help everyone who works in child care settings address their stress! Click on link to register for FREE so you can complete the training whenever you like! Learn more about ITTI Care here: https://sites.sanford.duke.edu/itticare/ •As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. •Once your fire inspection is completed, the passing copy is to be sent to your Child Care Consultant within seven (7) days. •Emergency Response plans are to be reviewed yearly or when changes occur. •To help ensure, the age of staff members is being reviewed it would be helpful to put a date of birth section on the Primrose Employment application form. I was able to confirm ages today on a payroll form. •Staff Development Plans are vital to encouraging growth of all staff. The current, thirty (30), sixty (60), and ninety (90) plans in place are a great starting point. To remain in compliance with all rules, please maintain an annual staff evaluation and staff development plan on file. •With the increase of children in our community showing behaviors which may be not typical or concerning based on the age of the child, it is always recommended to offer Developmental Screenings at different developmental ages. This helps the teachers know if there is an area of particular focus or if a parent/guardian should seek outside evaluations, therapy or assistance. •We discussed children bringing in recording devices, phone or electronic devices into the facilities and what policies and procedures could be put in place to eliminate this practice. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged you to ask any questions and you stated that you had none. 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 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 5/6/2025 Number Present: 139 Completed Date: 5/6/2025 Age: From 0 To 5 Total Minutes: 254 Time In: 11:16 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced routine visit. Upon arrival I was greeted by Ms. G. Breen and I shared the reason for the visit. She assisted me with today’s visit. Your program currently operates with a Five (5) star center license. The license was posted, with restrictions to: first (1st) shift care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percent before today’s visit. The following items were monitored: Licensing Posted, Permit Restrictions, Staff/Child Ratio, Supervision, Specialized Trainings, Storage of Hazardous Substances and Storage of Medication, Program Records, and General Safety. The Fire Inspection has not occurred since the last visit and remains current. The following items above were found in compliance. The following inspections are below. •Last fire drill was conducted on 4/14/25. •Last Shelter in Place/Lockdown Drill was conducted 4/30/25. •Last Playground Inspection was conducted on 4/21/25. •The Sanitation Inspection was conducted on 3/5/25 and received a Superior Classification. The children observed in the room that serves infants were participating in teacher directed self-help routines. In the room(s) that serves toddler aged children they were participating in free choice center activities. In the room(s) that serves younger preschool age children, were participating in outside learning environments. The children in the room(s) that serve older preschool aged children participating in child choice free play and school graduation practice. Outdoor Learning Environment: All three (3) learning environments were observed and all were in compliance. Staff Records: The staff-training worksheets were completed during the visit and there were four (4) new staff files to monitor. Medication: Medication was monitored and as a reminder all emergency medication has a six (6) month medical permission form that is required. This can be updated by the parents/guardians as changes occur or every six (6) months. Nutrition: The menu and allergy listing were posted and for lunch the children were having baked chicken, mashed potatoes, fruit, and milk Weapons: Today you reported that your facility was in compliance with childcare requirements regarding firearms. Transportation: Transportation is provided but was not monitored during today's visit. Two (2) violations were observed today and both were corrected during the visit. The violations are as follows: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In each of the classrooms the activity plan was not current for the group of children it serves. GS 110-91(12); .0508(a) 1757 A valid qualification letter was not on file and available to review at the facility. V.S. did have a letter but it was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance •The ITTI Care Project offers this 1-hour self-paced training designed to help everyone who works in child care settings address their stress! Click on link to register for FREE so you can complete the training whenever you like! Learn more about ITTI Care here: https://sites.sanford.duke.edu/itticare/ •As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. •Once your fire inspection is completed, the passing copy is to be sent to your Child Care Consultant within seven (7) days. •Emergency Response plans are to be reviewed yearly or when changes occur. •To help ensure, the age of staff members is being reviewed it would be helpful to put a date of birth section on the Primrose Employment application form. I was able to confirm ages today on a payroll form. •Staff Development Plans are vital to encouraging growth of all staff. The current, thirty (30), sixty (60), and ninety (90) plans in place are a great starting point. To remain in compliance with all rules, please maintain an annual staff evaluation and staff development plan on file. •With the increase of children in our community showing behaviors which may be not typical or concerning based on the age of the child, it is always recommended to offer Developmental Screenings at different developmental ages. This helps the teachers know if there is an area of particular focus or if a parent/guardian should seek outside evaluations, therapy or assistance. •We discussed children bringing in recording devices, phone or electronic devices into the facilities and what policies and procedures could be put in place to eliminate this practice. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged you to ask any questions and you stated that you had none. 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 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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

NC GS 110-90 · Violation

Name of Operation: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 5/6/2025 Number Present: 139 Completed Date: 5/6/2025 Age: From 0 To 5 Total Minutes: 254 Time In: 11:16 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced routine visit. Upon arrival I was greeted by Ms. G. Breen and I shared the reason for the visit. She assisted me with today’s visit. Your program currently operates with a Five (5) star center license. The license was posted, with restrictions to: first (1st) shift care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) percent before today’s visit. The following items were monitored: Licensing Posted, Permit Restrictions, Staff/Child Ratio, Supervision, Specialized Trainings, Storage of Hazardous Substances and Storage of Medication, Program Records, and General Safety. The Fire Inspection has not occurred since the last visit and remains current. The following items above were found in compliance. The following inspections are below. •Last fire drill was conducted on 4/14/25. •Last Shelter in Place/Lockdown Drill was conducted 4/30/25. •Last Playground Inspection was conducted on 4/21/25. •The Sanitation Inspection was conducted on 3/5/25 and received a Superior Classification. The children observed in the room that serves infants were participating in teacher directed self-help routines. In the room(s) that serves toddler aged children they were participating in free choice center activities. In the room(s) that serves younger preschool age children, were participating in outside learning environments. The children in the room(s) that serve older preschool aged children participating in child choice free play and school graduation practice. Outdoor Learning Environment: All three (3) learning environments were observed and all were in compliance. Staff Records: The staff-training worksheets were completed during the visit and there were four (4) new staff files to monitor. Medication: Medication was monitored and as a reminder all emergency medication has a six (6) month medical permission form that is required. This can be updated by the parents/guardians as changes occur or every six (6) months. Nutrition: The menu and allergy listing were posted and for lunch the children were having baked chicken, mashed potatoes, fruit, and milk Weapons: Today you reported that your facility was in compliance with childcare requirements regarding firearms. Transportation: Transportation is provided but was not monitored during today's visit. Two (2) violations were observed today and both were corrected during the visit. The violations are as follows: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In each of the classrooms the activity plan was not current for the group of children it serves. GS 110-91(12); .0508(a) 1757 A valid qualification letter was not on file and available to review at the facility. V.S. did have a letter but it was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance •The ITTI Care Project offers this 1-hour self-paced training designed to help everyone who works in child care settings address their stress! Click on link to register for FREE so you can complete the training whenever you like! Learn more about ITTI Care here: https://sites.sanford.duke.edu/itticare/ •As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. •Once your fire inspection is completed, the passing copy is to be sent to your Child Care Consultant within seven (7) days. •Emergency Response plans are to be reviewed yearly or when changes occur. •To help ensure, the age of staff members is being reviewed it would be helpful to put a date of birth section on the Primrose Employment application form. I was able to confirm ages today on a payroll form. •Staff Development Plans are vital to encouraging growth of all staff. The current, thirty (30), sixty (60), and ninety (90) plans in place are a great starting point. To remain in compliance with all rules, please maintain an annual staff evaluation and staff development plan on file. •With the increase of children in our community showing behaviors which may be not typical or concerning based on the age of the child, it is always recommended to offer Developmental Screenings at different developmental ages. This helps the teachers know if there is an area of particular focus or if a parent/guardian should seek outside evaluations, therapy or assistance. •We discussed children bringing in recording devices, phone or electronic devices into the facilities and what policies and procedures could be put in place to eliminate this practice. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged you to ask any questions and you stated that you had none. 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 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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 .1801 · Violation

Name of Operation: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 0325-250L Visit Date: 3/20/2025 Number Present: 148 Completed Date: 3/20/2025 Age: From 0 To 5 Total Minutes: 169 Time In: 10:30 AM Time Out: 01:19 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 child care requirements case # 0325-250L. Upon arrival, I was greeted by Ms. G. Breen and I shared the alleged complaints giving you a chance to respond. Primrose School at Austin Village operates with a five (5) star center licenses with restrictions to first (1st) shift care. Interview Findings: I reviewed the timeline of the events with Ms. J. Dennis (Owner) and Ms. G. Breen (Co-Director). It was reported that the alleged supervision concern was reported to Ms. Breen on the evening of 3/11/25. Ms. Breen reported the concern to the owner, Ms. J. Dennis. She shared that a staff member was called to cover a restroom break for another staff member. The staff member who covered the restroom break was reported to leave the room for approximately two (2) minutes and seven (7) children aged two (2) were left unattended. Ms. Dennis returned to the school that evening and asked the remaining staff if any children were left unattended. They reported none that they were aware of, but later, a staff member, who was not present during Ms. Dennis’ return visit on the 11th, reached out to inform her of the concern the children in her classroom were left unattended. Camera Review: I was able to view the vide and can also confirm the timeline of events which shows the children being left unattended. Mr. and Ms. Dennis (both owners) reviewed the video, of the hallway, which is the only video on site, and put together a timeline of events. This timeline of events does show the staff member leaving the room for approximately two (2) minutes before the staff member returned from her restroom break. Timeline provided from Ms. J. Dennis upon the review of the video: 16:48:48 Staff A walks into EPS 1 16:49 Parent and child exit EPS 1 16:49:14 Staff B exits EPS 1 and goes to staff restroom located between EPS classrooms 16:53:12 Staff C enters EPS 1 16:53:31 Staff A and C exit EPS 1walking toward Preschool classrooms 16:55:24 Staff B exits restroom and returns to EPS 1 16:58:20 Staff C re-enters video from Preschool area, looks into EPS 2 window, looks into Explorers window, waits in front of staff restroom 16:59:45 Staff A enters EPS 2 from Preschool area 17:00:43 Staff A exits EPS 2 and walks up the hallway toward front office Additional Interviews: I spoke with two (2) staff members and asked for their timeline of the events on March 11th. Both Staff Members were consistent with their timeline(s) and recalling the events of the incident. The first Staff Member stated she returned to the room after her restroom break and there was not an adult in the room. She stated there are two (2) “blind” spots in the room and she checked both to make sure, the staff member wasn’t changing diapers or in the classroom restrooms. She confirmed there was no adult in the room. The second staff member reported she was on the playground and looked in the classroom to wave “hi” at the children around 16:52 (sixteen fifty-two) and saw a staff member present in the room. She looked again at 16:54 (sixteen fifty-four) and did not see a teacher in the classroom. I also spoke with the Dennis’ (owners) and Ms. G. Breen (co-director) and they confirmed the timeline of events, their responses, and actions taken after the events of the day. I reviewed a reported printed from Pro Solutions, which manages the sign in and out of the children through out the day. Between the hours of 6:54 am to 5:54 pm the staff and child ratio was maintained. Observations: There were one hundred and forty-eight (148) children in attendance today. The children were observed in different center choice activities, self-help skills, and outdoor learning. All ratios were in compliance and supervision was in compliance in each age group. Other monitoring was limited. Follow Up: The Staff member was interviewed by the Owners and could not explain what happened, she volunteered to be put on administrative leave and left the same day. Ms. Breen self-reported the incident to the Division of Child Development and Early Education. Findings: Based on interviews and observations the allegation that complaint case # 0325-250L is substantiated. We discussed that staff to child supervision must be maintained at all time. Children must remain in ratios based on the facility’s five (5) star permit through out the day. While interviewing teachers, they used the term(s) “one teacher ratio” and “two teacher ratios” when referring to the allowed number of children to teachers in the classrooms. No violations were observed today and the alleged complaint is substantiated as a violation. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A staff member left seven (7) two year old (2) children alone in a classroom. .1801(a)(1-5) The violations not corrected during the visit must be corrected immediately. On or before 4/2/25 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 or Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance •I encouraged you, to enroll any new staff who have been employed at your facility for less than a year and any staff who you may have concerns with supervision, sanitation guidelines, and/or diaper changes to participate and compete the training series provided by CCRI: “New Employee Orientation”. The training series consists of three (3) courses called: - A+ Supervision - Keep it Clean - Positive Guidance Technical Assistance with the Substantiated Allegation: Please ensure to review the requirements around supervision to all staff at orientation and frequently in staff meetings and/or on individual basis at annual evaluations to ensure that adequate supervision of children is always taking place. As a reminder, the rules around supervision are: 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. A follow up visit will be conducted. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you. 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 704-549-0041 or via email at traci.meyer@dhhs.nc.gov Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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

