GS 110-91 · Violation

Name of Operation: The Early Learning Center Facility ID: 16000225 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 6/16/2025 Number Present: 49 Completed Date: 6/16/2025 Age: From 1 To 5 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 4-Star license issued June 18, 2024. The last annual compliance was conducted on June 18, 2024. The sanitation inspection was completed May 28, 2025, with a “Superior” classification. The last fire inspection was conducted on June 3, 2025. Your facility was approved for 1st shift care, the facility meets enhanced ratios, enhanced space, and no cooking is allowed in the facility. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of June 16, 2025. The NC Secretary of State website was reviewed on June 16, 2025, and The Early Learning Center, Inc., was listed as current-active. Fifty-eight (58) children, between the ages of one (1) and five (5) years old are enrolled and forty-nine (49) were present today. There are four (4) approved indoor spaces and three (3) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Toddlers assigned to indoors space #1 were observed in the outdoor space. Staff members assisted the children with climbing, sliding, throwing and rolling balls. Younger preschool children assigned to indoor space #4 were engaged in a variety of free play activities which included puzzles, bristle blocks, stuffed animals, reusable sticker pads, and dress up play in the dramatic area. Older preschool children assigned to indoor spaces #2 and #3 were engaged in free play activities which included super gear and tube building sets, sand play, dolls and doll houses, stacking cakes, building with wooden blocks, and painting ice. Routine toileting and handwashing procedures were monitored, and requirements were met. Health and safety trainings were monitored. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Indoor spaces #2 and #3 did not have a current activity plan posted. GS 110-91(12); .0508(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Four (4) staff members, including the director, did not have an annual health questionnaire on file following the initial medical statement. .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. Four (4) out of twelve (12) staff members did not update emergency information annually. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not update the EPR plan annually or when information in the plan changed to ensure all information was current. .0607(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) staff members did not complete health and safety trainings within five (5) years of completing the previous health and safety training topics. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Wednesday, June 25, 2025, 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 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff Records: Items such as staff health questionnaires, emergency information, and evaluations must be updated annually. I suggest you select a certain month each year to complete these and set a reminder on your calendar so records will always be current. Staff On Going Training Hours: Today the required training hours were lacking for two (2) staff members. Please refer to the Staff and Training Worksheets for the number of hours needed for each of these staff members. I suggest you give staff a monthly or quarterly goal to help keep them on track and ensure their annual requirement is met. Encourage staff members to reach out to your local Partnership for Children at (252) 727-0445. Staff may also visit the DCDEE website to access several free, online trainings through Moodle using their NCID. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on July 5, 2024. Water testing must be completed every three (3) years. • Lead-Based Paint-Exempt • Asbestos-Exempt EPR Plan: As we discussed today, please update your facility’s current EPR plan with your information as administrator. The EPR Plan addresses how a child care center, or a family child care home will respond to both natural and man-made disasters; to ensure the safety and protection of the children and staff. Natural and man-made disasters include but are not limited to the following: fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disasters, or a dangerous person(s) in the vicinity. Emergency Preparedness and Response Plan Template In collaboration with NC Child Care Health and Safety Resource Center, and DCDEE, the NC Emergency Management developed a standard EPR template for use (statewide) by licensed child care programs. The content for this template aligns with the EPR in Child Care training and the EPR rules. The Child Care Rules state that programs must use the EPR template provided by the Division which is available from the NC Risk Management Portal. which houses emergency planning tools for a variety of hazards. Accessing the EPR Template To access the EPR Template, the trained staff must have an NCID. You may register for an NCID at the following link: https://ncid.nc.gov/ If you need help getting an NCID, here are detailed instructions for obtaining an NCID. Once you get an NCID, you will access the EPR template on the NC Risk Management Portal website. Once you are on the NC Risk Management Portal website, use the ‘Getting Started’ instructions listed to the right-side of the page. EPR Plan - Technical Assistance & On-going Support For technical assistance and on-going support regarding emergency preparedness and response in child care, contact the North Carolina Child Care Health and Safety Resource Center or 1-800-367-2229. Moodle Helpful Hints: 1. When on the Moodle homepage, scroll down past the three-square boxes to find directions to self-register for various training opportunities. 2. If you do not access a training opportunity for 150 days, the training will be suspended. To regain access, email a request to set status to “active” including the name of the training course to dcdee_moodle_support@dhhs.nc.gov. Send any questions about DCDEE Moodle trainings to dcdee_moodle_support@dhhs.nc.gov. Tips for MY NCID Users: Did you know that if you do not log in to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Reminders: Staff Qualifications: Staff member, J. Waters must complete Health and Safety Trainings on or before November 8, 2025. Staff member, P. Lopez must complete Health and Safety Trainings on or before August 7, 2025. Staff member, L. Nichols must complete 4 on-going training hours on or before June 25, 2025. Emergency Drills: Please set a reminder on your calendar to conduct either a shelter in place or a lockdown drill on or before June 30, 2025. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: The Early Learning Center Facility ID: 16000225 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 6/16/2025 Number Present: 49 Completed Date: 6/16/2025 Age: From 1 To 5 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 4-Star license issued June 18, 2024. The last annual compliance was conducted on June 18, 2024. The sanitation inspection was completed May 28, 2025, with a “Superior” classification. The last fire inspection was conducted on June 3, 2025. Your facility was approved for 1st shift care, the facility meets enhanced ratios, enhanced space, and no cooking is allowed in the facility. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of June 16, 2025. The NC Secretary of State website was reviewed on June 16, 2025, and The Early Learning Center, Inc., was listed as current-active. Fifty-eight (58) children, between the ages of one (1) and five (5) years old are enrolled and forty-nine (49) were present today. There are four (4) approved indoor spaces and three (3) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Toddlers assigned to indoors space #1 were observed in the outdoor space. Staff members assisted the children with climbing, sliding, throwing and rolling balls. Younger preschool children assigned to indoor space #4 were engaged in a variety of free play activities which included puzzles, bristle blocks, stuffed animals, reusable sticker pads, and dress up play in the dramatic area. Older preschool children assigned to indoor spaces #2 and #3 were engaged in free play activities which included super gear and tube building sets, sand play, dolls and doll houses, stacking cakes, building with wooden blocks, and painting ice. Routine toileting and handwashing procedures were monitored, and requirements were met. Health and safety trainings were monitored. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Indoor spaces #2 and #3 did not have a current activity plan posted. GS 110-91(12); .0508(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Four (4) staff members, including the director, did not have an annual health questionnaire on file following the initial medical statement. .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. Four (4) out of twelve (12) staff members did not update emergency information annually. .0701(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not update the EPR plan annually or when information in the plan changed to ensure all information was current. .0607(e) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two (2) staff members did not complete health and safety trainings within five (5) years of completing the previous health and safety training topics. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Wednesday, June 25, 2025, 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 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff Records: Items such as staff health questionnaires, emergency information, and evaluations must be updated annually. I suggest you select a certain month each year to complete these and set a reminder on your calendar so records will always be current. Staff On Going Training Hours: Today the required training hours were lacking for two (2) staff members. Please refer to the Staff and Training Worksheets for the number of hours needed for each of these staff members. I suggest you give staff a monthly or quarterly goal to help keep them on track and ensure their annual requirement is met. Encourage staff members to reach out to your local Partnership for Children at (252) 727-0445. Staff may also visit the DCDEE website to access several free, online trainings through Moodle using their NCID. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on July 5, 2024. Water testing must be completed every three (3) years. • Lead-Based Paint-Exempt • Asbestos-Exempt EPR Plan: As we discussed today, please update your facility’s current EPR plan with your information as administrator. The EPR Plan addresses how a child care center, or a family child care home will respond to both natural and man-made disasters; to ensure the safety and protection of the children and staff. Natural and man-made disasters include but are not limited to the following: fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disasters, or a dangerous person(s) in the vicinity. Emergency Preparedness and Response Plan Template In collaboration with NC Child Care Health and Safety Resource Center, and DCDEE, the NC Emergency Management developed a standard EPR template for use (statewide) by licensed child care programs. The content for this template aligns with the EPR in Child Care training and the EPR rules. The Child Care Rules state that programs must use the EPR template provided by the Division which is available from the NC Risk Management Portal. which houses emergency planning tools for a variety of hazards. Accessing the EPR Template To access the EPR Template, the trained staff must have an NCID. You may register for an NCID at the following link: https://ncid.nc.gov/ If you need help getting an NCID, here are detailed instructions for obtaining an NCID. Once you get an NCID, you will access the EPR template on the NC Risk Management Portal website. Once you are on the NC Risk Management Portal website, use the ‘Getting Started’ instructions listed to the right-side of the page. EPR Plan - Technical Assistance & On-going Support For technical assistance and on-going support regarding emergency preparedness and response in child care, contact the North Carolina Child Care Health and Safety Resource Center or 1-800-367-2229. Moodle Helpful Hints: 1. When on the Moodle homepage, scroll down past the three-square boxes to find directions to self-register for various training opportunities. 