NC GS 110-90 · Violation

Name of Operation: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 0325-250L Visit Date: 3/20/2025 Number Present: 148 Completed Date: 3/20/2025 Age: From 0 To 5 Total Minutes: 169 Time In: 10:30 AM Time Out: 01:19 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 child care requirements case # 0325-250L. Upon arrival, I was greeted by Ms. G. Breen and I shared the alleged complaints giving you a chance to respond. Primrose School at Austin Village operates with a five (5) star center licenses with restrictions to first (1st) shift care. Interview Findings: I reviewed the timeline of the events with Ms. J. Dennis (Owner) and Ms. G. Breen (Co-Director). It was reported that the alleged supervision concern was reported to Ms. Breen on the evening of 3/11/25. Ms. Breen reported the concern to the owner, Ms. J. Dennis. She shared that a staff member was called to cover a restroom break for another staff member. The staff member who covered the restroom break was reported to leave the room for approximately two (2) minutes and seven (7) children aged two (2) were left unattended. Ms. Dennis returned to the school that evening and asked the remaining staff if any children were left unattended. They reported none that they were aware of, but later, a staff member, who was not present during Ms. Dennis’ return visit on the 11th, reached out to inform her of the concern the children in her classroom were left unattended. Camera Review: I was able to view the vide and can also confirm the timeline of events which shows the children being left unattended. Mr. and Ms. Dennis (both owners) reviewed the video, of the hallway, which is the only video on site, and put together a timeline of events. This timeline of events does show the staff member leaving the room for approximately two (2) minutes before the staff member returned from her restroom break. Timeline provided from Ms. J. Dennis upon the review of the video: 16:48:48 Staff A walks into EPS 1 16:49 Parent and child exit EPS 1 16:49:14 Staff B exits EPS 1 and goes to staff restroom located between EPS classrooms 16:53:12 Staff C enters EPS 1 16:53:31 Staff A and C exit EPS 1walking toward Preschool classrooms 16:55:24 Staff B exits restroom and returns to EPS 1 16:58:20 Staff C re-enters video from Preschool area, looks into EPS 2 window, looks into Explorers window, waits in front of staff restroom 16:59:45 Staff A enters EPS 2 from Preschool area 17:00:43 Staff A exits EPS 2 and walks up the hallway toward front office Additional Interviews: I spoke with two (2) staff members and asked for their timeline of the events on March 11th. Both Staff Members were consistent with their timeline(s) and recalling the events of the incident. The first Staff Member stated she returned to the room after her restroom break and there was not an adult in the room. She stated there are two (2) “blind” spots in the room and she checked both to make sure, the staff member wasn’t changing diapers or in the classroom restrooms. She confirmed there was no adult in the room. The second staff member reported she was on the playground and looked in the classroom to wave “hi” at the children around 16:52 (sixteen fifty-two) and saw a staff member present in the room. She looked again at 16:54 (sixteen fifty-four) and did not see a teacher in the classroom. I also spoke with the Dennis’ (owners) and Ms. G. Breen (co-director) and they confirmed the timeline of events, their responses, and actions taken after the events of the day. I reviewed a reported printed from Pro Solutions, which manages the sign in and out of the children through out the day. Between the hours of 6:54 am to 5:54 pm the staff and child ratio was maintained. Observations: There were one hundred and forty-eight (148) children in attendance today. The children were observed in different center choice activities, self-help skills, and outdoor learning. All ratios were in compliance and supervision was in compliance in each age group. Other monitoring was limited. Follow Up: The Staff member was interviewed by the Owners and could not explain what happened, she volunteered to be put on administrative leave and left the same day. Ms. Breen self-reported the incident to the Division of Child Development and Early Education. Findings: Based on interviews and observations the allegation that complaint case # 0325-250L is substantiated. We discussed that staff to child supervision must be maintained at all time. Children must remain in ratios based on the facility’s five (5) star permit through out the day. While interviewing teachers, they used the term(s) “one teacher ratio” and “two teacher ratios” when referring to the allowed number of children to teachers in the classrooms. No violations were observed today and the alleged complaint is substantiated as a violation. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A staff member left seven (7) two year old (2) children alone in a classroom. .1801(a)(1-5) The violations not corrected during the visit must be corrected immediately. On or before 4/2/25 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 or Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance •I encouraged you, to enroll any new staff who have been employed at your facility for less than a year and any staff who you may have concerns with supervision, sanitation guidelines, and/or diaper changes to participate and compete the training series provided by CCRI: “New Employee Orientation”. The training series consists of three (3) courses called: - A+ Supervision - Keep it Clean - Positive Guidance Technical Assistance with the Substantiated Allegation: Please ensure to review the requirements around supervision to all staff at orientation and frequently in staff meetings and/or on individual basis at annual evaluations to ensure that adequate supervision of children is always taking place. As a reminder, the rules around supervision are: 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. A follow up visit will be conducted. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you. 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 704-549-0041 or via email at traci.meyer@dhhs.nc.gov Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 132 Completed Date: 2/18/2025 Age: From 0 To 6 Total Minutes: 407 Time In: 09:03 AM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by Ms. O. McCoy and I shared the reason for the visit. Ms. G. Breen accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a Five (5) Star Center License with a Cognia Accreditation. The license was posted, with restrictions to first (1st) shift care. Ownership: The facility owner is The Dennis Child Development Company with SOSID#: 1056875 and is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All indoor learning space, the kitchen and outdoor learning areas were observed. Program Records: We reviewed all the required records and were in compliance. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 1/30/25. •Emergency drill was conducted on 1/31/25. •Fire inspection is still ongoing with the last visit on 2/5/25. •Playground inspection was completed on 1/21/15 •Sanitation inspection was conducted on 1/23/24 and received an Approved classification. •EPR manual was updated on 5/11/24 and was completed and technical assistance was provided. •Incident logs and sheets were completed and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children were in the rooms that served infants were participating in self-help teacher directed care such as diaper changing and feeding. The children in the rooms that served toddler age children were transitioning from AM snack time to self-help teacher led activities such as diaper changing to independent free play. The children in the rooms that serve younger preschool age children were participating in teacher led circle times and transitioning to self-choice center play. The children in the rooms that serve older preschool age children were participating in free choice center activities as well as teacher led table work to include letter sounds and recognition. The children in the room that serves kindergarten aged children were completing AM work. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were seventeen (17) new staff files to review today, and three (3) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. Technical assistance was provided to include completing trainings and medical forms within a timeline to maintain compliance. Children’s Records: There are one hundred and fifty three (153) children enrolled in this center. There were one hundred and thirty two (132) in attendance today. Seventeen (17) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Medication: All emergency and other medications were reviewed today. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu, allergy and food preference lists were posted and for lunch the children were having chicken tacos, snap peas, cheese, sour cream, cauliflower, vegetable nugget alternatives, and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility reported it does provide transportation. The registration was up to date current as was the insurance. Mini-bus A, will need a new passenger side back tire in the next few months, continue to maintain daily checks to observe the treading in the tires. Eleven (11) violations were observed today and one (1) was corrected during the visit. The violations are as follows: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child has a prescription diaper cream that is being administered without written permission and instructions form the parent and authorized health professional. 10A NCAC 09 .0803(1)(a & b) 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's S.M, C.C, and M.S did not have a medical report on file. 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's L.H, M.S, C.C, and S.M did not have documentation of a current passing TB test or screening on file. .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.S, did not have a 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 member's L.H, M.C, and C.C did not have Emergency Information form on file on or before the first day of work. .0701(a) 1043 All staff records, except financial records, were not made available for review. Staff member B.A's file was not available for review. G.S. 110-91( 9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child's application did not have medical information was not in the child's file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child's file did not contain the required medical exam or health assessment within the required timeline. GS110-91(1) 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's B.K, C.C, N.M, K.C, M.S, M.R, L.H, J.B, and S. W. did not have signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy in staff files. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member A.D. did not completed the required training within the ninety (90) day timeline. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child's file did not have a parent signature acknowledging the receipt and explanation of the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) The violations not corrected during the visit must be corrected immediately. On or before 3/4/25 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 or Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance •Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. o The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o 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. •When using corporate branded forms that are required by NC rules, they must match the form exactly. No information should be excluded. •When on-boarding new staff, they may not work without a negative TB test, and a medical statement stating their fitness to work with children. All staff must read and acknowledge the facility’s Prevention of Shaken Baby Head Trauma policy before working with children ages up to the age of five (5) years old. •When reviewing the Emergency Medical Care and Emergency Preparedness Response plan, have staff members sign and date the training form. •The fire inspection has been on-going since December of 2024, with a new alarm company starting. An alarm company representative was present during my visit to correct a failing component to the fire inspection. Please reach out to the Fire Marshal to complete a third visit within the week. Once a passing fire inspection has been completed, send that to your Child Care Consultant within seven (7) days. •In classrooms with pre readers, consider picture cues to assist with tasks, circle time instructions and any other areas where the children can begin to associate pictures with words. •In the rooms that served younger toddler aged children, it can be challenging to maintain a proper toy and supply balance. Consider using bins to rotate toys and supplies to keep the children engaged. •A Technical Assistance visit is available from your Child Care Consultant to assist with Staff and Training worksheets and paperwork if needed. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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 .0803 · Violation

Name of Operation: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 132 Completed Date: 2/18/2025 Age: From 0 To 6 Total Minutes: 407 Time In: 09:03 AM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by Ms. O. McCoy and I shared the reason for the visit. Ms. G. Breen accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a Five (5) Star Center License with a Cognia Accreditation. The license was posted, with restrictions to first (1st) shift care. Ownership: The facility owner is The Dennis Child Development Company with SOSID#: 1056875 and is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All indoor learning space, the kitchen and outdoor learning areas were observed. Program Records: We reviewed all the required records and were in compliance. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 1/30/25. •Emergency drill was conducted on 1/31/25. •Fire inspection is still ongoing with the last visit on 2/5/25. •Playground inspection was completed on 1/21/15 •Sanitation inspection was conducted on 1/23/24 and received an Approved classification. •EPR manual was updated on 5/11/24 and was completed and technical assistance was provided. •Incident logs and sheets were completed and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children were in the rooms that served infants were participating in self-help teacher directed care such as diaper changing and feeding. The children in the rooms that served toddler age children were transitioning from AM snack time to self-help teacher led activities such as diaper changing to independent free play. The children in the rooms that serve younger preschool age children were participating in teacher led circle times and transitioning to self-choice center play. The children in the rooms that serve older preschool age children were participating in free choice center activities as well as teacher led table work to include letter sounds and recognition. The children in the room that serves kindergarten aged children were completing AM work. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were seventeen (17) new staff files to review today, and three (3) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. Technical assistance was provided to include completing trainings and medical forms within a timeline to maintain compliance. Children’s Records: There are one hundred and fifty three (153) children enrolled in this center. There were one hundred and thirty two (132) in attendance today. Seventeen (17) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Medication: All emergency and other medications were reviewed today. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu, allergy and food preference lists were posted and for lunch the children were having chicken tacos, snap peas, cheese, sour cream, cauliflower, vegetable nugget alternatives, and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility reported it does provide transportation. The registration was up to date current as was the insurance. Mini-bus A, will need a new passenger side back tire in the next few months, continue to maintain daily checks to observe the treading in the tires. Eleven (11) violations were observed today and one (1) was corrected during the visit. The violations are as follows: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child has a prescription diaper cream that is being administered without written permission and instructions form the parent and authorized health professional. 10A NCAC 09 .0803(1)(a & b) 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's S.M, C.C, and M.S did not have a medical report on file. 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's L.H, M.S, C.C, and S.M did not have documentation of a current passing TB test or screening on file. .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.S, did not have a 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 member's L.H, M.C, and C.C did not have Emergency Information form on file on or before the first day of work. .0701(a) 1043 All staff records, except financial records, were not made available for review. Staff member B.A's file was not available for review. G.S. 110-91( 9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child's application did not have medical information was not in the child's file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child's file did not contain the required medical exam or health assessment within the required timeline. GS110-91(1) 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's B.K, C.C, N.M, K.C, M.S, M.R, L.H, J.B, and S. W. did not have signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy in staff files. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member A.D. did not completed the required training within the ninety (90) day timeline. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child's file did not have a parent signature acknowledging the receipt and explanation of the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) The violations not corrected during the visit must be corrected immediately. On or before 3/4/25 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 or Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance •Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. o The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o 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. •When using corporate branded forms that are required by NC rules, they must match the form exactly. No information should be excluded. •When on-boarding new staff, they may not work without a negative TB test, and a medical statement stating their fitness to work with children. All staff must read and acknowledge the facility’s Prevention of Shaken Baby Head Trauma policy before working with children ages up to the age of five (5) years old. •When reviewing the Emergency Medical Care and Emergency Preparedness Response plan, have staff members sign and date the training form. •The fire inspection has been on-going since December of 2024, with a new alarm company starting. An alarm company representative was present during my visit to correct a failing component to the fire inspection. Please reach out to the Fire Marshal to complete a third visit within the week. Once a passing fire inspection has been completed, send that to your Child Care Consultant within seven (7) days. •In classrooms with pre readers, consider picture cues to assist with tasks, circle time instructions and any other areas where the children can begin to associate pictures with words. •In the rooms that served younger toddler aged children, it can be challenging to maintain a proper toy and supply balance. Consider using bins to rotate toys and supplies to keep the children engaged. •A Technical Assistance visit is available from your Child Care Consultant to assist with Staff and Training worksheets and paperwork if needed. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 132 Completed Date: 2/18/2025 Age: From 0 To 6 Total Minutes: 407 Time In: 09:03 AM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by Ms. O. McCoy and I shared the reason for the visit. Ms. G. Breen accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a Five (5) Star Center License with a Cognia Accreditation. The license was posted, with restrictions to first (1st) shift care. Ownership: The facility owner is The Dennis Child Development Company with SOSID#: 1056875 and is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All indoor learning space, the kitchen and outdoor learning areas were observed. Program Records: We reviewed all the required records and were in compliance. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 1/30/25. •Emergency drill was conducted on 1/31/25. •Fire inspection is still ongoing with the last visit on 2/5/25. •Playground inspection was completed on 1/21/15 •Sanitation inspection was conducted on 1/23/24 and received an Approved classification. •EPR manual was updated on 5/11/24 and was completed and technical assistance was provided. •Incident logs and sheets were completed and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children were in the rooms that served infants were participating in self-help teacher directed care such as diaper changing and feeding. The children in the rooms that served toddler age children were transitioning from AM snack time to self-help teacher led activities such as diaper changing to independent free play. The children in the rooms that serve younger preschool age children were participating in teacher led circle times and transitioning to self-choice center play. The children in the rooms that serve older preschool age children were participating in free choice center activities as well as teacher led table work to include letter sounds and recognition. The children in the room that serves kindergarten aged children were completing AM work. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were seventeen (17) new staff files to review today, and three (3) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. Technical assistance was provided to include completing trainings and medical forms within a timeline to maintain compliance. Children’s Records: There are one hundred and fifty three (153) children enrolled in this center. There were one hundred and thirty two (132) in attendance today. Seventeen (17) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Medication: All emergency and other medications were reviewed today. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu, allergy and food preference lists were posted and for lunch the children were having chicken tacos, snap peas, cheese, sour cream, cauliflower, vegetable nugget alternatives, and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility reported it does provide transportation. The registration was up to date current as was the insurance. Mini-bus A, will need a new passenger side back tire in the next few months, continue to maintain daily checks to observe the treading in the tires. Eleven (11) violations were observed today and one (1) was corrected during the visit. The violations are as follows: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child has a prescription diaper cream that is being administered without written permission and instructions form the parent and authorized health professional. 10A NCAC 09 .0803(1)(a & b) 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's S.M, C.C, and M.S did not have a medical report on file. 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's L.H, M.S, C.C, and S.M did not have documentation of a current passing TB test or screening on file. .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.S, did not have a 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 member's L.H, M.C, and C.C did not have Emergency Information form on file on or before the first day of work. .0701(a) 1043 All staff records, except financial records, were not made available for review. Staff member B.A's file was not available for review. G.S. 110-91( 9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child's application did not have medical information was not in the child's file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child's file did not contain the required medical exam or health assessment within the required timeline. GS110-91(1) 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's B.K, C.C, N.M, K.C, M.S, M.R, L.H, J.B, and S. W. did not have signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy in staff files. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member A.D. did not completed the required training within the ninety (90) day timeline. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child's file did not have a parent signature acknowledging the receipt and explanation of the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) The violations not corrected during the visit must be corrected immediately. On or before 3/4/25 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 or Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance •Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. o The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o 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. •When using corporate branded forms that are required by NC rules, they must match the form exactly. No information should be excluded. •When on-boarding new staff, they may not work without a negative TB test, and a medical statement stating their fitness to work with children. All staff must read and acknowledge the facility’s Prevention of Shaken Baby Head Trauma policy before working with children ages up to the age of five (5) years old. •When reviewing the Emergency Medical Care and Emergency Preparedness Response plan, have staff members sign and date the training form. •The fire inspection has been on-going since December of 2024, with a new alarm company starting. An alarm company representative was present during my visit to correct a failing component to the fire inspection. Please reach out to the Fire Marshal to complete a third visit within the week. Once a passing fire inspection has been completed, send that to your Child Care Consultant within seven (7) days. •In classrooms with pre readers, consider picture cues to assist with tasks, circle time instructions and any other areas where the children can begin to associate pictures with words. •In the rooms that served younger toddler aged children, it can be challenging to maintain a proper toy and supply balance. Consider using bins to rotate toys and supplies to keep the children engaged. •A Technical Assistance visit is available from your Child Care Consultant to assist with Staff and Training worksheets and paperwork if needed. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 132 Completed Date: 2/18/2025 Age: From 0 To 6 Total Minutes: 407 Time In: 09:03 AM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by Ms. O. McCoy and I shared the reason for the visit. Ms. G. Breen accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a Five (5) Star Center License with a Cognia Accreditation. The license was posted, with restrictions to first (1st) shift care. Ownership: The facility owner is The Dennis Child Development Company with SOSID#: 1056875 and is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All indoor learning space, the kitchen and outdoor learning areas were observed. Program Records: We reviewed all the required records and were in compliance. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 1/30/25. •Emergency drill was conducted on 1/31/25. •Fire inspection is still ongoing with the last visit on 2/5/25. •Playground inspection was completed on 1/21/15 •Sanitation inspection was conducted on 1/23/24 and received an Approved classification. •EPR manual was updated on 5/11/24 and was completed and technical assistance was provided. •Incident logs and sheets were completed and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children were in the rooms that served infants were participating in self-help teacher directed care such as diaper changing and feeding. The children in the rooms that served toddler age children were transitioning from AM snack time to self-help teacher led activities such as diaper changing to independent free play. The children in the rooms that serve younger preschool age children were participating in teacher led circle times and transitioning to self-choice center play. The children in the rooms that serve older preschool age children were participating in free choice center activities as well as teacher led table work to include letter sounds and recognition. The children in the room that serves kindergarten aged children were completing AM work. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were seventeen (17) new staff files to review today, and three (3) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. Technical assistance was provided to include completing trainings and medical forms within a timeline to maintain compliance. Children’s Records: There are one hundred and fifty three (153) children enrolled in this center. There were one hundred and thirty two (132) in attendance today. Seventeen (17) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Medication: All emergency and other medications were reviewed today. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu, allergy and food preference lists were posted and for lunch the children were having chicken tacos, snap peas, cheese, sour cream, cauliflower, vegetable nugget alternatives, and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility reported it does provide transportation. The registration was up to date current as was the insurance. Mini-bus A, will need a new passenger side back tire in the next few months, continue to maintain daily checks to observe the treading in the tires. Eleven (11) violations were observed today and one (1) was corrected during the visit. The violations are as follows: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child has a prescription diaper cream that is being administered without written permission and instructions form the parent and authorized health professional. 10A NCAC 09 .0803(1)(a & b) 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's S.M, C.C, and M.S did not have a medical report on file. 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's L.H, M.S, C.C, and S.M did not have documentation of a current passing TB test or screening on file. .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.S, did not have a 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 member's L.H, M.C, and C.C did not have Emergency Information form on file on or before the first day of work. .0701(a) 1043 All staff records, except financial records, were not made available for review. Staff member B.A's file was not available for review. G.S. 110-91( 9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child's application did not have medical information was not in the child's file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child's file did not contain the required medical exam or health assessment within the required timeline. GS110-91(1) 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's B.K, C.C, N.M, K.C, M.S, M.R, L.H, J.B, and S. W. did not have signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy in staff files. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member A.D. did not completed the required training within the ninety (90) day timeline. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child's file did not have a parent signature acknowledging the receipt and explanation of the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) The violations not corrected during the visit must be corrected immediately. On or before 3/4/25 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 or Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance •Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. o The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o 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. •When using corporate branded forms that are required by NC rules, they must match the form exactly. No information should be excluded. •When on-boarding new staff, they may not work without a negative TB test, and a medical statement stating their fitness to work with children. All staff must read and acknowledge the facility’s Prevention of Shaken Baby Head Trauma policy before working with children ages up to the age of five (5) years old. •When reviewing the Emergency Medical Care and Emergency Preparedness Response plan, have staff members sign and date the training form. •The fire inspection has been on-going since December of 2024, with a new alarm company starting. An alarm company representative was present during my visit to correct a failing component to the fire inspection. Please reach out to the Fire Marshal to complete a third visit within the week. Once a passing fire inspection has been completed, send that to your Child Care Consultant within seven (7) days. •In classrooms with pre readers, consider picture cues to assist with tasks, circle time instructions and any other areas where the children can begin to associate pictures with words. •In the rooms that served younger toddler aged children, it can be challenging to maintain a proper toy and supply balance. Consider using bins to rotate toys and supplies to keep the children engaged. •A Technical Assistance visit is available from your Child Care Consultant to assist with Staff and Training worksheets and paperwork if needed. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 132 Completed Date: 2/18/2025 Age: From 0 To 6 Total Minutes: 407 Time In: 09:03 AM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by Ms. O. McCoy and I shared the reason for the visit. Ms. G. Breen accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a Five (5) Star Center License with a Cognia Accreditation. The license was posted, with restrictions to first (1st) shift care. Ownership: The facility owner is The Dennis Child Development Company with SOSID#: 1056875 and is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All indoor learning space, the kitchen and outdoor learning areas were observed. Program Records: We reviewed all the required records and were in compliance. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 1/30/25. •Emergency drill was conducted on 1/31/25. •Fire inspection is still ongoing with the last visit on 2/5/25. •Playground inspection was completed on 1/21/15 •Sanitation inspection was conducted on 1/23/24 and received an Approved classification. •EPR manual was updated on 5/11/24 and was completed and technical assistance was provided. •Incident logs and sheets were completed and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children were in the rooms that served infants were participating in self-help teacher directed care such as diaper changing and feeding. The children in the rooms that served toddler age children were transitioning from AM snack time to self-help teacher led activities such as diaper changing to independent free play. The children in the rooms that serve younger preschool age children were participating in teacher led circle times and transitioning to self-choice center play. The children in the rooms that serve older preschool age children were participating in free choice center activities as well as teacher led table work to include letter sounds and recognition. The children in the room that serves kindergarten aged children were completing AM work. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were seventeen (17) new staff files to review today, and three (3) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. Technical assistance was provided to include completing trainings and medical forms within a timeline to maintain compliance. Children’s Records: There are one hundred and fifty three (153) children enrolled in this center. There were one hundred and thirty two (132) in attendance today. Seventeen (17) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Medication: All emergency and other medications were reviewed today. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu, allergy and food preference lists were posted and for lunch the children were having chicken tacos, snap peas, cheese, sour cream, cauliflower, vegetable nugget alternatives, and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility reported it does provide transportation. The registration was up to date current as was the insurance. Mini-bus A, will need a new passenger side back tire in the next few months, continue to maintain daily checks to observe the treading in the tires. Eleven (11) violations were observed today and one (1) was corrected during the visit. The violations are as follows: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child has a prescription diaper cream that is being administered without written permission and instructions form the parent and authorized health professional. 10A NCAC 09 .0803(1)(a & b) 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's S.M, C.C, and M.S did not have a medical report on file. 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's L.H, M.S, C.C, and S.M did not have documentation of a current passing TB test or screening on file. .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.S, did not have a 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 member's L.H, M.C, and C.C did not have Emergency Information form on file on or before the first day of work. .0701(a) 1043 All staff records, except financial records, were not made available for review. Staff member B.A's file was not available for review. G.S. 110-91( 9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child's application did not have medical information was not in the child's file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child's file did not contain the required medical exam or health assessment within the required timeline. GS110-91(1) 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's B.K, C.C, N.M, K.C, M.S, M.R, L.H, J.B, and S. W. did not have signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy in staff files. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member A.D. did not completed the required training within the ninety (90) day timeline. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child's file did not have a parent signature acknowledging the receipt and explanation of the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) The violations not corrected during the visit must be corrected immediately. On or before 3/4/25 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 or Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance •Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. o The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o 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. •When using corporate branded forms that are required by NC rules, they must match the form exactly. No information should be excluded. •When on-boarding new staff, they may not work without a negative TB test, and a medical statement stating their fitness to work with children. All staff must read and acknowledge the facility’s Prevention of Shaken Baby Head Trauma policy before working with children ages up to the age of five (5) years old. •When reviewing the Emergency Medical Care and Emergency Preparedness Response plan, have staff members sign and date the training form. •The fire inspection has been on-going since December of 2024, with a new alarm company starting. An alarm company representative was present during my visit to correct a failing component to the fire inspection. Please reach out to the Fire Marshal to complete a third visit within the week. Once a passing fire inspection has been completed, send that to your Child Care Consultant within seven (7) days. •In classrooms with pre readers, consider picture cues to assist with tasks, circle time instructions and any other areas where the children can begin to associate pictures with words. •In the rooms that served younger toddler aged children, it can be challenging to maintain a proper toy and supply balance. Consider using bins to rotate toys and supplies to keep the children engaged. •A Technical Assistance visit is available from your Child Care Consultant to assist with Staff and Training worksheets and paperwork if needed. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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