2. If you do not access a training opportunity for 150 days, the training will be suspended. To regain access, email a request to set status to “active” including the name of the training course to dcdee_moodle_support@dhhs.nc.gov. Send any questions about DCDEE Moodle trainings to dcdee_moodle_support@dhhs.nc.gov. Tips for MY NCID Users: Did you know that if you do not log in to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Reminders: Staff Qualifications: Staff member, J. Waters must complete Health and Safety Trainings on or before November 8, 2025. Staff member, P. Lopez must complete Health and Safety Trainings on or before August 7, 2025. Staff member, L. Nichols must complete 4 on-going training hours on or before June 25, 2025. Emergency Drills: Please set a reminder on your calendar to conduct either a shelter in place or a lockdown drill on or before June 30, 2025. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. 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: The Early Learning Center Facility ID: 16000225 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 49 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 145 Time In: 10:05 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable child care requirements for the facility’s second temporary time period visit. The facility’s Temporary License was issued March 22, 2024, and is valid through September 22, 2024. Restrictions on the permit include a first shift capacity of 58 children ages 1 to 5 years old; meets enhanced space and ratios, and no cooking is allowed in the building. According to the North Carolina Secretary of State website, your corporation Methodist Early Learning Center, Inc., is current and active. Administrator, Lisa Kittrell, was available for consultation today. Childcare Consultant April Bosse assisted with today’s visit. My supervisor verified, on June 18, 2024, that only two temporary time period visits were required as the facility has obtained all required inspections and meets all applicable requirements. There are four (4) approved indoor spaces and three (3) approved outdoor spaces. There are fifty-six (56) children enrolled and forty-nine (49) children, ages one (1) and five (5) were present today. Activity centers accessible included dramatic play, art, blocks, manipulatives, and language. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials were observed in each classroom. Adequate supervision and positive interactions were observed throughout. One (1) year old children in Space #1 were engaged in activity areas with dress up clothing, completing routine tasks with caregivers, and dancing to music. Three (3)- and four (4)-year-old children in Space #2 were engaged in activity areas painting rainbow fish, building in blocks, and measuring rocks on a scale. Preschool children in Space #3 were engaged in activity areas completing puzzles, gluing cutouts, and building in blocks. Three (3)-year-old children in Space #4 were sitting at the tables singing songs and engaged in group time waiting for lunch to come. Lunch for all children is provided from home. Rated License: At this time, a rated license assessment is not required as part of the transition due to the hold harmless state enacted by House Bill 344 and Senate Bill 291. Points earned during the rated license assessment conducted on February 12, 2018, and February 23, 2018, will be reissued. Please see how points were earned below: Under the previous ownership the facility earned 1 quality point for having an administrator that has completed a business training and a wage/hour training course with at least 30 contact hours, and the center has a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher, and group leader over the last 12 months. The facility earned six points in program for meeting minimum requirements, as well as all enhanced requirements. The facility earned a 4.88 on the ITERS-R and a 5.58 on the ECERS-R with an average score of 5.23 across the two assessments. The facility earned five points in education. The facility earned a total of 12 points which is a 4-star license. A new permit will be issued effective June 18, 2024. Once you receive your new permit, review it thoroughly to ensure it accurately reflects the facility's information. Please remember to immediately post your permit in a prominent place. The following violation was observed today and was corrected during the visit. Violation Number Comment Rule 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Disinfectant wipes were on the countertop in Space three (3) and not made inaccessible to children. .0604(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. Technical Assistance: Hazardous Materials: Hazardous items that are labeled “Keep out of reach of children” must remain five feet off the floor and out of reach of children. Today a violation was cited as there were disinfectant wipes that are labeled “Keep out of reach of children” on the low counter near the hand washing sink in Space three (3) and not out of reach of children. The wipes were placed in a locked upper cabinet during the visit therefore this violation was corrected during the visit. Outdoor Space Renovations: Today you stated that you will begin to renovate your outdoor areas beginning July 1st. Today we discussed ensuring that you are keeping me abreast of the progress of your renovations so that I can approve the area before children begin to use it. You stated today that you will be moving fences and new measurements will need to be conducted at the conclusion of the renovations. Volunteer Staff Requirements: Today we discussed what paperwork is needed on file for volunteers. “Volunteer" means a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. Substitute providers and volunteers must have on file a Health Questionnaire and all staff individuals who volunteer more than once per week shall complete a Tuberculin (TB) Test or Screening. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment or first day of volunteering. These items will be placed in a medical file. Reminders: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the Temporary Time Visit 2. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: The Early Learning Center Facility ID: 16000225 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 47 Completed Date: 4/16/2024 Age: From 1 To 5 Total Minutes: 175 Time In: 10:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable childcare requirements for the facility’s first temporary time period visit. The facility’s Temporary License was issued March 22, 2024, and is valid through September 22, 2024. Restrictions on the permit include a first shift capacity of 58 children ages 1 to 5 years old; meets enhanced space and ratios, and no cooking is allowed in the building. According to the North Carolina Secretary of State website, your corporation Methodist Early Learning Center, Inc., is current and active. Administrator, Lisa Kittrell, was available for consultation today. Childcare Consultant April Bosse assisted with today’s visit. As this is a change of ownership you will need to obtain an approved building inspection, approved fire inspection and a superior sanitation inspection before September 22, 2024. Today, you provided me with an approved fire inspection and a superior sanitation inspection. Once an approved building inspection is obtained, please forward a copy to me. Failure to obtain the required inspections will result in administrative action against your license. Lead water testing was completed by the previous owner on March 09, 2021. Lead water testing must be completed every three (3) years. A new lead water test for your facility will need to be completed as soon as possible. The center had the following items posted/located in a prominent place in the center for parents and available for me to review: the Temporary License, Safe Arrival and Departure Procedure, fire drill log, emergency phone numbers, and the Summary of the NC Child Care Law. A sample of facility records were reviewed which included four (4) staff records, and four (4) children’s records. The Children’s Records worksheet was completed by me today and you have a copy of the completed form. The staff worksheets were completed for all staff prior to our arrival. Ms. Kittrell attested that all children’s files, staff files, and facility/program records are current and contain all the required information. The indoor and outdoor learning environments were monitored for all pertinent safety and equipment related requirements. Enhanced space and ratio requirements are being met as your facility plans to meet these requirements once it transitions to a star rated permit. There are four (4) approved indoor spaces and two (2) approved outdoor spaces. There are fifty-nine (59) children enrolled and forty-seven (47) children, ages 1-5, were present today. Activity centers accessible included dramatic play, art, blocks, manipulatives, and language. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials were observed in each classroom. Adequate supervision and positive interactions were observed throughout. Toddlers assigned to indoor space #1 were observed climbing, sliding, and playing with sand toys in the covered sand box in outdoor space #1. Preschool children assigned to indoor space #2 were engaged in a variety of free play activities which included coloring and drawing with markers, playdough, sand play, animals, hollow wooden blocks, cars, tools, and dolls. Older preschool children assigned to indoor space #3 were engaged in free play activities which included coloring with markers, puzzles, Barbie doll house play, and building with cardboard bricks. Younger preschool children assigned to indoor space #4 were singing finger play songs while transitioning to lunch. Toileting and handwashing procedures were monitored, and requirements were met. Space Calculations: Today new space calculations along with capacities were performed in all indoor and outdoor spaces. Indoor Space 1-14 children Indoor Space 2-22 Children Indoor Space 3-23 Children Indoor Space 4-16 Children Outdoor Space 1-11 Children at 100 square feet per child Outdoor Space 2-21 Children at 100 square feet per child Outdoor Space 3-5 Children at 100 square feet per child I have included the space calculation worksheets with this visit summary for your records. Violation Number Comment Rule 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Two (2) medical action plans in indoor space #2, were not updated on an annual basis. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two (2) permissions to administer diaper cream forms were expired in space #4. One was dated December 31, 2023, and the other was dated March 16, 2024. Two (2) permissions to administer medication forms in space #2 were expired. One was dated July 18, 2023, and the other was dated June9, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Wednesday April 24, 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 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 will be conducted. Mail or email the information to: Andrea Johnson, Childcare Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Expired Medical Action Plans: Today there were two medical action plans that were expired and two expired for permission to administer forms in space #2. Child Care rule 10A NCAC 09 .0803 (6) states a parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Today I suggested using the form from the DCDEE website to ensure all information needed is obtained and present on the permission form. Lead and Asbestos testing: It is time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship to your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-lead-based-paint-reimbursement-program-arpa Outdoor Play areas: Today you discussed with me that you would like to renovate your outdoor areas. We discussed you ensure that there is a six (6) foot fall zone for the new structure that you are installing and that the fall zone is filled with approved materials. Before children may use the new outdoor areas, you will need to call and I will come and re-measure and approve the area for use. Rated License: Today we discussed the two-component rated license process. As a change of ownership, you may choose to continue with the points awarded during the last rated license assessment. You stated you would like to continue with the previous points your facility earned. This puts your facility in cohort 1. Your prep year began July 1, 2023, through June 30, 2024. Your reassessment year is July 1, 2024, through June 30, 2025. Reminders: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the Temporary Time Visit 1. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: The Early Learning Center Facility ID: 16000225 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 47 Completed Date: 4/16/2024 Age: From 1 To 5 Total Minutes: 175 Time In: 10:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance with applicable childcare requirements for the facility’s first temporary time period visit. The facility’s Temporary License was issued March 22, 2024, and is valid through September 22, 2024. Restrictions on the permit include a first shift capacity of 58 children ages 1 to 5 years old; meets enhanced space and ratios, and no cooking is allowed in the building. According to the North Carolina Secretary of State website, your corporation Methodist Early Learning Center, Inc., is current and active. Administrator, Lisa Kittrell, was available for consultation today. Childcare Consultant April Bosse assisted with today’s visit. As this is a change of ownership you will need to obtain an approved building inspection, approved fire inspection and a superior sanitation inspection before September 22, 2024. Today, you provided me with an approved fire inspection and a superior sanitation inspection. Once an approved building inspection is obtained, please forward a copy to me. Failure to obtain the required inspections will result in administrative action against your license. Lead water testing was completed by the previous owner on March 09, 2021. Lead water testing must be completed every three (3) years. A new lead water test for your facility will need to be completed as soon as possible. The center had the following items posted/located in a prominent place in the center for parents and available for me to review: the Temporary License, Safe Arrival and Departure Procedure, fire drill log, emergency phone numbers, and the Summary of the NC Child Care Law. A sample of facility records were reviewed which included four (4) staff records, and four (4) children’s records. The Children’s Records worksheet was completed by me today and you have a copy of the completed form. The staff worksheets were completed for all staff prior to our arrival. Ms. Kittrell attested that all children’s files, staff files, and facility/program records are current and contain all the required information. The indoor and outdoor learning environments were monitored for all pertinent safety and equipment related requirements. Enhanced space and ratio requirements are being met as your facility plans to meet these requirements once it transitions to a star rated permit. There are four (4) approved indoor spaces and two (2) approved outdoor spaces. There are fifty-nine (59) children enrolled and forty-seven (47) children, ages 1-5, were present today. Activity centers accessible included dramatic play, art, blocks, manipulatives, and language. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials were observed in each classroom. Adequate supervision and positive interactions were observed throughout. Toddlers assigned to indoor space #1 were observed climbing, sliding, and playing with sand toys in the covered sand box in outdoor space #1. Preschool children assigned to indoor space #2 were engaged in a variety of free play activities which included coloring and drawing with markers, playdough, sand play, animals, hollow wooden blocks, cars, tools, and dolls. Older preschool children assigned to indoor space #3 were engaged in free play activities which included coloring with markers, puzzles, Barbie doll house play, and building with cardboard bricks. Younger preschool children assigned to indoor space #4 were singing finger play songs while transitioning to lunch. Toileting and handwashing procedures were monitored, and requirements were met. Space Calculations: Today new space calculations along with capacities were performed in all indoor and outdoor spaces. Indoor Space 1-14 children Indoor Space 2-22 Children Indoor Space 3-23 Children Indoor Space 4-16 Children Outdoor Space 1-11 Children at 100 square feet per child Outdoor Space 2-21 Children at 100 square feet per child Outdoor Space 3-5 Children at 100 square feet per child I have included the space calculation worksheets with this visit summary for your records. Violation Number Comment Rule 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. Two (2) medical action plans in indoor space #2, were not updated on an annual basis. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two (2) permissions to administer diaper cream forms were expired in space #4. One was dated December 31, 2023, and the other was dated March 16, 2024. Two (2) permissions to administer medication forms in space #2 were expired. One was dated July 18, 2023, and the other was dated June9, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Wednesday April 24, 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 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 will be conducted. Mail or email the information to: Andrea Johnson, Childcare Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Expired Medical Action Plans: Today there were two medical action plans that were expired and two expired for permission to administer forms in space #2. Child Care rule 10A NCAC 09 .0803 (6) states a parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. Today I suggested using the form from the DCDEE website to ensure all information needed is obtained and present on the permission form. Lead and Asbestos testing: It is time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship to your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-lead-based-paint-reimbursement-program-arpa Outdoor Play areas: Today you discussed with me that you would like to renovate your outdoor areas. We discussed you ensure that there is a six (6) foot fall zone for the new structure that you are installing and that the fall zone is filled with approved materials. Before children may use the new outdoor areas, you will need to call and I will come and re-measure and approve the area for use. Rated License: Today we discussed the two-component rated license process. As a change of ownership, you may choose to continue with the points awarded during the last rated license assessment. You stated you would like to continue with the previous points your facility earned. This puts your facility in cohort 1. Your prep year began July 1, 2023, through June 30, 2024. Your reassessment year is July 1, 2024, through June 30, 2025. Reminders: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the Temporary Time Visit 1. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 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