GS110-91 · Violation

Name of Operation: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 132 Completed Date: 2/18/2025 Age: From 0 To 6 Total Minutes: 407 Time In: 09:03 AM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by Ms. O. McCoy and I shared the reason for the visit. Ms. G. Breen accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a Five (5) Star Center License with a Cognia Accreditation. The license was posted, with restrictions to first (1st) shift care. Ownership: The facility owner is The Dennis Child Development Company with SOSID#: 1056875 and is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All indoor learning space, the kitchen and outdoor learning areas were observed. Program Records: We reviewed all the required records and were in compliance. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 1/30/25. •Emergency drill was conducted on 1/31/25. •Fire inspection is still ongoing with the last visit on 2/5/25. •Playground inspection was completed on 1/21/15 •Sanitation inspection was conducted on 1/23/24 and received an Approved classification. •EPR manual was updated on 5/11/24 and was completed and technical assistance was provided. •Incident logs and sheets were completed and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children were in the rooms that served infants were participating in self-help teacher directed care such as diaper changing and feeding. The children in the rooms that served toddler age children were transitioning from AM snack time to self-help teacher led activities such as diaper changing to independent free play. The children in the rooms that serve younger preschool age children were participating in teacher led circle times and transitioning to self-choice center play. The children in the rooms that serve older preschool age children were participating in free choice center activities as well as teacher led table work to include letter sounds and recognition. The children in the room that serves kindergarten aged children were completing AM work. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were seventeen (17) new staff files to review today, and three (3) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. Technical assistance was provided to include completing trainings and medical forms within a timeline to maintain compliance. Children’s Records: There are one hundred and fifty three (153) children enrolled in this center. There were one hundred and thirty two (132) in attendance today. Seventeen (17) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Medication: All emergency and other medications were reviewed today. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu, allergy and food preference lists were posted and for lunch the children were having chicken tacos, snap peas, cheese, sour cream, cauliflower, vegetable nugget alternatives, and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility reported it does provide transportation. The registration was up to date current as was the insurance. Mini-bus A, will need a new passenger side back tire in the next few months, continue to maintain daily checks to observe the treading in the tires. Eleven (11) violations were observed today and one (1) was corrected during the visit. The violations are as follows: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child has a prescription diaper cream that is being administered without written permission and instructions form the parent and authorized health professional. 10A NCAC 09 .0803(1)(a & b) 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's S.M, C.C, and M.S did not have a medical report on file. 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's L.H, M.S, C.C, and S.M did not have documentation of a current passing TB test or screening on file. .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.S, did not have a 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 member's L.H, M.C, and C.C did not have Emergency Information form on file on or before the first day of work. .0701(a) 1043 All staff records, except financial records, were not made available for review. Staff member B.A's file was not available for review. G.S. 110-91( 9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child's application did not have medical information was not in the child's file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child's file did not contain the required medical exam or health assessment within the required timeline. GS110-91(1) 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's B.K, C.C, N.M, K.C, M.S, M.R, L.H, J.B, and S. W. did not have signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy in staff files. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member A.D. did not completed the required training within the ninety (90) day timeline. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child's file did not have a parent signature acknowledging the receipt and explanation of the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) The violations not corrected during the visit must be corrected immediately. On or before 3/4/25 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 or Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance •Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. o The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o 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. •When using corporate branded forms that are required by NC rules, they must match the form exactly. No information should be excluded. •When on-boarding new staff, they may not work without a negative TB test, and a medical statement stating their fitness to work with children. All staff must read and acknowledge the facility’s Prevention of Shaken Baby Head Trauma policy before working with children ages up to the age of five (5) years old. •When reviewing the Emergency Medical Care and Emergency Preparedness Response plan, have staff members sign and date the training form. •The fire inspection has been on-going since December of 2024, with a new alarm company starting. An alarm company representative was present during my visit to correct a failing component to the fire inspection. Please reach out to the Fire Marshal to complete a third visit within the week. Once a passing fire inspection has been completed, send that to your Child Care Consultant within seven (7) days. •In classrooms with pre readers, consider picture cues to assist with tasks, circle time instructions and any other areas where the children can begin to associate pictures with words. •In the rooms that served younger toddler aged children, it can be challenging to maintain a proper toy and supply balance. Consider using bins to rotate toys and supplies to keep the children engaged. •A Technical Assistance visit is available from your Child Care Consultant to assist with Staff and Training worksheets and paperwork if needed. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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

NC GS 110-90 · Violation

Name of Operation: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 132 Completed Date: 2/18/2025 Age: From 0 To 6 Total Minutes: 407 Time In: 09:03 AM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by Ms. O. McCoy and I shared the reason for the visit. Ms. G. Breen accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a Five (5) Star Center License with a Cognia Accreditation. The license was posted, with restrictions to first (1st) shift care. Ownership: The facility owner is The Dennis Child Development Company with SOSID#: 1056875 and is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All indoor learning space, the kitchen and outdoor learning areas were observed. Program Records: We reviewed all the required records and were in compliance. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 1/30/25. •Emergency drill was conducted on 1/31/25. •Fire inspection is still ongoing with the last visit on 2/5/25. •Playground inspection was completed on 1/21/15 •Sanitation inspection was conducted on 1/23/24 and received an Approved classification. •EPR manual was updated on 5/11/24 and was completed and technical assistance was provided. •Incident logs and sheets were completed and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children were in the rooms that served infants were participating in self-help teacher directed care such as diaper changing and feeding. The children in the rooms that served toddler age children were transitioning from AM snack time to self-help teacher led activities such as diaper changing to independent free play. The children in the rooms that serve younger preschool age children were participating in teacher led circle times and transitioning to self-choice center play. The children in the rooms that serve older preschool age children were participating in free choice center activities as well as teacher led table work to include letter sounds and recognition. The children in the room that serves kindergarten aged children were completing AM work. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were seventeen (17) new staff files to review today, and three (3) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. Technical assistance was provided to include completing trainings and medical forms within a timeline to maintain compliance. Children’s Records: There are one hundred and fifty three (153) children enrolled in this center. There were one hundred and thirty two (132) in attendance today. Seventeen (17) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Medication: All emergency and other medications were reviewed today. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu, allergy and food preference lists were posted and for lunch the children were having chicken tacos, snap peas, cheese, sour cream, cauliflower, vegetable nugget alternatives, and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility reported it does provide transportation. The registration was up to date current as was the insurance. Mini-bus A, will need a new passenger side back tire in the next few months, continue to maintain daily checks to observe the treading in the tires. Eleven (11) violations were observed today and one (1) was corrected during the visit. The violations are as follows: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child has a prescription diaper cream that is being administered without written permission and instructions form the parent and authorized health professional. 10A NCAC 09 .0803(1)(a & b) 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's S.M, C.C, and M.S did not have a medical report on file. 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's L.H, M.S, C.C, and S.M did not have documentation of a current passing TB test or screening on file. .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.S, did not have a 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 member's L.H, M.C, and C.C did not have Emergency Information form on file on or before the first day of work. .0701(a) 1043 All staff records, except financial records, were not made available for review. Staff member B.A's file was not available for review. G.S. 110-91( 9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child's application did not have medical information was not in the child's file for review. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child's file did not contain the required medical exam or health assessment within the required timeline. GS110-91(1) 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's B.K, C.C, N.M, K.C, M.S, M.R, L.H, J.B, and S. W. did not have signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy in staff files. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member A.D. did not completed the required training within the ninety (90) day timeline. .1102(g) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child's file did not have a parent signature acknowledging the receipt and explanation of the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) The violations not corrected during the visit must be corrected immediately. On or before 3/4/25 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 or Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance •Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. o The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o 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. •When using corporate branded forms that are required by NC rules, they must match the form exactly. No information should be excluded. •When on-boarding new staff, they may not work without a negative TB test, and a medical statement stating their fitness to work with children. All staff must read and acknowledge the facility’s Prevention of Shaken Baby Head Trauma policy before working with children ages up to the age of five (5) years old. •When reviewing the Emergency Medical Care and Emergency Preparedness Response plan, have staff members sign and date the training form. •The fire inspection has been on-going since December of 2024, with a new alarm company starting. An alarm company representative was present during my visit to correct a failing component to the fire inspection. Please reach out to the Fire Marshal to complete a third visit within the week. Once a passing fire inspection has been completed, send that to your Child Care Consultant within seven (7) days. •In classrooms with pre readers, consider picture cues to assist with tasks, circle time instructions and any other areas where the children can begin to associate pictures with words. •In the rooms that served younger toddler aged children, it can be challenging to maintain a proper toy and supply balance. Consider using bins to rotate toys and supplies to keep the children engaged. •A Technical Assistance visit is available from your Child Care Consultant to assist with Staff and Training worksheets and paperwork if needed. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: ABIGAIL ROWE Operation Type: Center Case Number: 0125-227A Visit Date: 1/24/2025 Number Present: 128 Completed Date: 1/24/2025 Age: From 0 To 6 Total Minutes: 255 Time In: 09:45 AM Time Out: 02:00 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 allegations of violations of childcare requirements at this child care facility. Olivia McCoy, Administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. McCoy 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 January 17, 2025, a staff member used explicit language and yelled in front of a classroom of two-year-old children. G.S. 110-91(10) You may contact me at Abigail Rowe, Investigations Consultant, 704-641-5218, Abigail.rowe@dhhs.nc.gov or Veronica Grant, South Central Investigations Team 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

NC GS 110-90 · Violation

Name of Operation: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: KATHY WILLIS Operation Type: Center Case Number: 0724-312L Visit Date: 7/30/2024 Number Present: 109 Completed Date: 7/30/2024 Age: From 0 To 5 Total Minutes: 110 Time In: 09:40 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case #: 0724-312L, of violations of child care rules and regulation. Traci Meyers Carpenter, Child Care Consultant assisted me on today’s visit. The allegations are that there are concerns that: Children are not adequately supervised. Cots/beds do not have individual linen as required. During today’s visit we discussed the allegations with the Administrator, Olivia McCoy and the owner Jennifer Dennis. We discussed the allegations regarding Supervision and Sanitation. On 07/29/24 Shannon Dudley, Environmental Health Specialist from Union County Environmental Health followed up on the complaint concerning the linens on cots at Primrose at Austin Village. She stated that she conducted a site visit to assess the situation and ensure that any concerns were addressed effectively. She visited the facility and review the handling and maintenance of the linens. She observed that all cots in all classrooms had proper linens at the time of her visit. She stated that Olivia, the director, and she discussed requirements regarding linens, including when they should be washed and that they should be large enough to cover the bed, cot, or mat's sleeping surface. Interviews: Interviews were conducted with the Administrative Staff and all staff on site today. There were thirty-one (31) staff present today and four (4) Administrative Staff. Administrative Staff: The administrative staff all stated that they were not aware of any instances recently where children were left unattended or where supervision was an issue. Teaching Staff: the teaching staff reported that they didn’t have any concerns regarding children being left unattended but there were some concerns with the newer staff regarding best practice with transitions. I provided a Powerpoint training with embedded videos that may help with identify the four critical points of supervision which included See, Hear, Direct, and having access to assistance. We also discussed zones in the playground area and the benefit of establishing supervision zones and assigning staff to the zones. Video: The facility is parking lot and hallway. therefore, no review could occur. There were no documents to review around supervision or sanitation which would have included staff reprimands or notes of any incidents. We did discuss the importance of self-reporting if any such incidents occur. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Sanitation, Safe Environment, Adequate and Approved Space, Permit Restrictions. There were one hundred and nine (109) children present. The children were participating in free play, outdoor gross motor activities, table activities, art, center time activities, language activities, and circle time activities, tummy time and some infant feeding. Based on the investigation the following was determined: Supervision was deemed unable to substantiate, although there was the allegation that there was a supervision violation, no supervision concerns were reported by Staff or Administration and no violations of supervision was observed during today’s visit. Sanitation – During today’s visit it was determined that there were two hundred and twenty-three (223) sheets with one hundred and fifty-nine (159) cots on site and one hundred and thirty-two (132) children enrolled who would use cots. There are eight (8) cribs and 8 infants enrolled that would utilize cribs. There are twenty-seven (27) crib sheets on site. There is a washer and dryer on site and the sheets are cleaned daily for the infant room and each classroom has an assigned day for their sheets to be washed. The staff reported that they change cot sheets weekly and the crib sheets are changed daily unless there is bodily fluid on the linens, and it was reported at that point they change them immediately. Based on today’s observation were extra linens available for this as well. The allegation of a Sanitation violation was deemed not substantiated. While using the rest room one violation of an aerosol air freshener was observed and corrected during today’s visit. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the adult bathroom there was a cabinet, although had a lock was not locked, with a aerosol air freshener. It was placed in locked storage during the visit. .2820(b) I recapped that Child Care facilities are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Technical Assistance was provided in the area of Sanitation and Supervision. A great resource that provides the National Health and Safety performance Standards is Caring for Children Caring for Our Children in the 4th edition. Here are some tips from them regarding mats, cots, cribs and linens. 1-Facilities should have an individual crib, cot, sleeping bag, bed, mat, or pad for each child who spends more than four hours a day at the facility. No child should simultaneously share a crib, bed, or bedding with another child. Facilities should ensure that furniture and surfaces for sleeping are in compliance with the current U.S. Consumer Product Safety Commission (CPSC) and ASTM safety standards and have not been recalled by the manufacturer. -Please see DCDEE rules and regulations regarding designation of cribs, mats and cots. 2-Clean linens should be provided for each child. Beds and bedding should be washed between uses if used by different children. Regardless of age group, bed linens should not be used as rest equipment in place of cots, beds, pads, or similar approved equipment. Bed linens used under children on cots, cribs, futons, and playpens should be tight-fitting. Sheets for an adult bed should not be used on a crib mattress because they could become loose and entangle an infant. -Please note that extra linens should be available in order to have a change of linens if they become soiled and need to be changed. 3-When mats/pads are used, they should be enclosed in washable covers and should be long enough, so the child’s head or feet do not rest of the pad. Mats and cots should be made with a waterproof material that can be easily washed and sanitized. Plastic bags or loose plastic material should never be used as a covering. No child should sleep on a bare, uncovered surface. - Please see DCDEE rules and regulations regarding the required thickness for both daytime and nighttime care. 4-Seasonally appropriate covering, such as sheets, sleep garments, or blankets that are sufficient to maintain adequate warmth, should be available and should be used by each child below school-age. Pillows, blankets, and sleep positioners should not be used with infants. 5-Each child’s linens should be stored separately from those of other children. Mats/Pads should not be placed directly on any floor that is cooler than 65°F when children are resting. 6-The sleeping surfaces of one child’s rest equipment should not come in contact with the sleeping surfaces of another child’s rest equipment during storage. 7- Caregivers/teachers should never use strings to hang any object, such as a mobile, or a toy or a diaper bag, on or near the crib where a child could become caught in it and strangle. Infant monitors and their cords and other electrical cords should never be placed in the crib or sleeping equipment. Supervision: Although we did not deemed we discussed the possibility of regularly updating the Supervision of Children procedures to ensure that the policy provides guidelines to safeguard the provision of a safe and secure environment for all children at the Child Care Facility and adequate supervision of all enrolled children is maintained at all times. And review this policy in the regular staff meeting as to refresh all staff of the updated policy. These are a few items to remember when analyzing your policies and procedures regarding supervision; although the violation was around safe environment it is imperative that we provide the highest quality of supervisor in all of your classrooms. -Supervision means you need to ensure that you are providing adequate supervision of all enrolled children in all aspects of the service’s program ensuring all children are directly and actively supervised by educators employed or engaged by maintaining a duty of care and that all staff have an understanding of the shared legal responsibility and accountability between, and a commitment by, all persons to implement the procedures and practices. -Supervision is an integral part of the care and education of children and requires staff members to make ongoing assessments of the child and the activities in which they are engaged. Active supervision assists in the development of positive relationships between educators, children and their families and informs ongoing assessment and future planning. -Adequate supervision requires teamwork and good communication between educators. -Supervision guidelines as outlined in Caring for Children was discussed where Caregivers/teachers should directly supervise infants, toddlers, and preschoolers by sight and hearing at all times, even when the children are going to sleep, napping or sleeping, are beginning to wake up, or are indoors or outdoors. - Caregivers/teachers should not be on one floor level of the building, while children are on another floor or room. -Ratios should remain the same whether inside or outside. -Caregivers/teachers should regularly count children (name to face on a scheduled basis, at every transition, and whenever leaving one area and arriving at another), going indoors or outdoors, to confirm the safe whereabouts of every child at all times. -Staff must be able to state how many children are in their care at all times. In closing we reviewed the visit summary with the Administrator and asked if she had any questions and she stated that at this time she did not. I encouraged her that if she has any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or 704 594 0148. Kathy Twitty Willis, M.Ed. Child Care Consultant Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 132 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 392 Time In: 09:12 AM Time Out: 03:44 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by Ms. O McCoy, director and I shared the reason for the visit. Ms. McCoy and Ms. Herron, accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a One (1) star license. The license was posted, with restrictions to 1st shift, and serving children ages zero to twelve (0-12). Ownership: The facility owner is Dennis Child Development Company # 1056857. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All classrooms, kitchen, inside and outside spaces. Program Records: We reviewed all the required records and were out of compliance as no emergency drill has been performed and recorded in 2023 or the current year. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 1/30/2023. •There was no record on any Emergency Drills in 2023 or the current year. •Fire inspection was completed on 12/22/2023. •Sanitation inspection was conducted on 01/23/2024 and received a Superior classification. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children were observed in the rooms that serve infants to be napping, and being fed AM bottles while others were participating in tummy time. In the rooms that served younger one-year old's to two-year-old children, they were observed in child directed play, while transitioning to new activities or to outdoor learning. The children in the rooms that served preschool age children, they were observed to be participating in teacher led learning time using songs and games. They were also observed interacting with other children as they participated in teacher-led art activities. The children in the room that serves as the private pre-kindergarten classrooms were observed to be participating in teacher directed learning activities, and free center choice time. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were nine (9) new staff files to review today, and three (3) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. The staff and training files show the beginnings of being organized but most files reviewed were missing key components for compliance. Several documents were missing or in a different location. Children’s Records: There are one hundred and seventy (170) children enrolled in this center. There were one hundred and thirty-two (132) in attendance today. Seventeen (17) children’s files were reviewed today, please refer to the children’s worksheet to review which files were monitored. Ms. McCoy and I did discussed ways to keep these files in compliance with yearly reviews making sure all information is current and accurate. Medication: All emergency and other medications were reviewed today and were out of compliance. There were several rooms with expired permission slips for over-the-counter medications and medication that was not discarded within the appropriate time frame. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu was posted and accurate and lunch consisted of mac n cheese, apples, and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility does provide transportation and both mini buses were in compliance with current insurance documentation and registrations. The buses housed all applicable requirements to be in compliance. Twelve (12) violations were observed today and one (1) corrected during the visit. Violation Number Comment Rule 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In the room serving one (1) and two (2) year old children that did not have correct authorization for topical creams for four (4) children. 10A NCAC 09 .0803(4) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In the room that serves one (1) and two (2) year old children there were three (3) expired medication authorizations. In the room that serves two (2) and three (3) year old children there were several authorizations for medications that were expired or in the wrong room .0803(12) 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 L.E. did not have a medical report on file. 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 L.E. did not have a TB test or screening on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member J.T. did not have a 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 member J.T. did not have an updated Emergency Information form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members E.M., H.B, and L.E. did not have at least sixteen (16) hours of orientation on file. .1101(a) 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 E.M., H.B, and L.E. did not have documentation on file for their first weeks of orientation. .1101(a)(b) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member H.B. did not have a qualifying letter on file, but was able to print her current letter and placed it in her file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. There was no shelter in place or lockdown drill documentation on file for the year of 2023 or the current year. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In the room that serves preschool age children, the medication authorization was not on file therefore did not meet the standing authorization to administer the medication if/when needed. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member L.E. did not have a record of Recognizing and Responding to Suspicions of Child Maltreatment in her file. .1102(g) The violations not corrected during the visit must be corrected immediately. On or before 3/11/2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy eight (78%) prior to today’s visit and was seventy-nine (79%) percent after the visit today. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: Primrose School at Austin Village is eligible to complete the Star Rated License process. When the facility is ready to complete the Star Rated License Assessment Preparation year, please let your consultant know and we can begin the process. In the meantime, here are some ways to prepare for the Star Rated License process. •Have all staff update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all teachers and staff print out their WORKS letter, so you can see if their education is updated. If any teachers have a BSAC certificate have them upload the certificate into their account. •Take time to update your staff and training worksheets and submit them for review. •Access the resources for your upcoming assessment at www.ncrlap.org. •Review the materials lists for each classroom. This list is to be used as a resource reminding you of some of the required items to promote quality in programming. •Continue to use CCRI and the Alliance of Union County for support, room arrangements and assistance for the star rated license process. Technical Assistance: •Review the ERP with the owner of the facility so she is aware of the annual updates required by law and the appropriate place on the DCDEE website to download and print the current documentation. •When parents fill out any enrollment, medical, or any other forms, they should be completed fully. Is something is not applicable using the n/a is acceptable. •Consider a system for over the counter medications and diaper creams ensuring that everything is within the correct usage time line, has correct expiration dates and is filled out and dated accurately. •An updated Summary of the Law is available on the DCDEE website, please print and take down the previous version. •Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. •The Smart Start Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested, you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you and I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 132 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 392 Time In: 09:12 AM Time Out: 03:44 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by Ms. O McCoy, director and I shared the reason for the visit. Ms. McCoy and Ms. Herron, accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a One (1) star license. The license was posted, with restrictions to 1st shift, and serving children ages zero to twelve (0-12). Ownership: The facility owner is Dennis Child Development Company # 1056857. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All classrooms, kitchen, inside and outside spaces. Program Records: We reviewed all the required records and were out of compliance as no emergency drill has been performed and recorded in 2023 or the current year. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 1/30/2023. •There was no record on any Emergency Drills in 2023 or the current year. •Fire inspection was completed on 12/22/2023. •Sanitation inspection was conducted on 01/23/2024 and received a Superior classification. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children were observed in the rooms that serve infants to be napping, and being fed AM bottles while others were participating in tummy time. In the rooms that served younger one-year old's to two-year-old children, they were observed in child directed play, while transitioning to new activities or to outdoor learning. The children in the rooms that served preschool age children, they were observed to be participating in teacher led learning time using songs and games. They were also observed interacting with other children as they participated in teacher-led art activities. The children in the room that serves as the private pre-kindergarten classrooms were observed to be participating in teacher directed learning activities, and free center choice time. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were nine (9) new staff files to review today, and three (3) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. The staff and training files show the beginnings of being organized but most files reviewed were missing key components for compliance. Several documents were missing or in a different location. Children’s Records: There are one hundred and seventy (170) children enrolled in this center. There were one hundred and thirty-two (132) in attendance today. Seventeen (17) children’s files were reviewed today, please refer to the children’s worksheet to review which files were monitored. Ms. McCoy and I did discussed ways to keep these files in compliance with yearly reviews making sure all information is current and accurate. Medication: All emergency and other medications were reviewed today and were out of compliance. There were several rooms with expired permission slips for over-the-counter medications and medication that was not discarded within the appropriate time frame. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu was posted and accurate and lunch consisted of mac n cheese, apples, and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility does provide transportation and both mini buses were in compliance with current insurance documentation and registrations. The buses housed all applicable requirements to be in compliance. Twelve (12) violations were observed today and one (1) corrected during the visit. Violation Number Comment Rule 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In the room serving one (1) and two (2) year old children that did not have correct authorization for topical creams for four (4) children. 10A NCAC 09 .0803(4) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In the room that serves one (1) and two (2) year old children there were three (3) expired medication authorizations. In the room that serves two (2) and three (3) year old children there were several authorizations for medications that were expired or in the wrong room .0803(12) 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 L.E. did not have a medical report on file. 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 L.E. did not have a TB test or screening on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member J.T. did not have a 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 member J.T. did not have an updated Emergency Information form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members E.M., H.B, and L.E. did not have at least sixteen (16) hours of orientation on file. .1101(a) 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 E.M., H.B, and L.E. did not have documentation on file for their first weeks of orientation. .1101(a)(b) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member H.B. did not have a qualifying letter on file, but was able to print her current letter and placed it in her file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. There was no shelter in place or lockdown drill documentation on file for the year of 2023 or the current year. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In the room that serves preschool age children, the medication authorization was not on file therefore did not meet the standing authorization to administer the medication if/when needed. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member L.E. did not have a record of Recognizing and Responding to Suspicions of Child Maltreatment in her file. .1102(g) The violations not corrected during the visit must be corrected immediately. On or before 3/11/2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy eight (78%) prior to today’s visit and was seventy-nine (79%) percent after the visit today. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: Primrose School at Austin Village is eligible to complete the Star Rated License process. When the facility is ready to complete the Star Rated License Assessment Preparation year, please let your consultant know and we can begin the process. In the meantime, here are some ways to prepare for the Star Rated License process. •Have all staff update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all teachers and staff print out their WORKS letter, so you can see if their education is updated. If any teachers have a BSAC certificate have them upload the certificate into their account. •Take time to update your staff and training worksheets and submit them for review. •Access the resources for your upcoming assessment at www.ncrlap.org. •Review the materials lists for each classroom. This list is to be used as a resource reminding you of some of the required items to promote quality in programming. •Continue to use CCRI and the Alliance of Union County for support, room arrangements and assistance for the star rated license process. Technical Assistance: •Review the ERP with the owner of the facility so she is aware of the annual updates required by law and the appropriate place on the DCDEE website to download and print the current documentation. •When parents fill out any enrollment, medical, or any other forms, they should be completed fully. Is something is not applicable using the n/a is acceptable. •Consider a system for over the counter medications and diaper creams ensuring that everything is within the correct usage time line, has correct expiration dates and is filled out and dated accurately. •An updated Summary of the Law is available on the DCDEE website, please print and take down the previous version. •Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. •The Smart Start Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested, you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you and I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 132 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 392 Time In: 09:12 AM Time Out: 03:44 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by Ms. O McCoy, director and I shared the reason for the visit. Ms. McCoy and Ms. Herron, accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a One (1) star license. The license was posted, with restrictions to 1st shift, and serving children ages zero to twelve (0-12). Ownership: The facility owner is Dennis Child Development Company # 1056857. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All classrooms, kitchen, inside and outside spaces. Program Records: We reviewed all the required records and were out of compliance as no emergency drill has been performed and recorded in 2023 or the current year. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 1/30/2023. •There was no record on any Emergency Drills in 2023 or the current year. •Fire inspection was completed on 12/22/2023. •Sanitation inspection was conducted on 01/23/2024 and received a Superior classification. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children were observed in the rooms that serve infants to be napping, and being fed AM bottles while others were participating in tummy time. In the rooms that served younger one-year old's to two-year-old children, they were observed in child directed play, while transitioning to new activities or to outdoor learning. The children in the rooms that served preschool age children, they were observed to be participating in teacher led learning time using songs and games. They were also observed interacting with other children as they participated in teacher-led art activities. The children in the room that serves as the private pre-kindergarten classrooms were observed to be participating in teacher directed learning activities, and free center choice time. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were nine (9) new staff files to review today, and three (3) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. The staff and training files show the beginnings of being organized but most files reviewed were missing key components for compliance. Several documents were missing or in a different location. Children’s Records: There are one hundred and seventy (170) children enrolled in this center. There were one hundred and thirty-two (132) in attendance today. Seventeen (17) children’s files were reviewed today, please refer to the children’s worksheet to review which files were monitored. Ms. McCoy and I did discussed ways to keep these files in compliance with yearly reviews making sure all information is current and accurate. Medication: All emergency and other medications were reviewed today and were out of compliance. There were several rooms with expired permission slips for over-the-counter medications and medication that was not discarded within the appropriate time frame. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu was posted and accurate and lunch consisted of mac n cheese, apples, and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility does provide transportation and both mini buses were in compliance with current insurance documentation and registrations. The buses housed all applicable requirements to be in compliance. Twelve (12) violations were observed today and one (1) corrected during the visit. Violation Number Comment Rule 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In the room serving one (1) and two (2) year old children that did not have correct authorization for topical creams for four (4) children. 10A NCAC 09 .0803(4) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In the room that serves one (1) and two (2) year old children there were three (3) expired medication authorizations. In the room that serves two (2) and three (3) year old children there were several authorizations for medications that were expired or in the wrong room .0803(12) 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 L.E. did not have a medical report on file. 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 L.E. did not have a TB test or screening on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member J.T. did not have a 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 member J.T. did not have an updated Emergency Information form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members E.M., H.B, and L.E. did not have at least sixteen (16) hours of orientation on file. .1101(a) 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 E.M., H.B, and L.E. did not have documentation on file for their first weeks of orientation. .1101(a)(b) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member H.B. did not have a qualifying letter on file, but was able to print her current letter and placed it in her file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. There was no shelter in place or lockdown drill documentation on file for the year of 2023 or the current year. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In the room that serves preschool age children, the medication authorization was not on file therefore did not meet the standing authorization to administer the medication if/when needed. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member L.E. did not have a record of Recognizing and Responding to Suspicions of Child Maltreatment in her file. .1102(g) The violations not corrected during the visit must be corrected immediately. On or before 3/11/2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy eight (78%) prior to today’s visit and was seventy-nine (79%) percent after the visit today. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: Primrose School at Austin Village is eligible to complete the Star Rated License process. When the facility is ready to complete the Star Rated License Assessment Preparation year, please let your consultant know and we can begin the process. In the meantime, here are some ways to prepare for the Star Rated License process. •Have all staff update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all teachers and staff print out their WORKS letter, so you can see if their education is updated. If any teachers have a BSAC certificate have them upload the certificate into their account. •Take time to update your staff and training worksheets and submit them for review. •Access the resources for your upcoming assessment at www.ncrlap.org. •Review the materials lists for each classroom. This list is to be used as a resource reminding you of some of the required items to promote quality in programming. •Continue to use CCRI and the Alliance of Union County for support, room arrangements and assistance for the star rated license process. Technical Assistance: •Review the ERP with the owner of the facility so she is aware of the annual updates required by law and the appropriate place on the DCDEE website to download and print the current documentation. •When parents fill out any enrollment, medical, or any other forms, they should be completed fully. Is something is not applicable using the n/a is acceptable. •Consider a system for over the counter medications and diaper creams ensuring that everything is within the correct usage time line, has correct expiration dates and is filled out and dated accurately. •An updated Summary of the Law is available on the DCDEE website, please print and take down the previous version. •Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. •The Smart Start Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested, you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you and I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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

NC GS 110-90 · Violation

Name of Operation: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 2/27/2024 Number Present: 132 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 392 Time In: 09:12 AM Time Out: 03:44 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by Ms. O McCoy, director and I shared the reason for the visit. Ms. McCoy and Ms. Herron, accompanied me throughout the walk-through of the facility and the outdoor learning environments. Your program currently operates with a One (1) star license. The license was posted, with restrictions to 1st shift, and serving children ages zero to twelve (0-12). Ownership: The facility owner is Dennis Child Development Company # 1056857. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All classrooms, kitchen, inside and outside spaces. Program Records: We reviewed all the required records and were out of compliance as no emergency drill has been performed and recorded in 2023 or the current year. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 1/30/2023. •There was no record on any Emergency Drills in 2023 or the current year. •Fire inspection was completed on 12/22/2023. •Sanitation inspection was conducted on 01/23/2024 and received a Superior classification. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children were observed in the rooms that serve infants to be napping, and being fed AM bottles while others were participating in tummy time. In the rooms that served younger one-year old's to two-year-old children, they were observed in child directed play, while transitioning to new activities or to outdoor learning. The children in the rooms that served preschool age children, they were observed to be participating in teacher led learning time using songs and games. They were also observed interacting with other children as they participated in teacher-led art activities. The children in the room that serves as the private pre-kindergarten classrooms were observed to be participating in teacher directed learning activities, and free center choice time. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. Staff Records: The staff-training worksheet was completed prior to the visit. There were nine (9) new staff files to review today, and three (3) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. The staff and training files show the beginnings of being organized but most files reviewed were missing key components for compliance. Several documents were missing or in a different location. Children’s Records: There are one hundred and seventy (170) children enrolled in this center. There were one hundred and thirty-two (132) in attendance today. Seventeen (17) children’s files were reviewed today, please refer to the children’s worksheet to review which files were monitored. Ms. McCoy and I did discussed ways to keep these files in compliance with yearly reviews making sure all information is current and accurate. Medication: All emergency and other medications were reviewed today and were out of compliance. There were several rooms with expired permission slips for over-the-counter medications and medication that was not discarded within the appropriate time frame. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu was posted and accurate and lunch consisted of mac n cheese, apples, and milk. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility does provide transportation and both mini buses were in compliance with current insurance documentation and registrations. The buses housed all applicable requirements to be in compliance. Twelve (12) violations were observed today and one (1) corrected during the visit. Violation Number Comment Rule 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In the room serving one (1) and two (2) year old children that did not have correct authorization for topical creams for four (4) children. 10A NCAC 09 .0803(4) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In the room that serves one (1) and two (2) year old children there were three (3) expired medication authorizations. In the room that serves two (2) and three (3) year old children there were several authorizations for medications that were expired or in the wrong room .0803(12) 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 L.E. did not have a medical report on file. 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 L.E. did not have a TB test or screening on file. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member J.T. did not have a 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 member J.T. did not have an updated Emergency Information form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members E.M., H.B, and L.E. did not have at least sixteen (16) hours of orientation on file. .1101(a) 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 E.M., H.B, and L.E. did not have documentation on file for their first weeks of orientation. .1101(a)(b) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member H.B. did not have a qualifying letter on file, but was able to print her current letter and placed it in her file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. There was no shelter in place or lockdown drill documentation on file for the year of 2023 or the current year. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In the room that serves preschool age children, the medication authorization was not on file therefore did not meet the standing authorization to administer the medication if/when needed. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member L.E. did not have a record of Recognizing and Responding to Suspicions of Child Maltreatment in her file. .1102(g) The violations not corrected during the visit must be corrected immediately. On or before 3/11/2024 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy eight (78%) prior to today’s visit and was seventy-nine (79%) percent after the visit today. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: Primrose School at Austin Village is eligible to complete the Star Rated License process. When the facility is ready to complete the Star Rated License Assessment Preparation year, please let your consultant know and we can begin the process. In the meantime, here are some ways to prepare for the Star Rated License process. •Have all staff update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all teachers and staff print out their WORKS letter, so you can see if their education is updated. If any teachers have a BSAC certificate have them upload the certificate into their account. •Take time to update your staff and training worksheets and submit them for review. •Access the resources for your upcoming assessment at www.ncrlap.org. •Review the materials lists for each classroom. This list is to be used as a resource reminding you of some of the required items to promote quality in programming. •Continue to use CCRI and the Alliance of Union County for support, room arrangements and assistance for the star rated license process. Technical Assistance: •Review the ERP with the owner of the facility so she is aware of the annual updates required by law and the appropriate place on the DCDEE website to download and print the current documentation. •When parents fill out any enrollment, medical, or any other forms, they should be completed fully. Is something is not applicable using the n/a is acceptable. •Consider a system for over the counter medications and diaper creams ensuring that everything is within the correct usage time line, has correct expiration dates and is filled out and dated accurately. •An updated Summary of the Law is available on the DCDEE website, please print and take down the previous version. •Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. •The Smart Start Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested, you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you and I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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 .0604 · Violation

Name of Operation: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 121 Completed Date: 10/16/2023 Age: From 0 To 12 Total Minutes: 190 Time In: 08:50 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ebony Duncan, Licensing Supervisor, assisted me with today’s visit. Upon arrival we were greeted by Ms. McCoy with us and assisted us on the walkthrough. The program currently operates with a one-star license with daytime restrictions. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent as of 10/16/2023. Ownership: The facility owner is Dennis Child Development Company If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The following items were monitored today: Supervision, Capacity, Staff-Child Ratios, Emergenc0y Medical Plan, Storage and Administration of Medication, Storage of Hazardous materials, General Safety, Discipline, Adequate and Approved Space, Program Records, License Posted and Permit Restrictions, New staff records, Specialized Trainings, and Criminal Record Checks. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The children were participating in morning routines, such as free play, reading, getting ready for the day and outside time. There was one new staff file since the previous visit. I reviewed medication and children with medical plans of care. The Program Coordinator stated there were two children with epi-pens and medical actions plans. There were six (6)violations observed today. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #7 (seven) 2 (two) outlets were not covered. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #8 (eight), there were several hazardous cleaning solutions left in an unlocked cabinet within reach of children in the room. .2820(b) 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 space two (#2) there were plastic bags hanging within reach of the children in the classroom .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. F.T. did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. F.T. does have a qualifying letter permitting her to work but it was not able to view at the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #6 (six) and space #5 (five) there were epi pens for emergency use without medical administration logs present and medical permission slips for administration did not contain complete information/instructions for use. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Failure to maintain compliance with all requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. On or before 10/30/2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter PO Box 364 Matthews, NC 28105 Or Traci.meyer@dhhs.nc.gov Technical assistance: •All employees must have a copy of their qualifying letter in their files before they begin work in the center even for training purposes. •A new copy of the Summary of Laws was released in September 2023 and should be posted in the facility. • Please visit The North Carolina Rated License Project, www.ncrlap.org, for resources including handouts, videos, and quality enhancement strategies that could be used routinely throughout the year at staff meetings. •Emergency numbers should be posted in a central location that is easily viewable. Please visit the DCDEE website for a template. •Please remember that a Lock Down or Shelter in Place is due in October and due every 3 months after that. Fire Drills are to be conducted monthly. Fire Drills are to be conducted monthly. •Medicine Administration forms need to exactly match the Division of Child Development and Early Education’s forms and must be on file for each child with a medication and filled out when used. It would be a good idea to offer a training on Epi-Pen usage for the full staff. Each medication is required to have a form and a log. These can be found on the DCDEE website under provider forms. •Your cohort information will be sent to you for the Rated License Assessment, please reach out to your Child Care Consultant when you are ready to schedule the assessment. We reviewed this documentation with Ms. McCoy and they were given a chance to ask questions. She stated she had no further questions at this time. Thank you for your time and assistance today. Traci Meyer Carpenter Child Care Consultant NCDCEE/Regulatory Services 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: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 121 Completed Date: 10/16/2023 Age: From 0 To 12 Total Minutes: 190 Time In: 08:50 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ebony Duncan, Licensing Supervisor, assisted me with today’s visit. Upon arrival we were greeted by Ms. McCoy with us and assisted us on the walkthrough. The program currently operates with a one-star license with daytime restrictions. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent as of 10/16/2023. Ownership: The facility owner is Dennis Child Development Company If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The following items were monitored today: Supervision, Capacity, Staff-Child Ratios, Emergenc0y Medical Plan, Storage and Administration of Medication, Storage of Hazardous materials, General Safety, Discipline, Adequate and Approved Space, Program Records, License Posted and Permit Restrictions, New staff records, Specialized Trainings, and Criminal Record Checks. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The children were participating in morning routines, such as free play, reading, getting ready for the day and outside time. There was one new staff file since the previous visit. I reviewed medication and children with medical plans of care. The Program Coordinator stated there were two children with epi-pens and medical actions plans. There were six (6)violations observed today. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #7 (seven) 2 (two) outlets were not covered. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #8 (eight), there were several hazardous cleaning solutions left in an unlocked cabinet within reach of children in the room. .2820(b) 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 space two (#2) there were plastic bags hanging within reach of the children in the classroom .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. F.T. did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. F.T. does have a qualifying letter permitting her to work but it was not able to view at the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #6 (six) and space #5 (five) there were epi pens for emergency use without medical administration logs present and medical permission slips for administration did not contain complete information/instructions for use. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Failure to maintain compliance with all requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. On or before 10/30/2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter PO Box 364 Matthews, NC 28105 Or Traci.meyer@dhhs.nc.gov Technical assistance: •All employees must have a copy of their qualifying letter in their files before they begin work in the center even for training purposes. •A new copy of the Summary of Laws was released in September 2023 and should be posted in the facility. • Please visit The North Carolina Rated License Project, www.ncrlap.org, for resources including handouts, videos, and quality enhancement strategies that could be used routinely throughout the year at staff meetings. •Emergency numbers should be posted in a central location that is easily viewable. Please visit the DCDEE website for a template. •Please remember that a Lock Down or Shelter in Place is due in October and due every 3 months after that. Fire Drills are to be conducted monthly. Fire Drills are to be conducted monthly. •Medicine Administration forms need to exactly match the Division of Child Development and Early Education’s forms and must be on file for each child with a medication and filled out when used. It would be a good idea to offer a training on Epi-Pen usage for the full staff. Each medication is required to have a form and a log. These can be found on the DCDEE website under provider forms. •Your cohort information will be sent to you for the Rated License Assessment, please reach out to your Child Care Consultant when you are ready to schedule the assessment. We reviewed this documentation with Ms. McCoy and they were given a chance to ask questions. She stated she had no further questions at this time. Thank you for your time and assistance today. Traci Meyer Carpenter Child Care Consultant NCDCEE/Regulatory Services 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: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 121 Completed Date: 10/16/2023 Age: From 0 To 12 Total Minutes: 190 Time In: 08:50 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ebony Duncan, Licensing Supervisor, assisted me with today’s visit. Upon arrival we were greeted by Ms. McCoy with us and assisted us on the walkthrough. The program currently operates with a one-star license with daytime restrictions. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent as of 10/16/2023. Ownership: The facility owner is Dennis Child Development Company If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The following items were monitored today: Supervision, Capacity, Staff-Child Ratios, Emergenc0y Medical Plan, Storage and Administration of Medication, Storage of Hazardous materials, General Safety, Discipline, Adequate and Approved Space, Program Records, License Posted and Permit Restrictions, New staff records, Specialized Trainings, and Criminal Record Checks. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The children were participating in morning routines, such as free play, reading, getting ready for the day and outside time. There was one new staff file since the previous visit. I reviewed medication and children with medical plans of care. The Program Coordinator stated there were two children with epi-pens and medical actions plans. There were six (6)violations observed today. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #7 (seven) 2 (two) outlets were not covered. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #8 (eight), there were several hazardous cleaning solutions left in an unlocked cabinet within reach of children in the room. .2820(b) 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 space two (#2) there were plastic bags hanging within reach of the children in the classroom .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. F.T. did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. F.T. does have a qualifying letter permitting her to work but it was not able to view at the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #6 (six) and space #5 (five) there were epi pens for emergency use without medical administration logs present and medical permission slips for administration did not contain complete information/instructions for use. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Failure to maintain compliance with all requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. On or before 10/30/2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter PO Box 364 Matthews, NC 28105 Or Traci.meyer@dhhs.nc.gov Technical assistance: •All employees must have a copy of their qualifying letter in their files before they begin work in the center even for training purposes. •A new copy of the Summary of Laws was released in September 2023 and should be posted in the facility. • Please visit The North Carolina Rated License Project, www.ncrlap.org, for resources including handouts, videos, and quality enhancement strategies that could be used routinely throughout the year at staff meetings. •Emergency numbers should be posted in a central location that is easily viewable. Please visit the DCDEE website for a template. •Please remember that a Lock Down or Shelter in Place is due in October and due every 3 months after that. Fire Drills are to be conducted monthly. Fire Drills are to be conducted monthly. •Medicine Administration forms need to exactly match the Division of Child Development and Early Education’s forms and must be on file for each child with a medication and filled out when used. It would be a good idea to offer a training on Epi-Pen usage for the full staff. Each medication is required to have a form and a log. These can be found on the DCDEE website under provider forms. •Your cohort information will be sent to you for the Rated License Assessment, please reach out to your Child Care Consultant when you are ready to schedule the assessment. We reviewed this documentation with Ms. McCoy and they were given a chance to ask questions. She stated she had no further questions at this time. Thank you for your time and assistance today. Traci Meyer Carpenter Child Care Consultant NCDCEE/Regulatory Services 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

NC GS 110-90 · Violation

Name of Operation: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 121 Completed Date: 10/16/2023 Age: From 0 To 12 Total Minutes: 190 Time In: 08:50 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Ebony Duncan, Licensing Supervisor, assisted me with today’s visit. Upon arrival we were greeted by Ms. McCoy with us and assisted us on the walkthrough. The program currently operates with a one-star license with daytime restrictions. The center's compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78%) percent as of 10/16/2023. Ownership: The facility owner is Dennis Child Development Company If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The following items were monitored today: Supervision, Capacity, Staff-Child Ratios, Emergenc0y Medical Plan, Storage and Administration of Medication, Storage of Hazardous materials, General Safety, Discipline, Adequate and Approved Space, Program Records, License Posted and Permit Restrictions, New staff records, Specialized Trainings, and Criminal Record Checks. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. The children were participating in morning routines, such as free play, reading, getting ready for the day and outside time. There was one new staff file since the previous visit. I reviewed medication and children with medical plans of care. The Program Coordinator stated there were two children with epi-pens and medical actions plans. There were six (6)violations observed today. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #7 (seven) 2 (two) outlets were not covered. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #8 (eight), there were several hazardous cleaning solutions left in an unlocked cabinet within reach of children in the room. .2820(b) 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 space two (#2) there were plastic bags hanging within reach of the children in the classroom .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. F.T. did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. F.T. does have a qualifying letter permitting her to work but it was not able to view at the visit. G.S. 110-90.2(b) & (d) & .2703(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #6 (six) and space #5 (five) there were epi pens for emergency use without medical administration logs present and medical permission slips for administration did not contain complete information/instructions for use. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Failure to maintain compliance with all requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. On or before 10/30/2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter PO Box 364 Matthews, NC 28105 Or Traci.meyer@dhhs.nc.gov Technical assistance: •All employees must have a copy of their qualifying letter in their files before they begin work in the center even for training purposes. •A new copy of the Summary of Laws was released in September 2023 and should be posted in the facility. • Please visit The North Carolina Rated License Project, www.ncrlap.org, for resources including handouts, videos, and quality enhancement strategies that could be used routinely throughout the year at staff meetings. •Emergency numbers should be posted in a central location that is easily viewable. Please visit the DCDEE website for a template. •Please remember that a Lock Down or Shelter in Place is due in October and due every 3 months after that. Fire Drills are to be conducted monthly. Fire Drills are to be conducted monthly. •Medicine Administration forms need to exactly match the Division of Child Development and Early Education’s forms and must be on file for each child with a medication and filled out when used. It would be a good idea to offer a training on Epi-Pen usage for the full staff. Each medication is required to have a form and a log. These can be found on the DCDEE website under provider forms. •Your cohort information will be sent to you for the Rated License Assessment, please reach out to your Child Care Consultant when you are ready to schedule the assessment. We reviewed this documentation with Ms. McCoy and they were given a chance to ask questions. She stated she had no further questions at this time. Thank you for your time and assistance today. Traci Meyer Carpenter Child Care Consultant NCDCEE/Regulatory Services 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

NC GS 110-90 · Violation

Name of Operation: PRIMROSE SCHOOL AT AUSTIN VILLAGE Facility ID: 90000397 Consultant: KATHY WILLIS Operation Type: Center Case Number: 0923-110L Visit Date: 9/19/2023 Number Present: 111 Completed Date: 9/19/2023 Age: From 0 To 5 Total Minutes: 105 Time In: 08:55 AM Time Out: 10:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case # 0923-110L of violations of child care rules and regulation. Traci Meyer Carpenter, Child Care Consultant, assisted me with today’s visit. Upon arrival we explained the reason for my visit to the new Administrator. Allegations: 1. Classrooms are over ratio. 2. Teachers are allowed to stay in a classroom without another teacher in the room before their background checks have returned. 3. Some teachers have a disrespectful attitude towards children, making derogatory remarks and cursing in front of and directly to children. 4. Some incident reports are inaccurate and claim the child(ren) were treated for their injuries when there was no treatment applied. (Example: claiming ice was applied to a bite) 5. Zip ties were used to keep a playground gate closed for a week. When asked what should be done if there’s an emergency, (since the gate is supposed to be the escape) staff were told “Don’t worry. We just won’t have a fire drill.” (summer 2023) 6. Fire drills are not conducted as required. (Example: There has not been a drill since April.) 7. Required DCDEE trainings are not enforced. Some teachers have been there for years and have not completed their training. Interviews: Administrator: She reported she and cannot report to what occurred prior to her employment as the Administrator. She was very transparent and verified that allegations #6 and #7 were valid. We reviewed the fire drills, and it was observed that drills for the previous 3 months had not been conducted and no drill for the current month, September, had been conducted. I asked that in the next two weeks that four drills be conducted at different times of the day to ensure that in case of an emergency that everyone knows the evacuation procedure. She also stated that many staff did not have their required training and that she had been having the staff complete trainings in order to get everyone up to date but that they are not up to date at this point. The training records were reviewed, and it was verified that staff are not up to date and the suggestion was made to change the yearly date to reflect the annual compliance date to reduce the confusion regarding when trainings are due. She reported that to her knowledge the classrooms are not ever over capacity, teachers are not allowed into the classrooms with the children until the qualifying letter is on site, staff provide appropriate nurture and care which includes positive communication with the children, and the incident reports that are submitted have accurate information on them based on her understanding. She did say that they have had to secure some gates so that the children would not open them and that they are working with the fence company to ensure that the fencing and gates provide secure and safe access and egress at the appropriate times. Staff: They reported that they have no knowledge of disrespectful attitudes towards children since the termination of the one staff that ½ of the staff reported used derogatory remarks. No reports of cursing at or around the children was provided. All staff interviewed reported that any first aid that was listed on the biting incident reports occurred. They did state that there were some age-appropriate issues with biting and that they would be willing to receive some additional training in this area. The gate issues were discussed, and they verified that there were zip ties on the gates while they were being fixed due to safety reasons but that there were other egress options during this time. They also reported that they were working on getting their training caught up and that they couldn't remember the last time that they had a fire drill. Documents Review: 1. Incident (last five) reports for biting 2. Training logs for all staff with a random evaluation of staff training of staffing that had been employed the longest 3. Criminal Background Checks and Qualifying letters, Fire Drill report The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Adequate and Approved Space, Permit Restrictions, and developmentally appropriate activities, staff training, safety regarding the outside learning environment, incident reports and logs, criminal background checks and qualifying letters, nurture and care. 1. Based on today’s observation and interviews there was no provided proof that the classrooms were over ratio therefore the allegation was deemed not able to substantiate. 2. Based on today’s observation and interviews there was no provided proof that staff are allowed to stay in a classroom without another teacher in the room before their background checks have returned therefore the allegation was deemed not able to substantiate. 3. Based on today’s observation and interviews there was no provided proof that the staff have a disrespectful attitude towards children, making derogatory remarks and cursing in front of and directly to children therefore the allegation was deemed not able to substantiate. 4. Based on today’s observation, records review and interviews there was no provided proof that the some of the incident reports are inaccurate and claim the child(ren) were treated for their injuries when there was no treatment applied therefore the allegation was deemed not able to substantiate. 5. Based on today’s observation and interviews the allegation that zip ties were used to keep a playground gate closed for a week in the summer 2023 there was evidence based on a report that there zip times used but all reports were that there was an alternative route for an evacuation and there were no zip ties observed during today’s monitoring therefore the allegation was deemed not able to substantiate. 6. Based on today’s observation of the fire drill log the fire drills are not conducted as required as there were no documented fire drills in June, July or August 2023 therefore the allegation was deemed substantiated. 7. Based on today’s observation of the training logs the required DCDEE training hours were not met therefore the allegation of lack of required on-going training was deemed substantiated. The following violations were cited and/or observed during today’s visit regarding staff training, and fire drills. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The facility had not completed the monthly fire drills for June, July, and August 2023. .0604(t); .0302(d)(5) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Per administrators report and observation of staff files the staff have not complete the required number of hours of on-going training according to their education and experience. Although the training was in process it was not completed within the required time frame. .1103(a) We recapped that Child Care facilities are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. We explained that due to the substantiation of the allegation could result in an Administrative Action. If an Administrative Action is issued it will be a tool that will provide supports in an effort to ensure that incidents like this do not occur again and that the quality of care is increased in your program. In closing we reviewed the visit summary with the Administrator and asked if she had any questions and she stated that at this time which they stated that they did not. I encouraged them that if they have any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or (704) 594-0148 Kathy Twitty Willis, M.Ed. Child Care Consultant - Regulatory Services Section Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 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